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对遭受创伤后应激障碍的性虐待儿童进行认知行为治疗:初步研究结果。

Cognitive behavioral treatment for sexually abused children suffering post-traumatic stress: preliminary findings.

作者信息

Deblinger E, McLeer S V, Henry D

机构信息

University of Medicine and Dentistry of New Jersey, School of Osteopathic Medicine, Stratford 08084.

出版信息

J Am Acad Child Adolesc Psychiatry. 1990 Sep;29(5):747-52. doi: 10.1097/00004583-199009000-00012.

DOI:10.1097/00004583-199009000-00012
PMID:2228928
Abstract

The present investigation examined the effectiveness of a cognitive behavioral treatment program designed for sexually abused children suffering post-traumatic stress disorder. Nineteen girls who suffered contact sexual abuse and met DSM-III-R criteria for post-traumatic stress disorder were included in the study. Subjects ranged in age from 3 to 16 years old. Structured interviews were conducted to assess the presence or absence of post-traumatic stress disorder symptoms before, during, and following the abuse. Additionally, parents completed the Child Behavior Checklist, and subjects at least 6 years of age were administered the Child Depression Inventory and the Spielberger State-Trait Anxiety Inventory at the initial evaluation and again approximately 2 to 3 weeks later before the initiation of treatment. The baseline data collected at these two points were compared, and no significant changes were found over time. The above measures were readministered following 12 treatment sessions. The results revealed significant improvements at post-treatment on all measures.

摘要

本研究考察了为遭受创伤后应激障碍的性虐待儿童设计的认知行为治疗方案的有效性。19名遭受过性接触虐待且符合DSM-III-R创伤后应激障碍标准的女孩被纳入研究。受试者年龄在3至16岁之间。在虐待之前、期间和之后进行结构化访谈,以评估创伤后应激障碍症状的存在与否。此外,父母完成了儿童行为量表,至少6岁的受试者在初始评估时以及在治疗开始前约2至3周再次接受儿童抑郁量表和斯皮尔伯格状态-特质焦虑量表的测试。比较这两个时间点收集的基线数据,未发现随时间有显著变化。在12次治疗疗程后重新进行上述测量。结果显示,治疗后所有测量指标均有显著改善。

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