Allegheny General Hospital, Pittsburgh, PA 15212, USA.
Child Maltreat. 2012 Aug;17(3):231-41. doi: 10.1177/1077559512451787. Epub 2012 Jul 3.
This study presents the findings from 6- and 12-month follow-up assessments of 158 children ages 4-11 years who had experienced sexual abuse and who had been treated with Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) with or without the inclusion of the trauma narrative (TN) treatment module and in 8 or 16 treatment sessions. Follow-up results indicated that the overall significant improvements across 14 outcome measures that had been reported at posttreatment were sustained 6 and 12 months after treatment and on two of these measures (child self-reported anxiety and parental emotional distress) there were additional improvements at the 12-month follow-up. Higher levels of child internalizing and depressive symptoms at pretreatment were predictive of the small minority of children who continued to meet full criteria for posttraumatic stress disorder at the 12-month follow-up. These results are discussed in the context of the extant TF-CBT treatment literature.
本研究报告了对 158 名 4-11 岁遭受性虐待的儿童进行 6 个月和 12 个月随访评估的结果，这些儿童接受了创伤焦点认知行为疗法（TF-CBT）治疗，其中一些儿童还接受了创伤叙事（TN）治疗模块，治疗次数为 8 次或 16 次。随访结果表明，在治疗后报告的 14 项疗效指标中，整体显著改善在治疗后 6 个月和 12 个月持续存在，在其中两项指标（儿童自我报告的焦虑和父母情绪困扰）上，在 12 个月随访时还有进一步的改善。治疗前儿童的内化和抑郁症状水平较高，预示着一小部分儿童在 12 个月随访时仍符合创伤后应激障碍的全部标准。这些结果在现有的 TF-CBT 治疗文献背景下进行了讨论。
