Salloum Alison, Robst John, Scheeringa Michael S, Cohen Judith A, Wang Wei, Murphy Tanya K, Tolin David F, Storch Eric A
School of Social Work, University of South Florida, 13301 Bruce B. Downs Blvd., MHC 1400, Tampa, FL, 33612-3870, USA,
Child Psychiatry Hum Dev. 2014 Feb;45(1):65-77. doi: 10.1007/s10578-013-0378-6.
This pilot study explored the preliminary efficacy, parent acceptability and economic cost of delivering Step One within Stepped Care Trauma-Focused Cognitive Behavioral Therapy (SC-TF-CBT). Nine young children ages 3-6 years and their parents participated in SC-TF-CBT. Eighty-three percent (5/6) of the children who completed Step One treatment and 55.6 % (5/9) of the intent-to-treat sample responded to Step One. One case relapsed at post-assessment. Treatment gains were maintained at 3-month follow-up. Generally, parents found Step One to be acceptable and were satisfied with treatment. At 3-month follow-up, the cost per unit improvement for posttraumatic stress symptoms and severity ranged from $27.65 to $131.33 for the responders and from $36.12 to $208.11 for the intent-to-treat sample. Further research on stepped care for young children is warranted to examine if this approach is more efficient, accessible and cost-effective than traditional therapy.
这项试点研究探讨了在阶梯式创伤聚焦认知行为疗法（SC-TF-CBT）中实施第一步治疗的初步疗效、家长接受度和经济成本。9名3至6岁的幼儿及其家长参与了SC-TF-CBT。完成第一步治疗的儿童中有83%（5/6）对第一步治疗有反应，意向性治疗样本中有55.6%（5/9）对第一步治疗有反应。1例在评估后复发。治疗效果在3个月随访时得以维持。总体而言，家长们认为第一步治疗是可以接受的，并对治疗感到满意。在3个月随访时，有反应者创伤后应激症状和严重程度的单位改善成本在27.65美元至131.33美元之间，意向性治疗样本的成本在36.12美元至208.11美元之间。有必要对幼儿的阶梯式治疗进行进一步研究，以检验这种方法是否比传统疗法更有效、更易获得且更具成本效益。
