创伤后应激障碍青少年的心理和药物治疗：基于证据的综述。
Psychological and pharmacologic treatment of youth with posttraumatic stress disorder: an evidence-based review.
机构信息
Department of Pediatrics, Mayerson Center for Safe and Healthy Children, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA; Division of Child and Adolescent Psychiatry, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45219, USA.
Division of Child and Adolescent Psychiatry, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45219, USA; Department of Psychiatry and Behavioral Neuroscience, College of Medicine, University of Cincinnati, 260 Stetson Street, Cincinnati, OH 45219, USA.
出版信息
Child Adolesc Psychiatr Clin N Am. 2014 Apr;23(2):399-411, x. doi: 10.1016/j.chc.2013.12.002. Epub 2014 Feb 16.
This article reviews the evidence for the treatment of children and adolescents with posttraumatic stress disorder (PTSD). Treatment strategies are discussed along with clinically relevant considerations with regard to choosing a modality, working with parents, and adaptations for specific populations. Current data suggest the efficacy of trauma-focused psychotherapies for the treatment of pediatric PTSD. Limited data from psychopharmacologic trials suggest that several classes of medications may have efficacy in youth with PTSD. The extant treatment studies in pediatric patients with PTSD and consensus recommendations suggest that treatment should be based on the individual child's most distressing and functionally impairing symptoms.
本文回顾了创伤后应激障碍（PTSD）儿童和青少年治疗的证据。讨论了治疗策略，并就选择治疗方式、与家长合作以及针对特定人群的调整等方面提出了临床相关的注意事项。目前的数据表明，针对儿童 PTSD 的以创伤为中心的心理疗法具有疗效。来自精神药理学试验的有限数据表明，几种类别的药物可能对 PTSD 青少年有效。现有的 PTSD 儿科患者治疗研究和共识建议表明，治疗应基于个体儿童最痛苦和功能损害最严重的症状。
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