Konanur Sheila, Muller Robert T, Cinamon Julie S, Thornback Kristin, Zorzella Karina P M
Department of Psychology, Faculty of Health, York University, Canada.
Child Abuse Negl. 2015 Dec;50:159-70. doi: 10.1016/j.chiabu.2015.07.013. Epub 2015 Aug 28.
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a widely used treatment model for trauma-exposed children and adolescents (Cohen, Mannarino, & Deblinger, 2006). The Healthy Coping Program (HCP) was a multi-site community based intervention carried out in a diverse Canadian city. A randomized, waitlist-control design was used to evaluate the effectiveness of TF-CBT with trauma-exposed school-aged children (Muller & DiPaolo, 2008). A total of 113 children referred for clinical services and their caregivers completed the Trauma Symptom Checklist for Children (Briere, 1996) and the Trauma Symptom Checklist for Young Children (Briere, 2005). Data were collected pre-waitlist, pre-assessment, pre-therapy, post-therapy, and six months after the completion of TF-CBT. The passage of time alone in the absence of clinical services was ineffective in reducing children's posttraumatic symptoms. In contrast, children and caregivers reported significant reductions in children's posttraumatic stress (PTS) following assessment and treatment. The reduction in PTS was maintained at six month follow-up. Findings of the current study support the use of the TF-CBT model in community-based settings in a diverse metropolis. Clinical implications are discussed.
创伤聚焦认知行为疗法（TF-CBT）是一种广泛应用于遭受创伤的儿童和青少年的治疗模式（科恩、曼纳里诺和德布林格，2006年）。健康应对计划（HCP）是在加拿大一个多元化城市开展的一项多地点社区干预措施。采用随机、等待列表对照设计来评估TF-CBT对遭受创伤的学龄儿童的有效性（穆勒和迪保罗，2008年）。共有113名转介接受临床服务的儿童及其照顾者完成了儿童创伤症状清单（布里尔，1996年）和幼儿创伤症状清单（布里尔，2005年）。在等待列表前、评估前、治疗前、治疗后以及TF-CBT完成后六个月收集数据。仅时间的推移而没有临床服务对减轻儿童的创伤后症状无效。相比之下，儿童及其照顾者报告称，在评估和治疗后，儿童的创伤后应激（PTS）显著减轻。PTS的减轻在六个月随访时得以维持。本研究结果支持在多元化大都市的社区环境中使用TF-CBT模式。并讨论了其临床意义。
