School of Psychology, Flinders University.
Psychol Trauma. 2017 Jul;9(4):471-478. doi: 10.1037/tra0000190. Epub 2016 Sep 26.
The 1-year outcome and moderators of adjustment for children and youth receiving treatment for posttraumatic stress disorder (PTSD) following single-incident trauma was examined.
Children and youth who had experienced single-incident trauma (N = 33; 7-17 years old) were randomly assigned to receive 9 weeks of either trauma-focused cognitive behavior therapy (CBT) or trauma-focused cognitive therapy (without exposure; CT) that was administered to them and their parents individually.
Intent-to-treat analyses demonstrated that both groups maintained posttreatment gains in PTSD, depression and general anxiety symptoms reductions at 1-year follow-up, with no children meeting criteria for PTSD. A large proportion of children showed good end-state functioning at follow-up (CBT: 65%; CT: 71%). Contrary to 6-month outcomes, maternal adjustment no longer moderated children's outcome, nor did any other tested variables.
The findings confirm the positive longer-term outcomes of using trauma-focused cognitive-behavioral methods for PTSD secondary to single-incident trauma and that these outcomes are not dependent on the use of exposure. (PsycINFO Database Record
研究了在单次创伤后接受创伤后应激障碍（PTSD）治疗的儿童和青少年的 1 年结局和调整的调节因素。
随机分配经历单次创伤的儿童和青少年（N=33；7-17 岁）接受 9 周的创伤聚焦认知行为疗法（CBT）或创伤聚焦认知疗法（无暴露；CT），分别对他们和他们的父母进行治疗。
意向治疗分析表明，两组在 1 年随访时都保持了 PTSD、抑郁和一般焦虑症状的治疗后改善，没有儿童符合 PTSD 的标准。很大一部分儿童在随访时表现出良好的终末功能（CBT：65%；CT：71%）。与 6 个月的结果相反，母亲的调整不再调节儿童的结果，也没有其他测试的变量。
这些发现证实了使用创伤聚焦认知行为方法治疗单次创伤后 PTSD 的积极的长期结果，并且这些结果不依赖于暴露的使用。
