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[针对一个难民家庭的三个兄弟姐妹开展的基于家庭的创伤聚焦认知行为疗法]

[Family-Based Trauma-Focused Cognitive Behavioral Therapy with Three Siblings of a Refugee Family].

作者信息

Bohnacker Isabelle, Goldbeck Lutz

机构信息

Universitätsklinikum Ulm Steinhövelstraße 5 89075 Ulm Deutschland Universitätsklinikum Ulm.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2017 Oct;66(8):614-628. doi: 10.13109/prkk.2017.66.8.614.

DOI:10.13109/prkk.2017.66.8.614
PMID:28974186
Abstract

Family-Based Trauma-Focused Cognitive Behavioral Therapy with Three Siblings of a Refugee Family The possibility and relevance of a joint trauma-therapy with siblings has yet received little attention in research and clinical practice. The following case study presents a joint family-based trauma-focused therapy process with a refugee family. All three siblings suffered from post-traumatic stress disorder (PTSD) before treatment. The treatment followed the manual of Trauma Focused Cognitive Behavioral Therapy (TF-CBT; Cohen, Mannarino, Deblinger, 2009). Measures were the short version of the Child and Adolescent Trauma Screen (CATS 7-17), as well as the Teacher's Report Form (TRF). After 18 treatment sessions together with the mother, all three children did no longer meet PTSD criteria. Benefits of the joint therapy were for all three siblings to be sharing and imitating each other's coping strategies. Furthermore, the protective factor of social support after experiencing a traumatic event became evident. The apprehension of the therapist not being sufficiently neutral towards all three siblings was not observed.

摘要

对一个难民家庭的三个兄弟姐妹进行基于家庭的创伤聚焦认知行为疗法 在研究和临床实践中,针对兄弟姐妹开展联合创伤治疗的可能性和相关性尚未得到足够关注。以下案例研究展示了对一个难民家庭进行基于家庭的联合创伤聚焦治疗过程。治疗前,三个兄弟姐妹均患有创伤后应激障碍(PTSD)。治疗遵循《创伤聚焦认知行为疗法手册》(TF-CBT;科恩、曼纳里诺、德布林格,2009年)。测量工具为《儿童与青少年创伤筛查简版》(CATS 7 - 17)以及《教师报告表》(TRF)。在与母亲共同进行了18次治疗后,三个孩子均不再符合PTSD标准。联合治疗的益处在于,三个兄弟姐妹能够相互分享并模仿彼此的应对策略。此外,经历创伤事件后社会支持的保护作用也变得明显。未观察到治疗师对三个兄弟姐妹缺乏足够中立性的情况。

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Is Trauma Focused-Cognitive Behavioral Therapy (TF-CBT) Effective in Reducing Trauma Symptoms among Traumatized Refugee Children? A Systematic Review.创伤聚焦认知行为疗法(TF-CBT)对减轻受创伤难民儿童的创伤症状是否有效?一项系统综述。
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