比较眼动脱敏再处理疗法（EMDR）和创伤聚焦认知行为疗法（TF-CBT）对儿童和青少年的有效性：一项荟萃分析。
Comparing the Effectiveness of EMDR and TF-CBT for Children and Adolescents: a Meta-Analysis.
作者信息
Lewey Jennifer H, Smith Christopher L, Burcham Brandi, Saunders Nia L, Elfallal Dina, O'Toole Siobhan K
机构信息
1Clinical Psychology Department, California School of Professional Psychology at Alliant International University, 5130 E. Clinton Way, Fresno, CA 93727 USA.
2Direct Care and Treatment - Forensic Services (DCT-FS), Minnesota Department of Human Services (DHS), St. Peter, MN USA.
出版信息
J Child Adolesc Trauma. 2018 Jun 11;11(4):457-472. doi: 10.1007/s40653-018-0212-1. eCollection 2018 Dec.
Abstract
Efficacy of EMDR and TF-CBT for posttraumatic stress symptoms (PTSS) was explored through meta-analysis. A comprehensive search yielded 494 studies of children and adolescents with PTSS who received treatment with these evidence-based therapeutic modalities. Thirty total studies were included in the meta-analysis. The overall Cohen's was small (-0.359) and statistically significant ( < 0.05), indicating EMDR and TF-CBT are effective in treating PTSS. Major findings posit TF-CBT is marginally more effective than EMDR; those with sub-clinical PTSS responded more favorably in treatment than those with PTSD; and greater reductions in PTSS were observed with presence of comorbidity in diagnosis. Assessment of publication bias with Classic fail-safe revealed it would take 457 nonsignificant studies to nullify these findings.
摘要
通过荟萃分析探讨了眼动脱敏再处理疗法（EMDR）和创伤聚焦认知行为疗法（TF-CBT）对创伤后应激症状（PTSS）的疗效。全面检索得到494项针对患有PTSS的儿童和青少年接受这些循证治疗方式治疗的研究。荟萃分析共纳入30项研究。总体科恩d值较小（-0.359）且具有统计学意义（p<0.05），表明EMDR和TF-CBT在治疗PTSS方面有效。主要研究结果表明，TF-CBT比EMDR略有效；亚临床PTSS患者在治疗中的反应比患有创伤后应激障碍（PTSD）的患者更有利；诊断中存在共病时，PTSS的减少幅度更大。用经典失效安全数评估发表偏倚表明，需要457项无统计学意义的研究才能使这些结果无效。
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