Department of Meditation Psychology, Nungin University, Hwaseong, Korea.
Department of Psychiatry, Myongji Hospital, Goyang, Korea.
J Korean Med Sci. 2020 Jul 27;35(29):e240. doi: 10.3346/jkms.2020.35.e240.
We aimed to evaluate the feasibility of trauma-focused group therapy in adolescents exposed to traumatic events in Korea.
We recruited 22 adolescents (mean age, 16 years; standard deviation, 1.43; range, 13-18 years). Children in Disaster: Evaluation and Recovery (CIDER) V1.0 is a trauma-focused group therapy comprising eight 50-minute-long sessions. The effectiveness of the intervention was evaluated using the Korean version of the Children's Response to Traumatic Events Scale-Revised (K-CRTES-R), the Beck Depression Inventory (BDI), the State Anxiety Inventory for Children (SAIC), and the Pediatric Quality of Life Inventory (PedsQL). The data were analyzed by the Wilcoxon signed-rank test.
A significant improvement was revealed in trauma-related symptom scores ( = -2.85, < 0.01), depressive symptom scores ( = -2.35, < 0.05) and quality of life scores ( = -3.08, < 0.01). Additionally, a marginally significant improvement was found in anxiety symptom scores ( = -1.90, = 0.058).
CIDER is a potentially effective intervention for adolescents exposed to traumatic events. Larger controlled trials are needed.
Clinical Research Information Service Identifier: KCT0004681.
本研究旨在评估创伤焦点团体治疗在韩国创伤暴露青少年中的可行性。
我们招募了 22 名青少年（平均年龄 16 岁，标准差 1.43，范围 13-18 岁）。儿童灾难评估与恢复（CIDER）V1.0 是一种创伤焦点团体治疗，包含 8 次 50 分钟长的疗程。采用儿童创伤事件反应量表修订版（K-CRTES-R）、贝克抑郁量表（BDI）、儿童状态焦虑量表（SAIC）和儿科生活质量量表（PedsQL）评估干预效果。采用 Wilcoxon 符号秩检验分析数据。
创伤相关症状评分（ = -2.85， < 0.01）、抑郁症状评分（ = -2.35， < 0.05）和生活质量评分（ = -3.08， < 0.01）均显著改善。此外，焦虑症状评分也有明显改善（ = -1.90， = 0.058）。
CIDER 可能是一种对创伤暴露青少年有效的干预措施。需要更大规模的对照试验来进一步验证。
临床研究信息服务标识符：KCT0004681。
