Kameoka Satomi, Tanaka Eizaburo, Yamamoto Sayaka, Saito Azusa, Narisawa Tomomi, Arai Yoko, Nosaka Sachiko, Ichikawa Kayoko, Asukai Nozomu
Research department, Hyogo Institute for Traumatic Stress, Kobe, Hyogo, Japan.
Faculty of Human Sciences, Mejiro University, Shinjuku-ku, Tokyo, Japan.
Eur J Psychotraumatol. 2020 Jul 1;11(1):1767987. doi: 10.1080/20008198.2020.1767987.
Trauma-focused cognitive behavioural therapy (TF-CBT) is an efficacious treatment model for children and adolescents with trauma-related disorders. However, few studies have been conducted in community settings, and there have been no randomized controlled trials in Asian countries.
To evaluate the effectiveness of TF-CBT in regular community settings in Japan through comparison with a waitlist with minimal services control condition.
Thirty Japanese children and adolescents with posttraumatic stress disorder symptoms (22 females, eight males, mean age = 13.90, range = 6-18) were randomly assigned to 12 sessions of TF-CBT or the waitlist control condition. The primary outcome measure was the Kiddie Schedule for Affective Disorders and Schizophrenia score assessed by blinded evaluators one month later.
The mean number of sessions was 12 (range: 11-13) in the TF-CBT group and 4.87 (range: 3-7) in the control group. Intention to treat analysis showed that the TF-CBT group achieved significantly greater symptom reduction than did the control group. The effect size (Cohen's ) between the TF-CBT and control groups was 0.96 ( =.014) for posttraumatic symptoms and 1.15 ( =.004) for depressive symptoms. However, the TF-CBT group did not show better results than the control group with regard to improvements in anxiety symptoms, psychosocial functioning, and behavioural problems.
The findings provided preliminary evidence of the effectiveness of TF-CBT for treating youth with trauma in community mental health facilities. TF-CBT in the Japanese context proved identical to the original, demonstrating that it is also suitable for use with children and adolescents in non-Western settings.
创伤聚焦认知行为疗法（TF-CBT）是一种针对患有创伤相关障碍的儿童和青少年的有效治疗模式。然而，在社区环境中开展的研究较少，且亚洲国家尚未进行过随机对照试验。
通过与接受最少服务的等待名单对照条件进行比较，评估TF-CBT在日本常规社区环境中的有效性。
30名有创伤后应激障碍症状的日本儿童和青少年（22名女性，8名男性，平均年龄 = 13.90，范围 = 6 - 18岁）被随机分配接受12节TF-CBT治疗或进入等待名单对照条件。主要结局指标是由盲法评估者在1个月后评估的儿童情感障碍和精神分裂症量表得分。
TF-CBT组的平均治疗节数为12节（范围：11 - 13节），对照组为4.87节（范围：3 - 7节）。意向性分析表明，TF-CBT组的症状减轻程度显著大于对照组。TF-CBT组与对照组之间创伤后症状的效应量（科恩d值）为0.96（p = 0.014），抑郁症状的效应量为1.15（p = 0.004）。然而，在焦虑症状、心理社会功能和行为问题的改善方面，TF-CBT组并未显示出比对照组更好的结果。
研究结果为TF-CBT在社区心理健康机构治疗青少年创伤方面的有效性提供了初步证据。在日本背景下的TF-CBT与原模式相同，表明它也适用于非西方环境中的儿童和青少年。
