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针对有创伤后症状的青少年的以线索为中心的疗法。

Cue-Centered Therapy for Youth Experiencing Posttraumatic Symptoms.

作者信息

Kletter Hilit, Matlow Ryan, Tanovic Selma, Carrion Victor

机构信息

Department of Child/Adolescent Psychiatry, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305 USA.

出版信息

Curr Treat Options Psychiatry. 2021;8(3):125-140. doi: 10.1007/s40501-021-00241-3. Epub 2021 Apr 19.

Abstract

PURPOSE

Few of the existing evidence-based interventions for child trauma exposure were specifically designed to address experiences and outcomes of complex developmental trauma. Stanford's cue-centered therapy (CCT) was designed to address this gap by offering a flexible, integrative, and insight-oriented treatment approach that is grounded in principles of neuroscience, developmental trauma, client empowerment, and allostasis. This article reviews the CCT rationale, treatment components, evidence base, and training approach.

RECENT FINDINGS

Studies demonstrate promising outcomes indicating CCT effectiveness in reducing child and caregiver posttraumatic stress, and in improving child functioning. Further research, however, is needed to identify which clients are best-suited for CCT (versus other available child trauma treatments) and to identify which components of CCT are most critical for addressing complex developmental trauma.

SUMMARY

CCT advances the field of child trauma treatment by offering an intervention approach focused on addressing complex developmental trauma. Positive treatment and training outcomes indicate utility of CCT for clients and clinicians. Innovations in research and training approaches are needed to further dissemination and implementation of CCT and other related child trauma interventions for complex developmental trauma.

摘要

目的

现有的针对儿童创伤暴露的循证干预措施中,很少有专门设计用于解决复杂发育性创伤的经历和后果的。斯坦福大学的线索中心疗法(CCT)旨在通过提供一种灵活、综合且以洞察为导向的治疗方法来填补这一空白,该方法基于神经科学、发育性创伤、客户赋权和稳态的原则。本文回顾了CCT的理论基础、治疗组成部分、证据基础和培训方法。

最新发现

研究显示出有前景的结果,表明CCT在减轻儿童和照顾者的创伤后应激以及改善儿童功能方面有效。然而,还需要进一步研究以确定哪些客户最适合CCT(相对于其他可用的儿童创伤治疗方法),并确定CCT的哪些组成部分对于解决复杂发育性创伤最为关键。

总结

CCT通过提供一种专注于解决复杂发育性创伤的干预方法推动了儿童创伤治疗领域的发展。积极的治疗和培训结果表明CCT对客户和临床医生有用。需要在研究和培训方法上进行创新,以进一步推广和实施CCT以及其他针对复杂发育性创伤的相关儿童创伤干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7beb/8054844/16083d6b06be/40501_2021_241_Fig1_HTML.jpg

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