Li Jina, Li Jia, Yuan Lin, Zhou Ying, Zhang Weijun, Qu Zhiyong
Center for Behavioral Health, Beijing Normal University.
Psychol Trauma. 2024 Apr;16(Suppl 1):S255-S264. doi: 10.1037/tra0001324. Epub 2022 Sep 8.
The psychological need for traumatized children is huge in China. However, evidence-based treatments designed for Chinese children are scarce. This study aimed to test the feasibility and preliminary effectiveness of a cognitive-behavioral program (Power up Children's Psychological Immunity; PCPI) in Chinese children.
A total of 87 children with posttraumatic stress disorder (PTSD) symptoms in grades 3 to 5 were randomly allocated (1:1) to the PCPI group or the treatment as usual (TAU) group. The feasibility was assessed by participant adherence, satisfaction, and acceptability. The severity of PTSD, depression and anxiety were assessed at pre- and posttreatment and the 3-month follow-up.
A high level of satisfaction (81.82%) and retention rate of each session (more than 93.33%) were found. Qualitative feedback reported a high level of acceptance. At posttreatment, the PCPI group had lower mean scores than the TAU group for PTSD (adjusted mean difference [AMD], -6.18; 95% CI, -12.21 to -.14; = .048), and anxiety (AMD, -2.05; 95% CI, -3.81 to -.28; = .026). However, little change was found from posttreatment to 3-month follow-up.
The findings indicated that the school-based group PCPI intervention was feasible and acceptable. Further evaluation is needed to examine its effectiveness in a larger sample size. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
在中国，受创伤儿童的心理需求巨大。然而，专门为中国儿童设计的循证治疗方法却很稀缺。本研究旨在测试一种认知行为项目（增强儿童心理免疫力；PCPI）在中国儿童中的可行性和初步有效性。
共有87名3至5年级有创伤后应激障碍（PTSD）症状的儿童被随机（1:1）分配到PCPI组或常规治疗（TAU）组。通过参与者的依从性、满意度和可接受性来评估可行性。在治疗前、治疗后以及3个月随访时评估PTSD、抑郁和焦虑的严重程度。
发现满意度较高（81.82%），且各 session 的留存率较高（超过93.33%）。定性反馈显示接受度较高。治疗后，PCPI组在PTSD方面的平均得分低于TAU组（调整后平均差异[AMD]，-6.18；95%可信区间，-12.21至-.14；P =.048），在焦虑方面也是如此（AMD，-2.05；95%可信区间，-3.81至-.28；P =.026）。然而，从治疗后到3个月随访时变化不大。
研究结果表明基于学校的团体PCPI干预是可行且可接受的。需要进一步评估以检验其在更大样本量中的有效性。（PsycInfo数据库记录（c）2024美国心理学会，保留所有权利）
