Department of Psychology, Catholic University of Eichstätt-Ingolstadt, Ingolstadt, Germany.
Alexianer Krefeld GmbH, Hospital Maria-Hilf, Clinic for Mental Health, Department of General Psychiatry, Krefeld, Germany.
Child Maltreat. 2024 May;29(2):375-387. doi: 10.1177/10775595231167383. Epub 2023 Mar 23.
The efficacy of trauma-focused treatments for children and adolescents is well researched. However, less is known about the long-term and caregiver-reported effects. Searched databases were PsychInfo, MEDLINE, Cochrane Library, PTSDPubs, PubMed, Web of Science, and OpenGrey. Treatment effects of trauma-focused cognitive behavioral therapy (TF-CBT) were computed at 12-month follow-up with posttraumatic stress symptoms (PTSS) as primary outcome and symptoms of depression, anxiety, and grief as secondary outcomes. Concordance between participant and caregiver ratings were investigated. TF-CBT showed large improvements across all outcomes from pre-treatment to 12-month follow-up (PTSS: g = 1.71, CI 1.27-2.15) and favorable results compared to active treatments and treatment as usual at 12-month follow-up (PTSS: g = .35, CI .13-.56). More pronounced effects were found in group settings. No significant differences were detected between participant and caregiver ratings with high reliability across almost all outcomes and assessment points. TF-CBT is a reliable treatment for pediatric PTSS and secondary symptoms with stable results at 12-month follow-up.
创伤焦点治疗对儿童和青少年的疗效已经过充分研究。然而，对于长期疗效和照顾者报告的疗效知之甚少。检索的数据库包括 PsychInfo、MEDLINE、Cochrane 图书馆、PTSDPubs、PubMed、Web of Science 和 OpenGrey。创伤焦点认知行为疗法（TF-CBT）的治疗效果在 12 个月随访时进行评估，以创伤后应激症状（PTSS）为主要结果，抑郁、焦虑和悲伤症状为次要结果。研究了参与者和照顾者评分之间的一致性。从治疗前到 12 个月随访时，TF-CBT 在所有结果上均显示出较大的改善（PTSS：g = 1.71，CI 1.27-2.15），与 12 个月随访时的积极治疗和常规治疗相比，结果良好（PTSS：g =.35，CI.13-.56）。在小组环境中发现了更明显的效果。在几乎所有的结果和评估点上，参与者和照顾者的评分之间没有显著差异，具有很高的可靠性。TF-CBT 是治疗儿童创伤后应激症状和继发性症状的可靠方法，在 12 个月随访时具有稳定的效果。
