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针对幼儿创伤后应激障碍及创伤后应激症状的个体心理干预与治疗:一项系统综述

Individual psychological interventions and therapies for posttraumatic stress disorder and posttraumatic stress symptoms in young children: a systematic review.

作者信息

Moner Nina, Soubelet Andrea, Villard Philippine, Askenazy Florence

机构信息

University of Cote d'Azur, Nice, France.

出版信息

Eur J Psychotraumatol. 2024;15(1):2432161. doi: 10.1080/20008066.2024.2432161. Epub 2024 Dec 18.

Abstract

Treatments for posttraumatic stress disorder (PTSD) in young children (ages 0-6) should be adapted to their developmental characteristics: to their cognitive, social, and emotional abilities, to their specific trauma reactions and adjustments, and finally, to their degree of dependency on adults. Due to the lack of official recommendations for the treatment of PTSD in young children and considering the high prevalence of PTSD among this population, there is a growing need for targeted psychological interventions and psychotherapies for the youngest children with PTSD or posttraumatic symptoms. To provide an update on effective psychological interventions available for the treatment of PTSD and posttraumatic symptoms in young children (under the age of 6). Systematic review of automated searches conducted using the search engines Google Scholar, Science Direct, PsycInfo, and PubMed. This review identified 17 articles reporting on the efficacy of an individual therapy for treating PTSD or posttraumatic stress symptoms in young children. The therapies identified are TF-CBT, CPP, PCIT, DET, early pathway, EMI and EMDR. No treatment can currently be identified as a level-one evidence-based treatment (Well-Established Treatment) in children younger than 6 years old with PTSD or posttraumatic symptoms. Further research is essential to validate existing findings on the effectiveness of trauma-focused therapies in young children in order to establish internationally recognized recommendations.

摘要

针对幼儿(0至6岁)创伤后应激障碍(PTSD)的治疗应根据其发育特点进行调整:包括其认知、社交和情感能力,其特定的创伤反应和适应情况,以及最终其对成人的依赖程度。由于缺乏针对幼儿PTSD治疗的官方建议,且考虑到该人群中PTSD的高患病率,对于患有PTSD或创伤后症状的最小幼儿,针对性心理干预和心理治疗的需求日益增长。旨在提供关于可用于治疗幼儿(6岁以下)PTSD和创伤后症状的有效心理干预的最新情况。对使用谷歌学术、科学Direct、PsycInfo和PubMed搜索引擎进行的自动搜索进行系统综述。该综述确定了17篇报告个体治疗对幼儿PTSD或创伤后应激症状治疗效果的文章。所确定的治疗方法有创伤为中心的认知行为疗法(TF-CBT)、儿童-父母心理治疗(CPP)、亲子互动治疗(PCIT)、发展性情绪调节训练(DET)、早期干预途径、情绪管理与干预(EMI)和眼动脱敏再处理疗法(EMDR)。目前,对于6岁以下患有PTSD或创伤后症状的儿童,尚无治疗方法可被确定为一级循证治疗(成熟治疗)。进一步的研究对于验证现有关于幼儿创伤聚焦疗法有效性的研究结果至关重要,以便确立国际认可的建议。

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