创伤强化治疗后的改变：青少年疗效体验的混合方法研究。

IF 3.4 3区医学 Q1 PEDIATRICS Child and Adolescent Psychiatry and Mental Health Pub Date : 2024-07-25 DOI:10.1186/s13034-024-00781-5

Elisa van Ee, Dani de Beijer, Desirée Florisson, Fenna Geuskens

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引用次数: 0

摘要

背景：以证据为基础的干预措施对患有创伤后应激障碍（PTSD）的儿童很有效，但有些青少年可能反应不足。创伤强化治疗（ITT）对成人的疗效很好，但对青少年的疗效研究却很有限。因此，本研究旨在探讨参加 ITT 的青少年的疗效和主观变化体验：本研究采用混合方法，对参加 ITT 项目的创伤后应激障碍青少年样本（N = 22；90.1% 为女性，年龄 M = 17.0，SD = 1.72）进行研究。临床数据和叙述相结合，以评估治疗效果和主观变化体验：定量分析显示，ITT 后创伤后应激障碍症状明显减轻，这与之前的研究结果一致。定性分析突出了消极思想影响治疗成功、社会支持的重要性以及与身份相关的挣扎等主题：本研究有助于了解 ITT 的疗效，并强调了发展敏感性、系统干预和持续研究的必要性，以加强对青少年创伤后应激障碍的治疗。

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Making sense of change after Intensive Trauma Treatment: a mixed-methods study into adolescents' experience of efficacy.

Background: While evidence-based interventions are effective for children with post-traumatic stress disorder (PTSD), some adolescents may not respond sufficiently. Intensive trauma treatment (ITT) has shown promise for adults, but research on its efficacy for adolescents is limited. This study therefore aimed to explore the efficacy and subjective experience of change in adolescents participating in ITT.

Methods: The present study employed a mixed-methods approach among a sample of adolescents with PTSD (N = 22; 90.1% female, age M = 17.0, SD = 1.72) who participated in an ITT program. Clinical data and narratives were combined to assess treatment efficacy and subjective experiences of change.

Results: Quantitative analysis revealed a significant reduction in PTSD symptoms post-ITT, aligning with prior research. Qualitative analysis highlighted themes such as negative thoughts impacting treatment success, the importance of social support, and identity-related struggles.

Conclusions: The study contributes to understanding ITT efficacy and emphasizes the need for developmental sensitivity, systemic interventions, and continued research to enhance PTSD treatment for adolescents.

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来源期刊

Child and Adolescent Psychiatry and Mental Health PEDIATRICSPSYCHIATRY-PSYCHIATRY

CiteScore

7.00

自引率

3.60%

发文量

审稿时长

16 weeks

期刊介绍： Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.