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An intensive form of trauma focused cognitive behaviour therapy in an acute adolescent inpatient unit: An uncontrolled open trial
Clinical Child Psychology and Psychiatry ( IF 1.8 ) Pub Date : 2020-05-05 , DOI: 10.1177/1359104520918641
Natalie Cabrera 1 , Gavin Moffitt 1 , Rajeev Jairam 1, 2 , Giles Barton 1
Affiliation  

Purpose: Post-traumatic stress disorder (PTSD) rates among hospitalised adolescents are between 21% and 32%, and there is a lack of evidence-based interventions for this population. Trauma-focused cognitive behaviour therapy (TF-CBT) is an evidence-based intervention for children and adolescents with PTSD; however, it has not been implemented in an acute adolescent inpatient unit. This study examines the implementation of an intensive form of TF-CBT in an adolescent inpatient unit. Method: An uncontrolled open trail study was conducted where 15 adolescents diagnosed with PTSD were treated with an intensive form of TF-CBT. Measures used were the University of California, Los Angeles’ (UCLA) PTSD Reaction Index for Diagnostic and Statistical Manual of Mental Disorders (4th ed., Adolescent Version; DSM-IV-Adolescent Version), the National Stressful Events Survey PTSD Short Scale (NSESSS) and the Children’s Global Assessment Scale (CGAS) Results: Adolescents received an average of nine sessions of TF-CBT over a period of 28 days. The average NSESSS on admission was 23.73 and 8.27 at discharge; the CGAS average on admission was 19 and on discharge was 48.7; both were statistically significant changes. Conclusion: Preliminary findings support the use of an intensive form of TF-CBT to treat adolescents with PTSD admitted to acute adolescent inpatient units indicating the need for further research in this area.

中文翻译:

急性青少年住院病房中以创伤为中心的强化认知行为疗法:一项不受控制的开放试验

目的:住院青少年的创伤后应激障碍 (PTSD) 发生率在 21% 到 32% 之间,并且缺乏针对这一人群的循证干预措施。以创伤为中心的认知行为疗法 (TF-CBT) 是一种针对患有 PTSD 的儿童和青少年的循证干预措施;然而,它尚未在急性青少年住院病房实施。本研究检查了在青少年住院病房中实施强化形式的 TF-CBT。方法:进行了一项不受控制的开放式研究,其中 15 名被诊断患有 PTSD 的青少年接受了强化形式的 TF-CBT 治疗。使用的测量方法是加州大学洛杉矶分校 (UCLA) 精神障碍诊断和统计手册的 PTSD 反应指数(第 4 版,青少年版;DSM-IV-青少年版),全国压力事件调查 PTSD 短量表 (NSESSS) 和儿童全球评估量表 (CGAS) 结果:青少年在 28 天内平均接受 9 次 TF-CBT。入院时平均 NSESSS 为 23.73,出院时为 8.27;入院时 CGAS 平均为 19,出院时为 48.7;两者都有统计学意义的变化。结论:初步研究结果支持使用强化形式的 TF-CBT 治疗入住急性青少年住院病房的 PTSD 青少年,表明需要在该领域进行进一步研究。入院时 CGAS 平均为 19,出院时为 48.7;两者都有统计学意义的变化。结论:初步研究结果支持使用强化形式的 TF-CBT 治疗入住急性青少年住院病房的 PTSD 青少年,表明需要在该领域进行进一步研究。入院时 CGAS 平均为 19,出院时为 48.7;两者都有统计学意义的变化。结论:初步研究结果支持使用强化形式的 TF-CBT 治疗入住急性青少年住院病房的 PTSD 青少年,表明需要在该领域进行进一步研究。
更新日期:2020-05-05
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