当前位置: X-MOL 学术Trauma, Violence, & Abuse › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
A Systematic Review of Treatment Interventions for Individuals With Intellectual Disability and Trauma Symptoms: A Review of the Recent Literature.
Trauma, Violence, & Abuse ( IF 6.595 ) Pub Date : 2020-09-24 , DOI: 10.1177/1524838020960219
Gary Byrne 1
Affiliation  

Individuals with intellectual disabilities (IDs) are at increased susceptibility to adverse life experiences and trauma sequelae. There is a disparate range of therapeutic interventions for post-traumatic stress disorder (PTSD) and associated symptoms. This systematic review aimed to appraise the effectiveness of both cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) for PTSD and associated symptoms for both adults and children with mild, moderate, or severe intellectual delay. A systematic search, in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, of the PsychInfo, PubMed, Cochrane Database of Systematic Reviews, and MEDLINE databases were performed, and all relevant articles published between 2010 and March 2020 were included. A total of 11 articles were included, eight that focused on EMDR and three on CBT. The methodological quality of many of these articles was generally weak. Tentative findings suggest that EMDR and CBT are both acceptable and feasible treatment options among adults and children with varying levels of intellectual delay, but no firm conclusions can be drawn regarding effectiveness due to small sample sizes, lack of standardized assessment, and a paucity of methodological rigorous treatment designs. This review highlights the continued use of therapeutic approaches with clients presenting with IDs and PTSD. It adds to the extant literature by providing an expansive and broad overview of the current effectiveness of both EMDR and CBT. Further high-quality research is needed to provide more conclusive findings regarding treatment effectiveness and modifications to treatment needed with this population.

中文翻译:

对智力障碍和创伤症状个体治疗干预的系统评价:近期文献综述。

智障人士 (ID) 更容易受到不良生活经历和创伤后遗症的影响。针对创伤后应激障碍 (PTSD) 和相关症状,有一系列不同的治疗干预措施。本系统评价旨在评估认知行为疗法 (CBT) 和眼球运动脱敏和再处理 (EMDR) 对成人和轻度、中度或重度智力迟缓的成人和儿童 PTSD 和相关症状的有效性。根据系统评价和元分析指南的首选报告项目,对 PsychInfo、PubMed、Cochrane 系统评价数据库和 MEDLINE 数据库进行了系统搜索,并纳入了 2010 年至 2020 年 3 月之间发表的所有相关文章。共收录11篇文章,八个专注于 EMDR,三个专注于 CBT。其中许多文章的方法学质量普遍较差。初步研究结果表明,EMDR 和 CBT 在具有不同智力延迟水平的成人和儿童中都是可接受且可行的治疗选择,但由于样本量小、缺乏标准化评估以及缺乏方法论,因此无法就有效性得出确切结论严谨的治疗设计。这篇综述强调了在患有 ID 和 PTSD 的客户中继续使用治疗方法。它通过提供对 EMDR 和 CBT 的当前有效性的广泛而广泛的概述,增加了现有的文献。
更新日期:2020-09-24
down
wechat
bug