Background

Children and adolescents with mild intellectual disability (MID) or borderline intellectual functioning (BIF) are at increased risk for posttraumatic stress disorder (PTSD) or trauma-related symptoms due to adverse childhood experiences (ACEs). Weekly provided treatment sessions and/or outpatient treatment may not be effective enough.

Aims

Investigate feasibility, safety and potential effectiveness of an intensive clinical trauma treatment in children and adolescents with MID-BIF and trauma-related symptoms as a result of ACEs or PTSD.

Methods and Procedures

Thirty-three participants between 6 and 17 years of age received intensive clinical treatment after experiencing multiple ACEs (most commonly physical abuse, emotional neglect or abuse, sexual abuse, domestic violence and bullying). Treatment lasted 8.4 days on average and consisted of a daily program of prolonged exposure, eye movement desensitisation and reprocessing and physical activation, embedded in a trauma-sensitive environment. Data were collected at intake, first day of treatment, last day of treatment and at follow-up.

Outcomes and Results

There was a significant reduction of trauma-related symptoms and emotional and behavioral problems after treatment. In addition, the number of participants fulfilling the DSM-5 criteria of PTSD decreased from 24 at intake to 8 at the end of treatment. There was no drop out and no adverse events were seen.

Conclusions and Implications

The results of this pilot study suggest that an intensive clinical trauma treatment is a potentially effective and safe option for children and adolescents with MID-BIF.

中文翻译：

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轻度智力障碍或临界智力功能儿童和青少年的强化临床创伤治疗：一项初步研究

背景

患有轻度智力障碍 (MID) 或临界智力功能 (BIF) 的儿童和青少年因童年不良经历 (ACE) 而患创伤后应激障碍 (PTSD) 或创伤相关症状的风险增加。每周提供的治疗课程和/或门诊治疗可能不够有效。

宗旨

研究针对因 ACE 或 PTSD 导致的 MID-BIF 和创伤相关症状的儿童和青少年进行强化临床创伤治疗的可行性、安全性和潜在有效性。

方法和程序

33 名 6 至 17 岁的参与者在经历了多次 ACE（最常见的是身体虐待、情感忽视或虐待、性虐待、家庭暴力和欺凌）后接受了强化临床治疗。治疗平均持续 8.4 天，包括长期暴露、眼球运动脱敏和再加工以及身体激活的每日计划，嵌入在创伤敏感的环境中。在摄入、治疗的第一天、治疗的最后一天和随访时收集数据。

结果和结果

治疗后与创伤相关的症状以及情绪和行为问题显着减少。此外，满足 PTSD 的 DSM-5 标准的参与者人数从摄入时的 24 人减少到治疗结束时的 8 人。没有退出，也没有看到不良事件。

结论和意义

这项初步研究的结果表明，强化临床创伤治疗对于患有 MID-BIF 的儿童和青少年来说是一种潜在有效和安全的选择。