关键词: Adolescence Identity PTSD Social support Trauma treatment

来  源:   DOI:10.1186/s13034-024-00781-5   PDF(Pubmed)

Abstract:
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.
摘要:
背景:尽管基于证据的干预措施对患有创伤后应激障碍(PTSD)的儿童有效,有些青少年可能反应不充分。强化创伤治疗(ITT)对成年人显示出希望,但对其对青少年功效的研究有限。因此,本研究旨在探讨参加ITT的青少年改变的功效和主观体验。
方法:本研究在PTSD青少年样本中采用了混合方法方法(N=22;90.1%为女性,年龄M=17.0,SD=1.72)参加ITT计划的人。结合临床数据和叙述来评估治疗效果和变化的主观经验。
结果:定量分析显示ITT后PTSD症状显着减少,与先前的研究保持一致。定性分析强调了影响治疗成功的负面想法等主题,社会支持的重要性,和身份相关的斗争。
结论:该研究有助于了解ITT的疗效,并强调对发育敏感性的需求,系统性干预,并继续研究以加强对青少年的创伤后应激障碍治疗。
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