Randomized Controlled Trial of Group Cognitive Behavioural Therapy for Post-Traumatic Stress Disorder in Children and Adolescents Exposed to Tsunami in Thailand.
| Autor: | Pityaratstian N; Chulalongkorn University,Bangkok,Thailand., Piyasil V; Queen Sirikit National Institute of Child Health,Bangkok,Thailand., Ketumarn P; Siriraj Hospital,Mahidol University,Bangkok,Thailand., Sitdhiraksa N; Siriraj Hospital,Mahidol University,Bangkok,Thailand., Ularntinon S; Queen Sirikit National Institute of Child Health.Bangkok,Thailand., Pariwatcharakul P; Siriraj Hospital,Mahidol University,Bangkok,Thailand. |
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| Jazyk: | angličtina |
| Zdroj: | Behavioural and cognitive psychotherapy [Behav Cogn Psychother] 2015 Sep; Vol. 43 (5), pp. 549-61. Date of Electronic Publication: 2014 Apr 08. |
| DOI: | 10.1017/S1352465813001197 |
| Abstrakt: | Background: Post-traumatic stress disorder (PTSD) is a common and debilitating consequence of natural disaster in children and adolescents. Accumulating data show that cognitive behavioural therapy (CBT) is an effective treatment for PTSD. However, application of CBT in a large-scale disaster in a setting with limited resources, such as when the tsunami hit several Asian countries in 2004, poses a major problem. Aims: This randomized controlled trial aimed to test for the efficacy of the modified version of CBT for children and adolescents with PSTD. Method: Thirty-six children (aged 10-15 years) who had been diagnosed with PSTD 4 years after the tsunami were randomly allocated to either CBT or wait list. CBT was delivered in 3-day, 2-hour-daily, group format followed by 1-month posttreatment self-monitoring and daily homework. Results: Compared to the wait list, participants who received CBT demonstrated significantly greater improvement in symptoms of PTSD at 1-month follow-up, although no significant improvement was observed when the measures were done immediately posttreatment. Conclusions: Brief, group CBT is an effective treatment for PTSD in children and adolescents when delivered in conjunction with posttreatment self-monitoring and daily homework. |
| Databáze: | MEDLINE |
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