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Cue-Centered Treatment for Youth Exposed to Interpersonal Violence: A Randomized Controlled Trial

Authors

  • Victor G. Carrion,

    Corresponding author
    1. Stanford Early Life Stress Program, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA
    • Correspondence concerning this article should be addressed to Victor G. Carrion, Division of Child and Adolescent Psychiatry and Child Development, Stanford University, Stanford, CA 94305–5719. E-mail: vcarrion@stanford.edu

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  • Hilit Kletter,

    1. Stanford Early Life Stress Program, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA
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  • Carl F. Weems,

    1. Department of Psychology, University of New Orleans, New Orleans, Louisiana, USA
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  • Rebecca Rialon Berry,

    1. Stanford Early Life Stress Program, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA
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  • John P. Rettger

    1. Stanford Early Life Stress Program, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA
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  • This research was supported by the Lucile Packard Foundation for Children's Health and the Evans Foundation grants to Dr. Carrion. The authors would like to acknowledge the Early Life Stress Program staff: Laura Strom, Melissa Hirt, Dina Frid, and Tara Hasan. We would also like to thank all the school staff, children, and families who participated.

Abstract

This study provides preliminary evidence of the feasibility and efficacy of the Stanford cue-centered treatment for reducing posttraumatic stress, depression, and anxiety in children chronically exposed to violence. Sixty-five youth aged 8–17 years were recruited from 13 schools. Participants were randomly assigned to cue-centered treatment or a waitlist control group. Assessments were conducted at 4 discrete time points. Self-report measures assessed youth symptoms of posttraumatic stress disorder (PTSD), anxiety, and depression. Self-report ratings of caregiver anxiety and depression as well as caregiver report of child PTSD were also obtained. Therapists evaluated participants’ overall symptom improvement across treatment sessions. Hierarchal linear modeling analyses showed that compared to the waitlist group, the cue-centered treatment group had greater reductions in PTSD symptoms both by caregiver and child report, as well as caregiver anxiety. Cue-centered treatment, a hybrid trauma intervention merging diverse theoretical approaches, demonstrated feasibility, adherence, and efficacy in treating youth with a history of interpersonal violence.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題 : 一個隨機對照試驗:經歷人際暴力青少年的提示為本治療。

撮要 : 史丹福提示為本治療在長期經歷暴力的青少年能否減少創傷後壓力、抑鬱和焦慮,本研究提出初步證據支持其可行性和功效。從13間學校中招募65名8至17歲的青少年,隨機分配到提示為本治療和等候對照組別,並在4個特定日子進行評核。自我報告評核包括:青少年的創傷後壓力症(PTSD) 、焦慮和抑鬱症狀,亦有照顧者焦慮和抑鬱自我報告評分,和照顧者對兒童PTSD的報告。治療師評估參與者在治療面見的綜合症狀改善程度。等級綫性模型分析指出:對比等候對照組別,提示為本治療組別有更大PTSD症狀減退(包括照顧者和兒童報告),和更少照顧者焦慮。混合廣泛和不同理論的創傷介入治療(即提示為本治療)對治療有人際暴力經歷的青少年有著相當的可行性遵守度和效力。

标题 : 一个随机对照试验:经历人际暴力青少年的提示为本治疗。

撮要 : 史丹福提示为本治疗在长期经历暴力的青少年能否减少创伤后压力、抑郁和焦虑,本研究提出初步证据支持其可行性和功效。从13间学校中招募65名8至17岁的青少年,随机分配到提示为本治疗和等候对照组别,并在4个特定日子进行评估。自我报告评估包括:青少年的创伤后压力症(PTSD) 、焦虑和抑郁症状,亦有照顾者焦虑和抑郁自我报告评分,和照顾者对儿童PTSD的报告。治疗师评估参与者在治疗面见的综合症状改善程度。等级线性模型分析指出:对比等候对照组别,提示为本治疗组别有更大PTSD症状减退(包括照顾者和儿童报告),和更少照顾者焦虑。混合广泛和不同理论的创伤介入治疗(即提示为本治疗)对治疗有人际暴力经历的青少年有着相当的可行性遵守度和效果。

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