Treating Adolescents with CSA-Related PTSD

治疗患有 CSA 相关 PTSD 的青少年

基本信息

批准号：
7452389
负责人：
EDNA B FOA
金额：
$ 41.86万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-01 至 2011-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7452389
关键词：
Adherence Adolescence Adolescent Adopted Adult Affect Age Alcohols Anger Anxiety Anxiety Disorders Arts Behavior Therapy Biological Child Child Abuse Child Sexual Abuse Childhood Client Clinic Clinical Trials Cognition Cognitive Cognitive Therapy Communities Counseling Data Development Diagnosis Diffusion Disasters Distress Drug abuse Effectiveness Emotional Emotions Ensure Epidemiologic Studies Event Expectancy Exposure to Forcible intercourse Functional disorder Funding Goals Grant Guidelines Hand Health Professional Health Resources Healthy People 2010 High Prevalence Injury Intervention Knowledge Life Literature Love Maintenance Manuals Mediator of activation protein Mental Depression Mental Health Mental Health Services Modeling Modification Movement National Health Policy Natural Disasters Outcome Pharmaceutical Preparations Post-Traumatic Stress Disorders Prevalence Process Professional counselor Protocols documentation Psychopathology Randomized Range Rate Registries Regulation Research Research Personnel Risk Risk Factors Sampling Score Services Severities Social Change Substance abuse problem Symptoms Testing Time Traffic accidents Trauma Treatment outcome Victimization War assault base caN protocol clinically significant cognitive change effectiveness research experience falls follow-up inner city medical specialties neglect peer perpetrators physical abuse programs psychologic rural area satisfaction sexual assault therapy development treatment center

Adherence Adolescence Adolescent Adopted Adult Affect Age Alcohols Anger Anxiety Anxiety Disorders Arts Behavior Therapy Biological Child Child Abuse Child Sexual Abuse Childhood Client Clinic Clinical Trials Cognition Cognitive Cognitive Therapy Communities Counseling Data Development Diagnosis Diffusion Disasters Distress Drug abuse Effectiveness Emotional Emotions Ensure Epidemiologic Studies Event Expectancy Exposure to Forcible intercourse Functional disorder Funding Goals Grant Guidelines Hand Health Professional Health Resources Healthy People 2010 High Prevalence Injury Intervention Knowledge Life Literature Love Maintenance Manuals Mediator of activation protein Mental Depression Mental Health Mental Health Services Modeling Modification Movement National Health Policy Natural Disasters Outcome Pharmaceutical Preparations Post-Traumatic Stress Disorders Prevalence Process Professional counselor Protocols documentation Psychopathology Randomized Range Rate Registries Regulation Research Research Personnel Risk Risk Factors Sampling Score Services Severities Social Change Substance abuse problem Symptoms Testing Time Traffic accidents Trauma Treatment outcome Victimization War assault base caN protocol clinically significant cognitive change effectiveness research experience falls follow-up inner city medical specialties neglect peer perpetrators physical abuse programs psychologic rural area satisfaction sexual assault therapy development treatment center

展开

项目摘要

DESCRIPTION (provided by applicant): The disaster of September 11 and the constant threat of imminent terrorist activity have brought into the forefront the need to develop and test efficient interventions for trauma-related psychological disturbances such as PTSD. It is important to remember, however, that terror-attacks constitute only one type of trauma and in fact is much less relevant in the US than other types of trauma such as natural disasters, traffic accidents and assault. Notably, data from large-scale epidemiological studies of children, adolescents, and adults indicate a 10% lifetime prevalence of child sexual abuse (CSA). Moreover, 62% of rapes occur during childhood or adolescence. Given the high prevalence of CSA, a clear association between CSA, PTSD, substance abuse, and sexual re-victimization during adolescence, it is of paramount importance to develop efficient, effective, and readily disseminable treatments for adolescents who suffer PTSD and related emotional difficulties as a result of CSA or sexual assault. Presently, there are effective treatment for adults and for children who suffer from CSA and sexual assault related PTSD, but very little is known about how best to treat traumatized adolescents who suffer from PTSD and associated symptoms, including PTSD related to sexual assault. The proposed research aims to examine the efficacy of a cognitive behavioral treatment developed for PTSD in adolescents exposed to CSA and sexual assault. Most importantly, the treatment will be conducted by counselors at a community clinic that provides services to victims of sexual assault across the developmental spectrum. Primary aims are: 1) To compare the immediate outcome of two active treatments, Prolonged Exposure for Adolescents (PE-A) and supportive counseling (SC), in reducing PTSD symptom severity; and 2) To assess maintenance of PE-A treatment gains at follow-up. Secondary aims are: 1) To compare PE-A and SC's effects in reducing secondary psychopathology symptoms; 2) To examine the relationship between change in PTSD symptoms and change in distress-related cognitions and emotions. The proposed research falls squarely within the national health policy and priorities set by the NIH/NIMH Healthy People 2010 by: 1) providing efficacious mental health treatment that promotes the quality and years of healthy life of people suffering from PTSD symptoms; and 2) reducing the mental health access disparity by making specialty mental health resources more accessible to the community at large.

描述（由申请人提供）：9月11日的灾难以及即将到来的恐怖活动的持续威胁使人们需要开发和测试与创伤有关的心理障碍（例如PTSD）的有效干预措施。然而，重要的是要记住，恐怖攻击仅构成一种创伤，实际上在美国的关系要比其他类型的创伤（例如自然灾害，交通事故和袭击）的相关性要小得多。值得注意的是，来自儿童，青少年和成年人的大规模流行病学研究的数据表明，儿童性虐待的终生患病率为10％（CSA）。此外，有62％的强奸发生在儿童期或青春期。鉴于CSA的高度流行，CSA，PTSD，药物滥用和在青春期期间的性重新数字之间存在明显的关联，因此对于因CSA而遭受PTSD及其相关情绪困难的青少年的有效，有效且易于分辨的青少年，至关重要的是至关重要。目前，针对患有CSA和性侵犯相关的PTSD的儿童有有效的治疗方法，但对于如何最好地治疗患有PTSD和相关症状的受创伤的青少年（包括与性侵犯有关的PTSD），知之甚少。拟议的研究旨在研究为PTSD开发的认知行为治疗的疗效，对暴露于CSA和性侵犯的青少年。最重要的是，该治疗将由社区诊所的辅导员进行，该诊所为整个发育范围内的性侵犯受害者提供服务。主要目的是：1）在减轻PTSD症状严重程度中，比较两种主动治疗的直接结果，青少年（PE-A）的长时间暴露（PE-A）和支持性咨询（SC）； 2）评估随访时的维护PE-A治疗收益。次要目的是：1）比较PE-A和SC在减少继发性心理病理学症状中的影响； 2）检查PTSD症状的变化与与遇险有关的认知和情绪变化之间的关系。拟议的研究仅属于NIH/NIMH Healthy People 2010的国家卫生政策和优先事项，作者：1）提供有效的心理健康治疗方法，促进患有PTSD症状的人的健康生活质量和健康； 2）通过使特殊的心理健康资源更容易被整个社区访问，从而减少心理健康障碍差异。