tailieunhanh - Báo cáo y học: " Protocol for a randomised controlled trial of risk screening and early intervention comparing childand family-focused cognitive-behavioural therapy for PTSD in children following accidental injury"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Protocol for a randomised controlled trial of risk screening and early intervention comparing childand family-focused cognitive-behavioural therapy for PTSD in children following accidental injury | Kenardy et al. BMC Psychiatry 2010 10 92 http 1471-244X 10 92 BMC Psychiatry STUDY PROTOCOL Open Access Protocol for a randomised controlled trial of risk screening and early intervention comparing child-and family-focused cognitive-behavioural therapy for PTSD in children following accidental injury 4 3 1 Justin Kenardy 1 Vanessa Cobham Reginald DV Nixon Brett McDermott Sonja March Abstract Background Accidental injury represents the most common type of traumatic event to which a child or adolescent may be exposed with a significant number of these children going on to experience posttraumatic stress disorder PTSD . However very little research has examined potential interventions for the treatment of PTSD in these children. The present trial aims to evaluate and compare child- and family-focused versions of a cognitive-behavioural early intervention for PTSD following accidental injury. Methods Design The principal clinical question under investigation is the efficacy of an early trauma-focused cognitive-behavioural intervention for the treatment of PTSD in children following accidental injury. Specifically we compare the efficacy of two active treatments child-focused and family-focused CBT and a waitlist control no therapy to determine which is associated with greater reductions in psychological and health-related outcome measures over time. The primary outcome will be a reduction in trauma symptoms on a diagnostic interview in the active treatments compared to the waitlist control and greater reductions in the family-compared to the child-focused condition. In doing so this project will also trial a method of stepped screening and assessment to determine those children requiring early intervention for PTSD following accidental injury. Discussion The present trial will be one of the first controlled trials to examine a trauma-focused CBT early intervention for children experiencing PTSD following accidental injury as opposed to .