摘要目的 研究创伤聚焦单元(TF-CBT)干预听力障碍、智力障碍儿童心理应激障碍(PTSD)的疗效.方法 选取符合纳入标准的听力障碍、智力障碍儿童资料104例,按随机数字表法分为苏南听障组28例、苏南智障组26例、苏北听障组24例、苏北智障组26例,分别给予TF-CBT干预,并于干预1个月和干预3个月后评估各组儿童干预疗效并进行比较.结果 各组儿童TF-CBT干预1个月或干预3个月后显效率均超过60％,其中听障组内苏北儿童干预3个月后的显效率较苏南儿童明显增加(P<0.05),智障组内苏南儿童干预3个月后显效率较干预1个月后者亦明显增加(P<0.05).结论 TF-CBT干预听力障碍和智力障碍儿童PTSD有效,听障儿童中苏北儿童干预3个月后较苏南儿童疗效更好,苏南智障儿童则干预3个月较干预1个月疗效更优.

abstractsObjective To study the efficacy of trauma-focused cognitive behavioral treatment ( TF-CBT) in treating post-traumatic stress disorder ( PTSD) among hearing-impaired or mentally-disabled children. Methods One hundred and four children with PTSD who were either hearing-impaired or mentally disabled were randomly divid-ed into a hearing-impaired Sunan group ( n=28) and a hearing-impaired Subei group ( n=24) . The mentally-disabled children were similarly divided into Sunan ( n=26) and Subei ( n=26) groups. All of the groups were given TF-CBT, and the effects were compared after one and three months of intervention. Results After one and three months the effectiveness rate was over 60％ for all four groups. After 3 months the efficacy in the hearing-impaired Su-bei group was significantly better than in the Sunan group. In the mentally-disabled Sunan group the treatment was more effective after 3 months than after one month. Conclusion Trauma-focused cognitive behavioral treatment is effective for hearing-impaired and mentally disabled children with post-traumatic stress disorder. For hearing-impaired children, the effect of Sunan is significantly better that of Subei. Mentally disabled children improve gradually for at least 3 months.