Trauma-focused cognitive behavioral treatment helps hearing-impaired and mentally disabled children with post-traumatic stress disorder / 中华物理医学与康复杂志

ABSTRACT

Objective 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.