[Psychotherapy for traumatized children and adolescents--cognitive-behavioral treatments].
According to cognitive-behavioral models, both the avoidance of trauma-associated cues, as well as cognitive distortions of the trauma and the initial symptoms thereof lead to and subsequently maintain traumatic disorders. Trauma-focused cognitive behavioral therapy often starts with stabilizing interventions such as relaxation training. The main intervention consists of exposure to external trauma-associated cues (exposure in vivo) and to mental trauma reminders (exposure in sensu). Cognitive interventions aim to modify feelings of exaggerated guilt and shame. Of the different cognitive-behavioral programmes validated, trauma-focused cognitive-behavioral therapy yields the best evidence, particularly in the treatment of sexually abused children and adolescents.
Simons
Michael
M
Klinik für Kinder- und Jugendpsychiatrie und -psychotherapie RWTH Aachen, Neuenhofer Weg 21, Aachen. msimons@ukaachen.de
Herpertz-Dahlmann
Beate
B
D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D002649:Child Abuse / Q000523:psychology / Q000628:therapy; D002650:Child Abuse, Sexual / Q000523:psychology / Q000628:therapy; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003463:Cues; D003887:Desensitization, Psychologic / Q000379:methods; D004493:Education / Q000379:methods; D005260:Female; D006167:Guilt; D006801:Humans; D007171:Implosive Therapy / Q000379:methods; D008297:Male; D010469:Perceptual Distortion; D012064:Relaxation Therapy; D012752:Shame; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*