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Yıl:2014; Cilt: 15; Sayı: 4>> Özet
TAM METİN
Anadolu Psikiyatri Dergisi; 2014;15(4):350-357
Çocuk ve ergenlerde travma odaklı bilişsel davranışçı tedavi
I Karakaya
Kocaeli Üniversitesi, Kocaeli
Travma odaklı bilişsel davranışçı tedavi (Travma Odaklı BDT), travmaya maruz kalmış çocukların tedavisinde yaygın olarak kullanılan ve etkinliğine ilişkin birçok araştırma yapılmış bir tedavi modeli olmakla birlikte, ülkemizde yapılan bir çalışmaya rastlanmamıştır. Başlangıçta cinsel istismar mağdurlarına yönelik olarak hazırlanmış olsa da, daha sonra diğer travmatik yaşantılar içinde uyarlanmıştır. Ana bileşenlerini ruhsal eğitim, anne-babalık becerileri, gevşeme teknikleri, duygusal dışa vurum ve modülasyon, bilişsel başa çıkma becerilerine yönelik çalışma, travmayı öyküleme, travmatik deneyim sürecinin değerlendirilmesi, travma anımsatıcılarına yönelik alıştırma, çocuk ve anne-baba oturumlarının birleştirilmesi ve geleceğe yönelik güvenlik önlemlerinin çalışıldığı kapanış oturumunun oluşturduğu kısa süreli, yapılandırılmış bir tedavi yaklaşımıdır. Bu çalışmada çocuklarda travma sonrası stres bozukluğu tedavisinde kullanılan Travma Odaklı BDT’nin etkinliğini değerlendirmek için yapılmış çalışmaların gözden geçirilmesi amaçlanmıştır.
Trauma-focused cognitive-behavior therapy among children and adolescents
Trauma focus cognitive behavioral therapy (TF-CBT) had been thoroughly investigated as a treatment modality in traumatized children which is widely used nowadays, but there is no one studies that uses this treatment model in Turkish literature. Initially developed for sexually abused children; TF-CBT was adopted for the treatment of other traumatic events. This model is a structured short term treatment approach with the core components of: psychoeducation, behavioral parenting skills, affective regulation skills, cognitive coping skills, construction of a trauma narrative, cognitive processing of the traumatic events, in vivo exposure to trauma reminders, conjoint child-parent sessions, and enhancing personal safety. The purpose of the present study is to analyze the previous studies of TF-CBT treatment in traumatized children with respect to their effectiveness.

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