최근 외상을 경험한 초등학교 아동들에 대한 정동 조절 집단치료의 치료 반응

Abstract

ObjectivesZZThe aim of this study was to investigate the treatment effect and predictors of responseof affect regulation group therapy (ARGT) delivered to a group of recently traumatizedchildren. MethodsZZA total of 464 school children, who had witnessed or confronted a tragic accident atschool, were given a single-session of affect regulation group therapy, that which included psychoeducationand affect regulation elements from eye movement desensitization and reprocessing. Of 213 children whose with initial score of Subject Unit of Disturbance Scale (SUDS) scoreover 4, we compared pre- and post-treatment scores and performed conducted the respondervs. non-responder comparison. The pPost-traumatic disorder (PTSD) symptom scores measuredby using Child Reaction to Traumatic Events Scale-Revised (CRTES-R), demographic variables,and clinical variables were considered. ResultsZZAffect regulation group therapy was effective for children who had experienced anacute traumatic event (t=16.3, p<0.001). Baseline SUDS score of for non-responder were wassignificantly higher (t=-2.89, p<0.001) and CRTES-R score approached a level of significancelevel (t=-1.72, p=0.09). However, results of logistic regression analysis identified showed that thepretreatment SUDS score was the only significant predictor of non-response. ConclusionZZAffect regulation group therapy appeared to be effective for children who had undergoneexperienced an acute traumatic event. And in addition, the survivors’ subjective distresswas more important to treatment response than severity of PTSD symptoms severity.