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首页> 外文期刊>Child and Adolescent Psychiatry and Mental Health >Effectiveness of a single-session early psychological intervention for children after road traffic accidents: a randomised controlled trial
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Effectiveness of a single-session early psychological intervention for children after road traffic accidents: a randomised controlled trial

机译：单次道路交通事故后儿童早期心理干预的有效性：一项随机对照试验

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Background Road traffic accidents (RTAs) are the leading health threat to children in Europe, resulting in 355 000 injuries annually. Because children can suffer significant and long-term mental health problems following RTAs, there is considerable interest in the development of early psychological interventions. To date, the research in this field is scarce, and currently no evidence-based recommendations can be made. Methods To evaluate the effectiveness of a single-session early psychological intervention, 99 children age 7-16 were randomly assigned to an intervention or control group. The manualised intervention was provided to the child and at least one parent around 10 days after the child's involvement in an RTA. It included reconstruction of the accident using drawings and accident-related toys, and psychoeducation. All of the children were interviewed at 10 days, 2 months and 6 months after the accident. Parents filled in questionnaires. Standardised instruments were used to assess acute stress disorder (ASD), posttraumatic stress disorder (PTSD), depressive symptoms and behavioural problems. Results The children of the two study groups showed no significant differences concerning posttraumatic symptoms and other outcome variables at 2 or at 6 months. Interestingly, analyses showed a significant intervention × age-group effect, indicating that for preadolescent children the intervention was effective in decreasing depressive symptoms and behavioural problems. Conclusions This study is the first to show a beneficial effect of a single-session early psychological intervention after RTA in preadolescent children. Therefore, an age-specific approach in an early stage after RTAs may be a promising way for further research. Younger children can benefit from the intervention evaluated here. However, these results have to be interpreted with caution, because of small subgroup sizes. Future studies are needed to examine specific approaches for children and adolescents. Also, the intervention evaluated here needs to be studied in other groups of traumatised children. Trial Registration Clinical Trial Registry: ClinicalTrials.gov: NCT00296842.
机译：背景技术道路交通事故（RTA）是对欧洲儿童的主要健康威胁，每年造成355 000人受伤。由于儿童在接受RTAs后可能会遭受重大且长期的心理健康问题，因此人们对早期心理干预的发展非常感兴趣。迄今为止，该领域的研究还很匮乏，并且目前尚无基于证据的建议。方法为了评估单阶段早期心理干预的有效性，将99名7-16岁的儿童随机分配至干预组或对照组。在儿童参与RTA后约10天，向儿童和至少一位父母提供了手动干预。它包括使用图纸和与事故有关的玩具对事故进行重建，以及进行心理教育。事故发生后的10天，2个月和6个月，所有孩子都接受了采访。父母填写问卷。使用标准化工具评估急性应激障碍（ASD），创伤后应激障碍（PTSD），抑郁症状和行为问题。结果两个研究组的孩子在2个月或6个月时在创伤后症状和其他结局变量方面无显着差异。有趣的是，分析显示出显着的干预×年龄组效应，表明对于青春期前儿童而言，干预可有效减轻抑郁症状和行为问题。结论该研究是第一个显示RTA后单期早期心理干预对青春期前儿童有益的效果。因此，在RTAs早期的针对年龄的方法可能是进一步研究的有前途的方法。年幼的儿童可以从此处评估的干预措施中受益。但是，由于子组较小，因此必须谨慎解释这些结果。需要进行进一步的研究以检查针对儿童和青少年的特定方法。另外，这里评估的干预措施需要在其他受过创伤的儿童群体中进行研究。试验注册临床试验注册：ClinicalTrials.gov：NCT00296842。

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