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Sudden gains in the treatment of children and adolescents with prolonged grief.
Journal of Consulting and Clinical Psychology ( IF 4.5 ) Pub Date : 2025-01-01 , DOI: 10.1037/ccp0000932
Franziska Lechner-Meichsner,Mariken Spuij,Paul A Boelen

OBJECTIVE Sudden gains describe large and stable reductions in symptoms between two consecutive treatment sessions and have not yet been investigated in prolonged grief disorder (PGD), a new disorder in the 11th edition of the International Classification of Diseases and text revision of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders characterized by separation distress and accompanying symptoms beyond 6 months of bereavement. The study aimed to examine the occurrence of sudden gains and their relation to treatment outcome and content during cognitive behavioral therapy (CBT) and supportive counseling for children and adolescents with PGD symptoms. METHOD We used data from 118 patients (50% female; age: M = 12.93, SD = 2.81) who were randomized to receive either nine individual sessions of CBT or nondirective supportive counseling. Session-by-session PGD symptoms were assessed using the Grief Checklist. We identified sudden gains using the original criteria by Tang and DeRubeis (1999) and compared treatment outcomes between sudden gainers and nonsudden gainers using linear mixed models. RESULTS Nine patients (7.63%) experienced a total of 10 sudden gains. Most sudden gains occurred during CBT. We found no differences between sudden gainers and nonsudden gainers regarding PGD symptoms, posttraumatic stress, and depressive symptoms, but problem behaviors declined toward the follow-up assessments in sudden gainers. CONCLUSIONS Sudden gains seem to be a rare event with limited clinical relevance in the treatment of PGD symptoms in children and adolescents. Results imply future research into predictors of sudden gains and other forms of symptom change during PGD treatment. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

中文翻译:


治疗长期悲痛的儿童和青少年的突然进展。



目的 突然增加描述了在两个连续治疗疗程之间症状大幅而稳定的减轻,并且尚未在延长悲伤障碍 (PGD) 中进行调查,PGD 是国际疾病分类第 11 版中的一种新疾病和精神疾病诊断与统计手册第五版的文本修订版,其特征是分离痛苦和伴随症状超过 6 个月丧亲之痛。该研究旨在检查认知行为疗法 (CBT) 和对患有 PGD 症状的儿童和青少年的支持咨询期间突然增加的发生及其与治疗结果和内容的关系。方法 我们使用了 118 名患者 (50% 为女性;年龄: M = 12.93, SD = 2.81) 的数据,这些患者被随机分配接受 9 次单独的 CBT 或非指导性支持咨询。使用 Grief Checklist 评估逐个会话的 PGD 症状。我们使用 Tang 和 DeRubeis (1999) 的原始标准确定了突然增加,并使用线性混合模型比较了突然增加和非突然增加之间的治疗结果。结果 9 例患者 (7.63%) 共经历 10 次突然增加。大多数突然增加发生在 CBT 期间。我们发现突然增加者和非突然增加者在 PGD 症状、创伤后应激和抑郁症状方面没有差异,但在突然增加者的随访评估中问题行为下降。结论 突然增加似乎是一种罕见事件,在治疗儿童和青少年 PGD 症状方面具有有限的临床相关性。结果意味着未来对 PGD 治疗期间突然增加和其他形式症状变化的预测因子的研究。(PsycInfo 数据库记录 (c) 2025 APA,保留所有权利)。
更新日期:2025-01-01
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