儿童青少年创伤后应激障碍(PTSD)治疗的研究热点——基于美国文献的知识图谱分析

为了解近10年(2006~2016)来美国18岁及以下的儿童青少年创伤后应激障碍(PTSD)治疗研究的热点和重点,利用Bicomb 2.0软件和IBM SPSS Statistics 20.0软件,对ISI Web of Science数据库中查询到的363篇论文进行了知识图谱的可视化分析。结果表明,近10年来美国儿童青少年PTSD治疗研究可分为两个大的研究领域。领域一为儿童青少年PTSD的精神科和神经生物学相关的治疗,包括了两个小的研究热点:(1)儿童青少年PTSD精神科药物治疗相关的研究;(2)儿童青少年PTSD眼动脱敏再加工治疗等神经生物学机制的疗法。领域二为儿童青少年PTSD的心理学治疗,包括了两个小的研究热点:(1)家庭暴力导致的儿童青少年PTSD心理学治疗研究;(2)儿童青少年PTSD的认知行为治疗研究。其中关于儿童青少年PTSD的认知行为治疗研究是研究的热点和重点领域,但关于儿童青少年PTSD治疗效果的长期纵向研究还较为缺乏,未来研究者应加强对儿童青少年PTSD治疗效果的追踪研究,并开展心理治疗与药物治疗相结合的疗效研究。

A knowledge-mapping analysis of U.S.research on treatments for children and adolescents with post-traumatic stress disorder (PTSD)

The purpose of this paper is to report the foci and trends of U.S.research on children and adolescents who had treatment for post-traumatic stress disorder (PTSD) in the last decade (2006～2016).We employed Bicomb 2.0 and IBM SPSS Statistics 20.0 software to do a knowledge-mapping analysis of 363 U.S.journal articles retrieved from ISI Web of Science Database using the key words "PTSD or posttraumatic stress disorder or post-traumatic stress disorder","treatment or therapy or prevention or cure",and "children or teenagers or adolescents or students or pupils or youth".Analyses revealed that the studies could be divided into two fields.The first field is psychiatric and neurobiological treatment which includes two research foci:psychiatric treatment and neurobiological treatment (e.g.eye movement desensitization and reprocessing).The second field is psychological treatment which also includes two research foci:psychological treatment research on the PTSD caused by domestic violence;and cognitive behavior treatment research.Cognitive behavior treatment is the key focus in current studies on children's and adolescents' PTSD.However,there are few studies on the effects of children's and adolescents' PTSD treatments.Further studies should pay more attention to longitudinal research on treatments of children and adolescents with PTSD,and the effects of psychological treatment combined with medication.