Disorders - Post Traumatic Stress Disorder
Bottche, M., Wagner, B., Vohringer, M., Heinrich, M., Stein, J., Selmo, P., Stammel, N., Knaevelsrud, C.
Background: Internet-based cognitive-behavioural interventions seem to be effective for the treatment of posttraumatic stress disorder
(PTSD) in Arabic-speaking countries in the MENA region. However, due to high prevalence rates of trauma-related mental disorders in this region, it
is important to scale up existing Internet-based interventions in order to increase the number of clients. Objective: The aim of the study was to
examine whether a brief Internet-based intervention with one cognitive technique (TF-short, 6 assignments) results in the same PTSD symptom change
and lower dropouts compared to a longer intervention with two cognitive techniques (TF-reg, 10 assignments). Method: A total of 224 Arab participants
(67.4% female; M = 25.3 years old) with PTSD were randomly assigned to Internet-based CBT with either a TF-reg protocol (n = 110) or a TF-short
protocol (n = 114). Symptoms of PTSD and secondary outcomes (anxiety, depression, somatic complaints, quality of life) were self-assessed online at
baseline and post-treatment. Treatment-associated changes were estimated using multigroup latent difference score models. Results: The overall PTSD
score assessed with the PDS decreased by about 15 points in both conditions. The between-group differences (TF-reg vs. TF-short) at post-assessment
were non-significant, DELTA = 0.29, p = .896, d = 0.02, 95% CI [-0.30, 0.34]. Like the primary outcome, all within-group changes for the secondary
outcomes throughout the intervention were statistically significant and all between-group effects were non-significant. Overall, the dropout rates
did not differ between the two conditions, chi2 (1/N = 175) = 0.83, p = .364. Conclusions: The findings suggest that the shorter condition results in
the same symptom change and dropout rate as the longer condition. This highlights the potential of shorter, more scalable Internet-based
interventions in socially restricted and (post-)conflict societies. ClinicalTrials.gov ID: NCT01508377 (PsycInfo Database Record (c) 2021 APA, all
rights reserved) Abstract (Chinese) : MENA (PTSD) , , : - (TF -reg, 10 ) (TF-short, 6 ) , PTSD : 224 PTSD (67.4% ; M= 25.3 ) TF-reg (n = 110) TF-
short (n = 114) CBT PTSD (, , , ) : , PDS PTSD 15 (TF-reg TF-short) , DELTA = 0.29, p= .896, d= 0.02, 95% CI [-0.30, 0.34]-, , , , chi2 (1/N = 175) =
0.83, p= .364 : , () , (PsycInfo Database Record (c) 2021 APA, all rights reserved) Abstract (Spanish) Antecedentes: Las intervenciones cognitivo-
conductuales basadas en Internet parecen ser efectivas para el tratamiento del trastorno de estres postraumatico (TEPT) en los paises de habla arabe
de la region MENA. Sin embargo, debido a las altas tasas de prevalencia de trastornos mentales relacionados con el trauma en esta region, es
importante escalar las intervenciones existentes basadas en Internet para aumentar el numero de clientes. Objetivo: El proposito del estudio fue
examinar si una intervencion breve basada en Internet con una tecnica cognitiva (TF-corta, 6 asignaciones) da como resultado el mismo cambio
sintomatico del TEPT y menos abandonos en comparacion con una intervencion mas prolongada con dos tecnicas cognitivas (TF -reg, 10 asignaciones).
Metodo: Un total de 224 participantes arabes (67,4% mujeres; M = 25,3 anos) con TEPT fueron asignados aleatoriamente a TCC basada en Internet con un
protocolo TF-reg (n = 110) o un protocolo TF-corta (n = 114). Los sintomas del TEPT y los resultados secundarios (ansiedad, depresion, quejas
somaticas, calidad de vida) fueron autoevaluadas en linea al inicio y al finalizar el tratamiento. Los cambios asociados al tratamiento se estimaron
utilizando modelos de puntuacion de diferencia latente multigrupo. Resultados: El puntaje general de TEPT evaluado con la PDS disminuyo
aproximadamente 15 puntos en ambas condiciones. Las diferencias entre grupos (TF-reg vs. TF-corta) en la evaluacion posterior no fueron
significativas, DELTA = 0,29, p = .896, d = 0,02, IC del 95% [-0,30, 0,34]. Al igual que el resultado primario, todos los cambios dentro del grupo
para los resultados secundarios a lo largo de la intervencion fueron estadisticamente significativos y todos los efectos entre los grupos no fueron
significativos. En general, las tasas de abandono no difirieron entre las dos condiciones, chi2 (1/N = 175) = 0.83, p = .364. Conclusiones: Los
hallazgos sugieren que la condicion mas corta da como resultado el mismo cambio de sintomas y la misma tasa de abandono que la condicion mas larga.
Esto resalta el potencial de intervenciones mas breves y escalables basadas en Internet en sociedades socialmente restringidas y (post) conflicto.
(PsycInfo Database Record (c) 2021 APA, all rights reserved)
European Journal of Psychotraumatology Vol 12(1),
2021, ArtID 1943870, 12(1) :
- Year: 2021
- Problem: Post Traumatic Stress Disorder
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Technology, interventions delivered using technology (e.g. online, SMS), Other service delivery and improvement
interventions
Barnett, P., Arundell, L. L., Saunders, R., Matthews, H., Pilling, S.
BACKGROUND: Mental health problems are
becoming increasingly prevalent among students and adequate support should be provided to prevent and treat mental health disorders in those at
risk.\rMETHODS: This systematic review and meta-analysis examined the efficacy of psychological interventions for students, with consideration of how
adaptions to intervention content and delivery could improve outcomes. We searched for randomised controlled trials (RCTs) of interventions in
students with or at risk of mental health problems and extracted data for study characteristics, symptom severity, wellbeing, educational outcomes,
and attrition. Eighty-four studies were included.\rRESULTS: Promising effects were found for indicated and selective interventions to treat anxiety
disorders, depression and eating disorders. PTSD and self-harm data was limited, and did not demonstrate significant effects. Relatively few trials
adapted intervention delivery to student-specific concerns, and overall adapted interventions showed no benefit over non-adapted interventions. There
was some suggestion that adaptions based on empirical evidence and provision of additional sessions, and transdiagnostic models may yield some
benefits.\rLIMITATIONS: The review is limited by the often poor quality of the literature and exclusion of non-published data.\rCONCLUSIONS:
Interventions for students show benefit though uncertainty remains around how best to optimise treatment delivery and content for students.
Additional research into content targeting specific underlying mechanisms of problems and transdiagnostic approaches to provision could be promising
avenues for further research.
, 280(Pt A) : 381-406
- Year: 2021
- Problem: Anxiety Disorders (any), Post Traumatic Stress Disorder
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any)
Bagneris, J. R., Noel, L. T., Harris, R., Bennett, E.
Exposure to trauma at a younger age has been associated with an increased likelihood of developing PTSD.
School-based interventions have been utilized to address traumatic stress and PTSD symptoms in children. However, to date, no meta-analyses have been
performed to evaluate the strength of intervention impacts on PTS symptoms in school-aged children, ages 5-11. Thus, the current review sought to
address these gaps. Nine international databases were searched during the study's timeframe. Inclusion criteria were: (1) randomized controlled
trials of an intervention or prevention program, (2) implementation in a school-based setting, (3) children aged 5-11, and (4) an outcome variable
for PTS or PTSD. Although 26 studies met the above criteria, 21 studies met all inclusion criteria, including the data necessary to run the analysis,
and were ultimately included in the meta-analysis. Random effects models were used; the standard mean difference was reported at -.30, which was
determined as statistically significant (t = - 2.70, p = .01; 95% CI: [- 0.52, -0.07]). The results indicate that school-based interventions can
effectively reduce posttraumatic stress in young children. These results indicate that school-based programs to address trauma in children may be an
effective strategy to reduce PTS-related symptoms. Some limitations include a small number of studies included in the meta-analysis. Additionally,
few studies reported enough detail to determine racial and ethnic demographic and specific age outcomes. As a result, it was not possible to isolate
the specific effects on the intended age group and conduct moderator effects for racial and ethnic demographic data. (PsycInfo Database Record (c)
2021 APA, all rights reserved)
School Mental Health: A Multidisciplinary Research and
Practice Journal, 13(4) : 832-844
- Year: 2021
- Problem: Post Traumatic Stress Disorder
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any)
Trejos-Parra, J. J., Garcia-Osorio, C. L., Velez-Vitola, O., Munoz-Garcia, M.
We present an experimentally controlled and randomized investigation with pre- and post-trial results, carried out on 47 children
boarded for abuse-related trauma in four different shelters. A gradual scale was utilized based on the DSM-5 criteria for post-traumatic stress
disorder (PTSD). The program included six sessions that implemented Emotional Freedom Techniques (EFT), together with recreational plastic
expression. The Plastic Expression was appropriate, considering the under-developed verbal skills and the hypoactivation of the speech area under the
PTSD, and it facilitated the approach of memories in a safe, group-oriented environment. The recreational usage brought along the comfort which in
turn helped to counteract the avoidance present at the onset of the PTSD. The EFT gave way to a rapid decrease in the distress response and
contributed to the immediate elaboration of memories. The program significantly decreased the level of the PTSD, facilitated learning of new and
effective forms of coping, and contributed by opening the mind towards a personal life project. (PsycInfo Database Record (c) 2020 APA, all rights
reserved) Abstract (Spanish) Presentamos una investigacion experimental controlada y aleatorizada con pre y pos-prueba, llevada a cabo en 47 ninos
internados por maltrato en cuatro centros de proteccion. Se utilizo una escala graduada segun los criterios del DSM-5 para el trastorno de estres
postraumatico (TEPT). El programa comprendio seis sesiones que implementaron Tecnicas de Liberacion Emocional (EFT) junto con expresion plastica
recreativa. La Expresion Plastica fue apropiada, considerando las habilidades verbales en desarrollo y la hipoactivacion del area del lenguaje del
TEPT, y facilito la aproximacion a los recuerdos en un entorno seguro y grupal. La recreacion brindo bienestar que ayudo a contrarrestar la evitacion
que esta en la genesis del TEPT. La EFT produjo una rapida disminucion de la respuesta de alarma y contribuyo a la pronta elaboracion del recuerdo.
El Programa disminuyo significativamente el nivel del TEPT, facilito el aprendizaje de nuevas formas eficaces de afrontamiento y aporto al
pensamiento de un proyecto de vida personal. (PsycInfo Database Record (c) 2020 APA, all rights reserved)
Psicologia desde el Caribe, 37(1) : 1-
17
- Year: 2020
- Problem: Post Traumatic Stress Disorder
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Psychological Interventions
(any), Other Psychological Interventions, Acupuncture, acupressure, Creative expression: music, dance, drama, art, Massage
Thomas, F. C., Puente-Duran, S., Mutschler, C., Monson, C. M.
Background: Trauma-focused cognitive behavioral therapy (TF-CBT) has been identified as a gold standard treatment for childhood
posttraumatic stress disorder (PTSD) in Western countries. More recently, TF-CBT has emerged in the literature as an area of interest for children
and youth affected by conflict and war in low- and middle-income countries (LMIC). Method(s): The present systematic review assesses the current
evidence base of TF-CBT for children and youth in LMIC, with a focus on conflict-affected countries. A total of 143 articles were identified, of
which 11 articles, representing 1,354 participants, met the proposed inclusion criteria. Result(s): Results showed that the majority of the studies
identified were conducted in low-resource community settings in East or Central Africa (n = 8). It was also found that cultural considerations were
taken into account in TF-CBT delivery to meet the needs of local populations. Additionally, measures were translated and validated for local use.
Conclusion(s): Findings of outcome data indicated that TF-CBT was effective in treating trauma-related symptoms and improving psychosocial
functioning in children and adolescents in LMICs. Given the limited number of published literature available in this area, further studies are needed
to conclude when and for whom trauma-focused interventions are most relevant. Copyright © 2020 Association for Child and Adolescent Mental Health
Child and Adolescent Mental Health., :
- Year: 2020
- Problem: Post Traumatic Stress Disorder
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Trauma-focused cognitive behavioural therapy (TF-
CBT)
Shelemy, L., Harvey, K., Waite, P.
A large proportion
of emotional problems begin in adolescence and negatively impact quality of life into adulthood. There have been multiple teacher-delivered,
classroom-based programs created to reduce internalizing problems amongst young people. This meta-analysis and systematic review aims to examine the
effectiveness of teacher-delivered interventions for depression, anxiety, post-traumatic stress disorder (PTSD) and obsessive-compulsive disorder
(OCD) symptoms in adolescents, and a range of factors that may impact outcomes. Database searches were conducted from PsycInfo, Medline (PubMed),
Scopus, Cochrane Library and the British Educational Index (database inception to January 2020). Quality assessment of studies used the EPHPP Quality
Assessment Tool. Fifty-two studies were identified that quantitatively assessed, via controlled design, intervention effects on internalizing
disorder symptoms. Three meta-analyses found teacher-delivered interventions were significantly better than control conditions at improving
depression (g = -0.12), anxiety (g = -0.13) and PTSD symptoms (g = -0.66) in students. Improvements were only maintained at follow-up for anxiety
symptoms and no effect sizes reached a 'small' threshold. However, the effect sizes were 'moderate' within the context of universal prevention
programs for young people. No interventions measured OCD outcomes. Improved outcomes were associated with interventions that lasted up to 16 weeks,
had 45-90 minute long sessions and included two or more days of teacher training. Future studies should report number of sessions taught, quality of
teacher training and fidelity of intervention. Analysis of outcomes for participants with high versus low baseline mental health scores would enable
a better understanding of for whom interventions are most effective. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
Mental Health and Prevention Vol 19 2020, ArtID 200182, 19 :
- Year: 2020
- Problem: Anxiety Disorders (any), Obsessive Compulsive Disorder, Post Traumatic Stress Disorder, Depressive Disorders
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Skills training, Mindfulness based
therapy
Rossouw, J., Yadin, E., Alexander, D., Seedat, S.
BACKGROUND: Empirical evidence on the longer-term
effectiveness of evidence-based treatments for adolescents with post-traumatic stress disorder (PTSD) in low-resource settings is needed. The aim of
the study was to evaluate the maintenance of treatment gains achieved in a comparative study of effectiveness of prolonged exposure therapy for
adolescents (PE-A) and supportive counselling (SC) in adolescents with PTSD up to 24-months post-treatment. METHOD(S): Sixty-three adolescents (13-18
years) with PTSD were randomly assigned to receive either of the interventions comprising 7-14 sessions of treatment provided by trained and
supervised non-specialist health workers (NSHWs). The primary outcome measure was PTSD symptom severity, as independently assessed on the Child PTSD
Symptom Scale, at pretreatment, post-treatment, and at 3-, 6-, 12- and 24-months post-treatment follow-up (FU) evaluations. RESULT(S): Participants
in both the prolonged exposure and SC treatment groups attained a significant reduction in PTSD symptoms and maintained this reduction in PTSD
symptoms at 12- and 24-month assessment. Participants receiving prolonged exposure experienced greater improvement on the PTSD symptom severity scale
than those receiving SC at 12-months FU [difference in PE-A v. SC mean scores = 9.24, 95% CI (3.66-14.83), p < 0.001; g = 0.88] and at 24-months FU
[difference in PE-A v. SC mean scores = 9.35, 95% CI (3.53-15.17), p = 0.002; g = 0.68]. CONCLUSION(S): Adolescents with PTSD continued to experience
greater benefit from prolonged exposure treatment than SC provided by NSHWs in a community setting 12 and 24 months after completion of
treatment.
Psychological medicine, : 1-
9
- Year: 2020
- Problem: Post Traumatic Stress Disorder
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Exposure therapy, Exposure
and response prevention, Supportive
therapy
Rogel, A., Loomis, A. M., Hamlin, E., Hodgdon, H., Spinazzola, J., van-der-Kolk, B.
OBJECTIVE: Developmental trauma or chronic early
childhood exposure to abuse and neglect by caregivers has been shown to have a long-lasting pervasive impact on mental and neural development,
including problems with attention, impulse control, self-regulation, and executive functioning. Its long-term effects are arguably the costliest
public health challenge in the United States. Children with developmental trauma rarely have a satisfactory response to currently available
evidence-based psychotherapeutic and pharmacological treatments. Neurofeedback training (NFT) is a clinical application of brain computer interface
technology, aiming to alter electrical brain activity associated with various mental dysfunctions. NFT has shown promise to improve posttraumatic
stress disorder (PTSD) symptoms. METHOD(S): This randomized controlled study examined the effects of NFT on 37 children, aged 6-13 years with
developmental trauma. Participants were randomly divided into active NFT (n = 20) or treatment-as-usual control (n = 17). Both groups underwent 4
assessments during equivalent timelines. The active group received 24 NFT sessions twice a week. RESULT(S): This pilot study demonstrated that 24
sessions of NFT significantly decreased PTSD symptoms, internalizing, externalizing, other behavioral and emotional symptoms, and significantly
improved the executive functioning of children aged 6-13 years with severe histories of abuse and neglect who had not significantly benefited from
any previous therapy. CONCLUSION(S): NFT offers the possibility to improve learning, enhance self-efficacy, and develop better social relationships
in this hitherto largely treatment-resistant population. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
Psychological trauma : theory, research, practice and policy, 12(8) : 918-
929
- Year: 2020
- Problem: Post Traumatic Stress Disorder
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Biofeedback, neurofeedback, audio/video feedback, Technology, interventions delivered using technology (e.g. online, SMS)
Lee, M. S., Jin-Park, E., Bhang, S.
Y.
Objectives: Trauma could impact physical and mental health severely in children and adolescents,
and its effect may persist in adulthood. Thus, the treatment of trauma for children and adolescents is essential. The purpose of this study is to
demonstrate the effectiveness of the CIDER (Children in Disaster: Evaluation and Recovery) program through comparison with controls. Method(s): A
total of 90 subjects participated in the study, with 42 children and adolescents implementing the CIDER program and 44 in the control group. CIDER
consists of eight 50-minute-long sessions. The CIDER protocol was based on trauma-focused CBT, eye movement desensitization and reprocessing (EMDR),
emotion-focused therapy (EFT), imagery rehearsal therapy (IRT), and mindfulness therapy. The changes in depression, anxiety, the impact of trauma,
and quality of life were assessed after the program. Result(s): The average age of the children and adolescents who participated in the CIDER group
was 14.61 years (+/- 2.71), with a total of 19 boys (46.3%) and 22 girls (53.7%). In the case of the control group, the average age was 13.05 years
(+/- 3.74), with a total of 32 boys (72.7%) and 12 girls (27.3%). The scale of depression and anxiety changed significantly in the CIDER program
group (p < 0.001). Quality of life also improved (p < 0.001). On the other hand, the control group did not show any significant differences after 4
weeks on all scales. Conclusion(s): In this research, the 8-session CIDER program worked with children and adolescents who experienced trauma
compared to the control groups. It is necessary to develop and implement culture-based trauma treatment programs. PTSD, P, ADOL Copyright © 2020
Journal of the American Academy of Child and Adolescent Psychiatry, 59 (10
Supplement) : S249
- Year: 2020
- Problem: Post Traumatic Stress Disorder
- Type: Controlled clinical trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Other Psychological Interventions
Koch, T., Ehring, T., Liedl, A.
There are several challenges to providing mental health care
for refugees, including high comorbidity and structural barriers. Targeting transdiagnostic processes in a low-threshold group intervention appears
particularly promising to meet these challenges. This study examined the feasibility, acceptability and effectiveness of a new transdiagnostic
intervention, Skills-Training of Affect Regulation-A Culture-sensitive Approach (STARC), focusing on conveying strategies to improve emotional
clarity and to regulate emotions. A parallel-group (STARC vs. waitlist) randomized-controlled study with 44 young male Afghan refugees was conducted
in a routine clinical setting (NCT03162679). In intention-to-treat analyses, participants of STARC significantly improved in self-reported
difficulties in emotion regulation (DELTAdSTARC-Waitlist = 1.22), transdiagnostic symptom severity (DELTAdSTARC-Waitlist =
1.69), posttraumatic stress symptoms (DELTAdSTARC-Waitlist = 1.19), and caregiver-reported emotional competence (DELTAdSTARC-
Waitlist = -0.90), but not anger reactions (DELTAdSTARC-Waitlist = 0.50) compared to waitlist. Effects were maintained over 3
months. STARC is a feasible transdiagnostic intervention in a routine clinical setting and effective for young Afghan refugees. If replicated in
large-scale studies with active control groups, it might be promising as an initial low-threshold intervention offered in a phased-based and/or
stepped care approach. Copyright © 2020 Elsevier Ltd
Behaviour Research and Therapy, 132
(no pagination) :
- Year: 2020
- Problem: Post Traumatic Stress Disorder
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Skills training
Kip, A, Priebe, S., Holling, H., Morina, N.
Millions of refugees around the globe suffer from posttraumatic stress
disorder (PTSD) and/or depression. We conducted a meta-analysis of randomized controlled trials (RCTs) to determine the efficacy of psychological
interventions for PTSD and/or depression in refugees. The meta-analysis was registered on the PROSPERO database (CRD42017071384). A search using the
Medline, PsycINFO, and PILOTS databases was conducted in January 2019, resulting in 17 RCTs, of which 14 were conducted with adult refugees (1,108
participants) and 3 with young refugees (<18 years; 151 participants). Further inclusion criteria were at least 10 participants completing an active
psychological intervention for PTSD, depression, or both and less than 50% of participants receiving concurrent psychotropic drugs. Random effects
models showed that active interventions for adult PTSD yielded a medium to large aggregated effect size (g = 0.77; 95% confidence interval [CI]
[0.26, 1.28]) at posttreatment when compared with passive and active control conditions. Active interventions for adult depression also produced
large controlled effect sizes at posttreatment (g = 0.82; 95% CI [0.24, 1.40]). The effects appeared to persist over the average follow-up period of
6 months. The findings suggest that psychological interventions can effectively reduce symptoms of both PTSD and depression in adult refugees.
However, the considerable heterogeneity between studies indicates that the efficacy may vary significantly. Future studies should aim to explore the
substantial heterogeneity in effect sizes between studies with adult refugees. Additionally, more trials with young refugees suffering from PTSD or
depression are needed to determine treatment efficacy for this population. Copyright © 2020 The Authors. Clinical Psychology & Psychotherapy
published by John Wiley & Sons Ltd.
Clinical Psychology & Psychotherapy, 27(4) : 489-
503
- Year: 2020
- Problem: Post Traumatic Stress Disorder, Depressive Disorders
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any)
Kameoka, Satomi, Tanaka, Eizaburo, Yamamoto, Sayaka, Saito, Azusa, Narisawa, Tomomi, Arai, Yoko, Nosaka, Sachiko, Ichikawa, Kayoko, Asukai, Nozomu
Background:
Trauma-focused cognitive behavioural therapy (TF-CBT) is an efficacious treatment model for children and adolescents with trauma-related disorders.
However, few studies have been conducted in community settings, and there have been no randomized controlled trials in Asian countries. Objective: To
evaluate the effectiveness of TF-CBT in regular community settings in Japan through comparison with a waitlist with minimal services control
condition. Method: Thirty Japanese children and adolescents with posttraumatic stress disorder symptoms (22 females, eight males, mean age = 13.90,
range = 6-18) were randomly assigned to 12 sessions of TF-CBT or the waitlist control condition. The primary outcome measure was the Kiddie Schedule
for Affective Disorders and Schizophrenia score assessed by blinded evaluators one month later. Results: The mean number of sessions was 12 (range:
11-13) in the TF-CBT group and 4.87 (range: 3-7) in the control group. Intention to treat analysis showed that the TF-CBT group achieved
significantly greater symptom reduction than did the control group. The effect size (Cohen's d) between the TF-CBT and control groups was 0.96 (p
=.014) for posttraumatic symptoms and 1.15 (p =.004) for depressive symptoms. However, the TF-CBT group did not show better results than the control
group with regard to improvements in anxiety symptoms, psychosocial functioning, and behavioural problems. Conclusions: The findings provided
preliminary evidence of the effectiveness of TF-CBT for treating youth with trauma in community mental health facilities. TF-CBT in the Japanese
context proved identical to the original, demonstrating that it is also suitable for use with children and adolescents in non-Western settings.
(PsycInfo Database Record (c) 2021 APA, all rights reserved) Abstract (Chinese) : (TF-CBT) -, , : (TAU) , TF-CBT : 30 (22, 8, 13.90, 6-18) TF-
CBTTAU12-K-SADS (<<>>) : '', TF-CBT TF-CBTTAU (Cohen's d) 0.96 (p =.014) 1.15 (p =.004) : , TF-CBT, (PsycInfo Database Record (c) 2021 APA, all
rights reserved) Abstract (Spanish) Antecedentes: La Terapia Cognitivo Conductual Centrada en el Trauma (TF-CBT en su sigla en ingles) es un modelo
de tratamiento eficaz para ninos y adolescentes con trastornos relacionados con el trauma. Sin embargo, hasta la fecha solo se han realizado unos
pocos estudios en entornos comunitarios y no se han realizado ensayos controlados aleatorios en paises asiaticos. Objetivo: Este estudio busco
evaluar la efectividad de la TF-CBT en entornos comunitarios regulares en Japon, en comparacion con el tratamiento habitual (TAU en su sigla en
ingles). Metodos: Treinta ninos y adolescentes japoneses (22 mujeres, 8 hombres, promedio de edad = 13.90, rango = 6-18) fueron asignados
aleatoriamente a 12 sesiones de la TF-CBT o al grupo TAU. La medida de resultado primaria fue el puntaje K-SADS (Calendario Kiddie para Trastornos
Afectivos y Esquizofrenia) evaluado por evaluadores cegados un mes despues del tratamiento. Resultados: El analisis de 'intencion de tratar' mostro
que el grupo TF-CBT logro una reduccion significativa de sintomas, mayor que el grupo control. El tamano del efecto (d de Cohen) entre el grupo TF-
CBT y el grupo TAU fue de 0.96 (p =.014) para los sintomas postraumaticos y 1.15 (p =.004) para los sintomas depresivos. Conclusion: Los hallazgos
revelaron que la TF-CBT es eficaz para tratar a jovenes traumatizados en centros comunitarios de salud mental y podria implementarse con exito en
Japon. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
, 11(1) :
- Year: 2020
- Problem: Post Traumatic Stress Disorder
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Trauma-focused cognitive behavioural therapy (TF-
CBT)