Trauma-focused cognitive behavioral therapy for PTSD in children

January 01, 0001

Trauma-focused cognitive behavioral therapy for PTSD in children

These US investigators conducted a randomized controlled trial using blinded evaluators to evaluate community-provided trauma-focused cognitive behavior therapy (TF-CBT) compared with usual community treatment for children with intimate partner violence (IPV)-related posttraumatic stress disorder (PTSD) symptoms. Of 140 consecutively referred 7- to 14-year-old children, 124 participated. Children and mothers were randomly assigned to receive 8 sessions of TF-CBT or usual care (child-centered therapy).

They found: "Intent-to-treat analysis using last observation carried forward showed superior outcomes for TF-CBT on the total Kiddie Schedule for Affective Disorders and Schizophrenia, Present and Lifetime Version (K-SADS- PL) (mean difference, 1.63), University of California at Los Angeles PTSD Reaction Index (mean difference, 5.5), K-SADS-PL hyperarousal (mean difference, 0.71), K-SADS-PL avoidance (0.55; 0.07-1.03), and Screen for Child Anxiety Related Emotional Disorders (SCARED) (mean difference, 5.13). Multiple imputation analyses confirmed most of these findings. The TF-CBT completers experienced significantly greater PTSD diagnostic remission and had significantly fewer serious adverse events."

The authors concluded: "Community TF-CBT effectively improves children's IPV-related PTSD and anxiety."

This sounds like a promising approach and should be replicated in other studies including other causes of PTSD.

For the full abstract, click here.

Arch Pediatr Adolesc Med 165(1):16-21, January 2011
© 2011 to the American Medical Association
Community Treatment of Posttraumatic Stress Disorder for Children Exposed to Intimate Partner Violence-A Randomized Controlled Trial. Judith A. Cohen, Anthony P. Mannarino, Satish Iyengar. Correspondence to Dr. Cohen: [email protected]

Category: P.Psychological, Z. Social Problems. Keywords: post traumatic stress disorder, children, intimate partner violence, trauma-focused cognitive behavioral therapy, randomized controlled trial, journal watch.
Synopsis edited by Dr Linda French, Toledo, Ohio. Posted on Global Family Doctor 18 January 2011

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