Trauma-Focused Cognitive Behavior Therapy for Youth: Effectiveness in a Community Setting
- Conditions
- Posttraumatic Stress Disorder
- Registration Number
- NCT01649141
- Lead Sponsor
- Delaware Division of Prevention and Behavioral Health Services
- Brief Summary
This effectiveness study is being conducted to determine whether Trauma-Focused Cognitive Therapy (TF-CBT), a treatment model developed in specialty clinics by experts in the treatment of child sexual abuse, can be effectively transported to a state-contracted community mental health agency in the state of Delaware and used effectively by clinicians with little prior TF-CBT experience. The sample is comprised of youths receiving public mental health services and with diverse trauma histories.
- Detailed Description
This investigation aims to examine the effectiveness of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in treating child traumatic stress when implemented in community settings on a state-wide level in Delaware. Youth (ages 7-16 years) with a history of documented trauma (sexual or physical abuse, traumatic loss, domestic or community violence) and symptoms of Posttraumatic Stress Disorder (PTSD) receive approximately 10 sessions of TF-CBT delivered in a state-contracted mental health agency. Children and adolescents are recruited from a public mental health population. PTSD symptoms and internalizing and externalizing behavior problems have been assessed in the first 72 participants at pre-treatment and then at 3-, 6-, 9-, and 12-months after intake; subsequent participants (n=38) are only being assessed for symptoms and problems at pre-treatment and then at 3-, 6-months after intake.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 110
- child is 7-17 years old
- positive screen for PTSD
- child qualifies for public insurance
- parent willing to co-participate in treatment
- English-speaking (child and parent)
- intellectual disability (child)
- untreated psychosis (child)
- untreated substance abuse (child)
- sibling already in study
- unable to participate in year-long follow-up (e.g., moving out of state)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Change in baseline PTSD Symptoms at 3-,6-,9- and 12-months Baseline and post-baseline (3-,6-,9-,12-months) PTSD symptoms area assessed with the UCLA PTSD Reaction Index for DSM-IV (UPID). The UPID (Pynoos, et al., 1998) includes 48 items that can be administered as a questionnaire or structured interview. The instrument's three sections assess for trauma exposure and symptoms of DSM-IV PTSD in children ages 7-18. The UPID has good convergent validity (i.e., 0.70 in comparison to the K-SADS, epidemiologic version), a sensitivity of 0.93 and specificity of 0.87 in diagnosing PTSD (Steinberg et al., 2004), and test-retest reliability of 0.84 (Steinberg et al., 2004)
- Secondary Outcome Measures
Name Time Method Change in baseline behavioral problems at 3-, 6-, 9- and 12-months. Baseline and post-baseline (3-,6-,9-,12-months) Behavioral problems are assessed with the parent version of the Child Behavior Checklist 6-18 (CBCL: Achenbach, \& Rescorla, 2001)\\.The CBCL is a 113-item parent self-report measure used to assess children's emotional and behavioral problems and social competencies. The CBCL has been used with acceptable levels of reliability (range 0.84-0.98) and content and criterion validity to measure mental health problems of children ages 6-18 years from diverse racial and ethnic backgrounds (Achenbach \& Rescorla, 2001).
Trial Locations
- Locations (1)
Division of Prevention and Behavioral Health Services
🇺🇸Wilmington, Delaware, United States
Division of Prevention and Behavioral Health Services🇺🇸Wilmington, Delaware, United States