Journal article
Child and parent secondary outcomes in stepped care versus standard care treatment for childhood trauma
JOURNAL OF AFFECTIVE DISORDERS, v 307
15 Jun 2022
PMID: 35331823
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Introduction: Stepped care trauma-focused cognitive behavioral therapy (SC-TF-CBT) is comparable in efficacy to standard TF-CBT for child posttraumatic stress symptoms (PTSS), but less is known about the effectiveness of SC-TF-CBT on child and parent secondary outcomes. The aim of this community-based randomized clinical trial was to compare child-and caregiver-secondary outcomes among SC-TF-CBT versus TF-CBT participants. Methods: Children (ages 4 to 12) with PTSS and their caregivers were randomly assigned to either SC-TF-CBT (n = 91) or TF-CBT (n = 92). Secondary child (internalizing and externalizing behavior problems, anger outburst and sleep disturbances) and parent outcomes (PTSS, depression symptoms, and parenting stress) were measured at baseline, post-treatment and 6- and 12-month follow-up. Results: There were comparable changes at all-time points in child and caregiver secondary outcomes. Non-inferiority tests indicated that for completers and intent-to-treat samples, SC-TF-CBT was non-inferior to TF-CBT for all outcomes except parenting stress at 6-months. The analysis with completers did not support non-inferiority at post-treatment for internalizing and externalizing problems and at 6-and 12-month follow-up assessments for externalizing problems, but the intent-to-treat analysis did support non-inferiority. Limitations: Limitations included modest rates of attrition, excluding in vivo component for standard TF-CBT, parent-only assessments, and no control condition. Conclusions: SC-TF-CBT is an effective alternative treatment method although parents with high stress may need more support and children with externalizing problems may need more standard TF-CBT sessions.
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Details
- Title
- Child and parent secondary outcomes in stepped care versus standard care treatment for childhood trauma
- Publication Details
- JOURNAL OF AFFECTIVE DISORDERS, v 307
- Publisher
- ELSEVIER; AMSTERDAM
- Grant note
- The study was supported by a National Institute of Mental Health (NIMH) award assigned to Alison Salloum (R01MH107522) and the Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health under Award Number P50HD103555 for use of the Clinical and Translational and Preclinical- Clinical Core facilities. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Na-tional Institute of Mental Health or National Institutes of Health
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000806191000011
- Scopus ID
- 2-s2.0-85128802962
- Other Identifier
- 991021861166504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology
- Psychiatry