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Trauma focused CBT

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https://www.readbyqxmd.com/read/28294318/impact-of-killing-in-war-a-randomized-controlled-pilot-trial
#1
Shira Maguen, Kristine Burkman, Erin Madden, Julie Dinh, Jeane Bosch, Jessica Keyser, Martha Schmitz, Thomas C Neylan
OBJECTIVE: The purpose of this pilot study was to test the effectiveness of Impact of Killing (IOK), a novel, cognitive-behavioral treatment (CBT) aimed at reducing mental health symptoms and functional impairment. METHOD: Participants were 33 combat Veterans with a posttraumatic stress disorder (PTSD) diagnosis who had completed trauma-focused psychotherapy and reported distress regarding killing or feeling responsible for the deaths of others in war. Veterans were randomized to either IOK treatment or a 6-week waitlist condition, after which Veterans could receive IOK...
March 10, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28273490/therapeutic-alliance-over-the-course-of-child-trauma-therapy-from-three-different-perspectives
#2
Karina P M Zorzella, Sara Lynn Rependa, Robert T Muller
In a multi-site, controlled study with follow up, we looked at the therapeutic alliance in child trauma therapy. Parent, child, and therapist ratings were used to examine how therapeutic alliance changes over the course of Trauma Focused Cognitive Behavior Therapy (TF-CBT), an intervention that uses an exposure based method called a trauma narrative. Participants were 65 children and their caregivers in a community based trauma therapy program in Canada. Children in treatment underwent TF-CBT, including the trauma narrative asking them to write out and process their trauma story in detail...
March 5, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28270328/constructive-and-unproductive-processing-of-traumatic-experiences-in-trauma-focused-cognitive-behavioral-therapy-for-youth
#3
Adele M Hayes, Carly Yasinski, Damion Grasso, C Beth Ready, Elizabeth Alpert, Thomas McCauley, Charles Webb, Esther Deblinger
Although there is substantial evidence to support the efficacy of cognitive-behavioral treatments (CBT) for posttraumatic stress disorder (PTSD), there is some debate about how these treatments have their effects. Modern learning theory and cognitive and emotional processing theories highlight the importance of reducing avoidance, facilitating the constructive processing of feared experiences, and strengthening new inhibitory learning. We examined variables thought to be associated with unproductive and constructive processing of traumatic experiences in a sample of 81 youth with elevated PTSD symptoms, who received Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for abuse or traumatic interpersonal loss...
March 2017: Behavior Therapy
https://www.readbyqxmd.com/read/28161655/improvements-in-personal-resiliency-among-youth-who-have-completed-trauma-focused-cognitive-behavioral-therapy-a-preliminary-examination
#4
Esther Deblinger, Elisabeth Pollio, Melissa K Runyon, Robert A Steer
This preliminary investigation assessed whether different aspects of personal resiliency improved for youth (7-17 years old) impacted by child sexual abuse (CSA) after completing trauma-focused cognitive behavioral therapy (TF-CBT). The Resiliency Scales for Children and Adolescents (RSCA; Prince-Embury, 2007) were administered to 157 youth before and after participating in TF-CBT with their nonoffending caregivers. Hierarchal regression analyses were performed to ascertain whether pretest RSCA resiliency scores moderated decreases in the posttraumatic stress and self-reported depressive symptoms at posttreatment...
March 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28134556/community-based-implementation-of-trauma-focused-interventions-for-youth-economic-impact-of-the-learning-collaborative-model
#5
Alex R Dopp, Rochelle F Hanson, Benjamin E Saunders, Clara E Dismuke, Angela D Moreland
This study investigated the economics of the learning collaborative (LC) model in the implementation of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), an evidence-based intervention for traumatic stress in youth. We evaluated the cost-effectiveness of the LC model based on data from 13 LCs completed in the southeastern United States. Specifically, we calculated cost-effectiveness ratios (CERs) for 2 key service outcomes: (a) clinician TF-CBT competence, based on pre- and post-LC self-ratings (n = 574); and (b) trauma-related mental health symptoms (i...
February 2017: Psychological Services
https://www.readbyqxmd.com/read/28124224/a-follow-up-study-from-a-multisite-randomized-controlled-trial-for-traumatized-children-receiving-tf-cbt
#6
Tine K Jensen, Tonje Holt, Silje M Ormhaug
Trauma-focused cognitive behavioral therapy (TF-CBT) is the treatment of choice for traumatized youth, however, follow-up studies are scarce, and treatment effects for co-occurring depression show mixed findings. The aims of this study were to examine whether treatment effects of TF-CBT are maintained at 18 month follow-up and whether degree of co-occurring depression influences treatment effects. As rapid improvement in psychological functioning is warranted for youth, we also investigated whether the symptom trajectory was different for TF-CBT compared to therapy as usual (TAU)...
January 26, 2017: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/28116752/psychological-interventions-for-post-traumatic-stress-disorder-ptsd-in-people-with-severe-mental-illness
#7
REVIEW
Jacqueline Sin, Debbie Spain, Marie Furuta, Trevor Murrells, Ian Norman
BACKGROUND: Increasing evidence indicates that individuals who develop severe mental illness (SMI) are also vulnerable to developing post-traumatic stress disorder (PTSD), due to increased risk of exposure to traumatic events and social adversity. The effectiveness of trauma-focused psychological interventions (TFPIs) for PTSD in the general population is well-established. TFPIs involve identifying and changing unhelpful beliefs about traumatic experiences, processing of traumatic memories, and developing new ways of responding to cues associated with trauma...
January 24, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28051337/change-in-parental-depressive-symptoms-in-trauma-focused-cognitive-behavioral-therapy-results-from-a-randomized-controlled-trial
#8
Dunja Tutus, Ferdinand Keller, Cedric Sachser, Elisa Pfeiffer, Lutz Goldbeck
OBJECTIVES: Depressive symptoms are frequently described in parents whose children have been exposed to traumatic events. Hence, including nonoffending parents in trauma-focused cognitive-behavioral therapy (TF-CBT) for children and adolescents may help both children and their parents to cope with the trauma. Up to now, three randomized controlled trials have investigated parental depressive symptoms after TF-CBT. Given the ambiguous results, further effectiveness trials are needed to investigate parental benefit from TF-CBT...
March 2017: Journal of Child and Adolescent Psychopharmacology
https://www.readbyqxmd.com/read/28024712/factors-related-to-attrition-from-trauma-focused-cognitive-behavioral-therapy
#9
Rachel Wamser-Nanney, Cazzie E Steinzor
Attrition from child trauma-focused treatments such as Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is common; yet, the factors of children who prematurely terminate are unknown. The aim of the current study was to identify risk factors for attrition from TF-CBT. One hundred and twenty-two children (ages 3-18; M=9.97, SD=3.56; 67.2% females; 50.8% Caucasian) who received TF-CBT were included in the study. Demographic and family variables, characteristics of the trauma, and caregiver- and child-reported pretreatment symptoms levels were assessed in relation to two operational definitions of attrition: 1) clinician-rated dropout, and 2) whether the child received an adequate dose of treatment (i...
December 23, 2016: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28013272/trauma-focused-smoking-cessation-for-smokers-exposed-to-the-world-trade-center-disaster-a-randomized-clinical-trial
#10
Adam Gonzalez, Fred Friedberg, Xiaotong Li, Michael J Zvolensky, Evelyn J Bromet, Brittain L Mahaffey, Anka A Vujanovic, Benjamin J Luft, Roman Kotov
INTRODUCTION: The main objective was to evaluate the efficacy of an 8-session, group-based comprehensive smoking cessation and trauma management (CSC-T) treatment among daily smokers (≥ 5 cigarettes/day) exposed to the WTC disaster with elevated WTC-related PTSD symptoms. METHODS: Participants (N=90) were randomly assigned to CSC-T (N=44; 63.6% White; 27.3% female; mean age = 51.32±7.87) or comprehensive smoking cessation (CSC) alone (N=46; 71.7% White; 28.3% female; mean age=48...
December 24, 2016: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/27940901/structured-trauma-focused-cbt-and-unstructured-play-experiential-techniques-in-the-treatment-of-sexually-abused-children-a-field-study-with-practicing-clinicians
#11
Brian Allen, Natalie Armstrong Hoskowitz
Structured, trauma-focused cognitive-behavioral therapy (CBT) techniques are widely considered an effective intervention for children who experienced sexual abuse. However, unstructured (i.e., nondirective) play/experiential techniques have a longer history of widespread promotion and are preferred by many practicing clinicians. No evidence is available, however, to determine how the integration of these techniques impacts treatment outcome. In this study, community-based clinicians who received training in a structured, trauma-focused cognitive-behavioral intervention administered pretreatment and posttreatment evaluations to 260 sexually abused children presenting with elevated posttraumatic stress...
December 9, 2016: Child Maltreatment
https://www.readbyqxmd.com/read/27800462/nightmare-frequency-nightmare-distress-and-the-efficiency-of-trauma-focused-cognitive-behavioral-therapy-for-post-traumatic-stress-disorder
#12
Katia Levrier, Andre Marchand, Genevieve Belleville, Beaulieu-Prevost Dominic, Stephane Guay
BACKGROUND: Up to 71% of trauma victims diagnosed with PTSD have frequent nightmares (NM), compared to only 2% to 5% of the general population. OBJECTIVES: The present study examined whether nightmares before the beginning of cognitive behavior therapy (CBT) for post-traumatic stress disorder (PTSD) could influence overall PTSD symptom reduction for 71 individuals with PTSD and different types of traumatic events. PATIENTS AND METHODS: Participants received a validated CBT of 20 weekly individual sessions...
September 2016: Archives of Trauma Research
https://www.readbyqxmd.com/read/27771824/treating-posttraumatic-stress-disorder-in-diverse-settings-recent-advances-and-challenges-for-the-future
#13
Louise E Dixon, Emily Ahles, Luana Marques
Racial and ethnic minorities are at high risk for developing posttraumatic stress disorder (PTSD) after experiencing a traumatic event and are less likely to receive evidence-based treatment for their symptoms. There is a growing body of literature showing that culturally appropriate interventions result in greater uptake, symptom reduction, and sustained treatment gains. This article review explores new findings in the cultural understanding of PTSD among racial and ethnic minorities. We first review recent advances in the understanding of PTSD symptomotology...
December 2016: Current Psychiatry Reports
https://www.readbyqxmd.com/read/27759442/evidence-base-update-for-psychosocial-treatments-for-children-and-adolescents-exposed-to-traumatic-events
#14
Shannon Dorsey, Katie A McLaughlin, Suzanne E U Kerns, Julie P Harrison, Hilary K Lambert, Ernestine C Briggs, Julia Revillion Cox, Lisa Amaya-Jackson
Child and adolescent trauma exposure is prevalent, with trauma exposure-related symptoms, including posttraumatic stress, depressive, and anxiety symptoms often causing substantial impairment. This article updates the evidence base on psychosocial treatments for child and adolescent trauma exposure completed for this journal by Silverman et al. (2008). For this review, we focus on 37 studies conducted during the seven years since the last review. Treatments are grouped by overall treatment family (e.g., cognitive behavioral therapy), treatment modality (e...
October 19, 2016: Journal of Clinical Child and Adolescent Psychology
https://www.readbyqxmd.com/read/27710003/feasibility-and-effectiveness-of-narrative-exposure-therapy-and-cognitive-behavioral-therapy-in-a-context-of-ongoing-violence-in-south-africa
#15
Martina Hinsberger, Leon Holtzhausen, Jessica Sommer, Debra Kaminer, Thomas Elbert, Soraya Seedat, Sarah Wilker, Anselm Crombach, Roland Weierstall
Objective: In an observer-blinded intervention trial, we tested the reduction of posttraumatic stress symptoms, aggressive attitude, and behavior in young males living in a context of ongoing community and gang violence by means of (a) forensic offender rehabilitation narrative exposure therapy (FORNET), and (b) the cognitive-behavioral intervention "Thinking for a Change" (TFAC). A waiting list served as the control condition. Method: A total of 39 young men were included in the data analysis: 15 completed FORNET, 11 underwent cognitive-behavioral therapy (CBT), and 13 were on a waiting list for later treatment...
October 6, 2016: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/27677771/complex-ptsd-as-proposed-for-icd-11-validation-of-a-new-disorder-in-children-and-adolescents-and-their-response-to-trauma-focused-cognitive-behavioral-therapy
#16
Cedric Sachser, Ferdinand Keller, Lutz Goldbeck
BACKGROUND: To evaluate whether the symptoms of children and adolescents with clinically significant posttraumatic stress symptoms (PTSS) form classes consistent with the diagnostic criteria of complex PTSD (CPTSD) as proposed for the ICD-11, and to relate the emerging classes with treatment outcome of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). METHODS: Latent classes analysis (LCA) was used to explore the symptom profiles of the clinical baseline assessment of N = 155 children and adolescents participating in a randomized controlled trial of TF-CBT...
February 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/27669162/a-randomized-trial-of-cognitive-behavior-therapy-and-cognitive-therapy-for-children-with-posttraumatic-stress-disorder-following-single-incident-trauma-predictors-and-outcome-at-1-year-follow-up
#17
Reginald D V Nixon, Jisca Sterk, Amanda Pearce, Nathan Weber
Objective: The 1-year outcome and moderators of adjustment for children and youth receiving treatment for posttraumatic stress disorder (PTSD) following single-incident trauma was examined. Method: Children and youth who had experienced single-incident trauma (N = 33; 7-17 years old) were randomly assigned to receive 9 weeks of either trauma-focused cognitive behavior therapy (CBT) or trauma-focused cognitive therapy (without exposure; CT) that was administered to them and their parents individually. Results: Intent-to-treat analyses demonstrated that both groups maintained posttreatment gains in PTSD, depression and general anxiety symptoms reductions at 1-year follow-up, with no children meeting criteria for PTSD...
September 26, 2016: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/27647052/moderators-of-treatment-response-to-trauma-focused-cognitive-behavioral-therapy-among-youth-in-zambia
#18
Jeremy C Kane, Laura K Murray, Judith Cohen, Shannon Dorsey, Stephanie Skavenski van Wyk, Jennica Galloway Henderson, Mwiya Imasiku, John Mayeya, Paul Bolton
BACKGROUND: The effectiveness of mental health interventions such as trauma-focused cognitive behavioral therapy (TF-CBT) may vary by client, caregiver, and intervention-level variables, but few randomized trials in low- and middle-income countries (LMIC) have conducted moderation analyses to investigate these characteristics. This study explores moderating factors to TF-CBT treatment response among a sample of orphans and vulnerable children (OVC) in Zambia. METHODS: Data were obtained from a completed randomized trial of TF-CBT among 257 OVC in Zambia...
October 2016: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/27618641/in-session-caregiver-behavior-predicts-symptom-change-in-youth-receiving-trauma-focused-cognitive-behavioral-therapy-tf-cbt
#19
Carly Yasinski, Adele M Hayes, C Beth Ready, Jorden A Cummings, Ilana S Berman, Thomas McCauley, Charles Webb, Esther Deblinger
OBJECTIVE: Involving caregivers in trauma-focused treatments for youth has been shown to result in better outcomes, but it is not clear which in-session caregiver behaviors enhance or inhibit this effect. The current study examined the associations between caregiver behaviors during Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and youth cognitive processes and symptoms. METHOD: Participants were a racially diverse sample of Medicaid-eligible youth (ages 7-17) and their nonoffending caregivers (N = 71 pairs) who received TF-CBT through an effectiveness study in a community setting...
December 2016: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/27547240/testing-the-community-based-learning-collaborative-cblc-implementation-model-a-study-protocol
#20
Rochelle F Hanson, Sonja Schoenwald, Benjamin E Saunders, Jason Chapman, Lawrence A Palinkas, Angela D Moreland, Alex Dopp
BACKGROUND: High rates of youth exposure to violence, either through direct victimization or witnessing, result in significant health/mental health consequences and high associated lifetime costs. Evidence-based treatments (EBTs), such as Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), can prevent and/or reduce these negative effects, yet these treatments are not standard practice for therapists working with children identified by child welfare or mental health systems as needing services...
2016: International Journal of Mental Health Systems
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