Stepped care versus standard trauma-focused cognitive behavioral therapy for young children
| Autor: | Judith A. Cohen, John Robst, Eric A. Storch, Tanya K. Murphy, Michael S. Scheeringa, Wei Wang, Alison Salloum |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
050103 clinical psychology Treatment response Trauma focused cognitive behavioral therapy Service delivery framework medicine.medical_treatment behavioral disciplines and activities Stress Disorders Post-Traumatic Outcome Assessment Health Care mental disorders Developmental and Educational Psychology medicine Humans 0501 psychology and cognitive sciences Stepped care Child Cognitive Behavioral Therapy 05 social sciences Cognitive behavioral therapy Psychiatry and Mental health Posttraumatic stress Child Preschool Pediatrics Perinatology and Child Health Cognitive therapy Female Psychology 050104 developmental & child psychology Clinical psychology Parent satisfaction |
| Zdroj: | Journal of Child Psychology and Psychiatry. 57:614-622 |
| ISSN: | 0021-9630 |
| DOI: | 10.1111/jcpp.12471 |
| Popis: | Background To compare the effectiveness and cost of stepped care trauma-focused cognitive behavioral therapy (SC-TF-CBT), a new service delivery method designed to address treatment barriers, to standard TF-CBT among young children who were experiencing posttraumatic stress symptoms (PTSS). Methods A total of 53 children (ages 3–7 years) who were experiencing PTSS were randomly assigned (2:1) to receive SC-TF-CBT or TF-CBT. Assessments by a blinded evaluator occurred at screening/baseline, after Step One for SC-TF-CBT, posttreatment, and 3-month follow-up. Trial registration: ClinicalTrials.gov: https://www.clinicaltrials.gov/ct2/show/NCT01603563. Results There were comparable improvements over time in PTSS and secondary outcomes in both conditions. Noninferiority of SC-TF-CBT compared to TF-CBT was supported for the primary outcome of PTSS, and the secondary outcomes of severity and internalizing symptoms, but not for externalizing symptoms. There were no statistical differences in comparisons of changes over time from pre- to posttreatment and pre- to 3-month follow-up for posttraumatic stress disorder diagnostic status, treatment response, or remission. Parent satisfaction was high for both conditions. Costs were 51.3% lower for children in SC-TF-CBT compared to TF-CBT. Conclusions Although future research is needed, preliminary evidence suggests that SC-TF-CBT is comparable to TF-CBT, and delivery costs are significantly less than standard care. SC-TF-CBT may be a viable service delivery system to address treatment barriers. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text