Trauma-focused cognitive–behavioral therapy (TF-CBT) for interpersonal trauma in transitional-aged youth
Autor: | Sarah Bendall, Judith A. Cohen, Laura K. Murray, Carsten Schley, Wilma Peters, Mario Alvarez-Jimenez, Simon M Rice |
---|---|
Rok vydání: | 2021 |
Předmět: |
Adult
Male Child abuse 050103 clinical psychology Adolescent Social Psychology Trauma focused cognitive behavioral therapy Exacerbation Violence law.invention Stress Disorders Post-Traumatic Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law mental disorders Humans Medicine 0501 psychology and cognitive sciences Child Depression (differential diagnoses) Cognitive Behavioral Therapy business.industry 05 social sciences Australia Emotional Abuse 030227 psychiatry Clinical Psychology Treatment Outcome Sexual abuse Tolerability Anxiety Female medicine.symptom business Clinical psychology |
Zdroj: | Psychological Trauma: Theory, Research, Practice, and Policy. 13:313-321 |
ISSN: | 1942-969X 1942-9681 |
Popis: | Objective Posttraumatic stress disorder (PTSD) following interpersonal trauma in transitional-aged youth (TAY), aged 15 to 25, is highly prevalent; however, evidence-based interventions have rarely been studied. Method A single-group pre-/posttest study was conducted at headspace Sunshine, Melbourne, Australia, evaluating the feasibility, acceptability, safety, tolerability, and potential clinical effectiveness of trauma-focused cognitive-behavioral therapy (TF-CBT). Results An intent-to-treat analysis was conducted for N = 20 participants (65% female, n = 13) who attended a mean of 15 TF-CBT sessions over 25 weeks. At the end of treatment, only 1 of the 16 participants with a baseline PTSD diagnosis still met diagnostic criteria. Significant improvements were also noted for self-report measures of PTSD (d = -.83), anxiety (d = -.74), and depression (d = -.76). A minority of participants reported a brief exacerbation in symptoms of PTSD (n = 8) and anxiety and depression (n = 5) during stabilization and directly before and/or after the trauma-narration phase. However, all symptoms resolved at the end of treatment. The majority of participants (85%, n = 17) rated the intervention as helpful. Conclusion Regardless of the expected temporary symptom exacerbation, the results indicated that TF-CBT was safe, tolerable, and acceptable. Transitional-aged youth is an emerging area of research. With limited research available on this age group to inform evidence-based practice, it is recommended that a randomized controlled trial is conducted to determine if TF-CBT (Cohen et al., 2017) can be effectively translated to this underresearched age group. (PsycInfo Database Record (c) 2021 APA, all rights reserved). |
Databáze: | OpenAIRE |
Externí odkaz: |