A Randomized Controlled Trial of Trauma-Focused Cognitive Behavioral Therapy for Sexually Exploited, War-Affected Congolese Girls
| Autor: | Alastair Black, Ciaran Shannon, Harry Rafferty, Paul O'Callaghan, John McMullen |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Warfare
medicine.medical_specialty Adolescent Trauma focused cognitive behavioral therapy medicine.medical_treatment Severity of Illness Index law.invention Stress Disorders Post-Traumatic Randomized controlled trial law Developmental and Educational Psychology medicine Humans Single-Blind Method Child Psychiatry Wait list control group Cognitive Behavioral Therapy Cognitive restructuring Child Abuse Sexual Cognitive behavioral therapy Psychiatry and Mental health Treatment Outcome Sexual abuse Prosocial behavior Democratic Republic of the Congo Anxiety Female medicine.symptom Psychology Clinical psychology |
| Zdroj: | Journal of the American Academy of Child & Adolescent Psychiatry. 52:359-369 |
| ISSN: | 0890-8567 |
| DOI: | 10.1016/j.jaac.2013.01.013 |
| Popis: | Objective To assess the efficacy of trauma-focused cognitive behavioral therapy (TF-CBT) delivered by nonclinical facilitators in reducing posttraumatic stress, depression, and anxiety and conduct problems and increasing prosocial behavior in a group of war-affected, sexually exploited girls in a single-blind, parallel-design, randomized,+ controlled trial. Method Fifty-two 12- to 17-year-old, war-affected girls exposed to rape and inappropriate sexual touch in the Democratic Republic of Congo were screened for trauma, depression and anxiety, conduct problems, and prosocial behavior. They were then randomized to a 15 session, group-based, culturally modified TF-CBT (n = 24) group or a wait-list control group (n = 28). Primary analysis, by intention-to-treat, involving all randomly assigned participants occurred at pre- and postintervention and at 3-month follow-up (intervention group only). Results Compared to the wait list control, the TF-CBT group experienced significantly greater reductions in trauma symptoms (F 1,49 = 52.708, p p 2 = 0.518). In addition, the TF-CBT group showed a highly significant improvement in symptoms of depression and anxiety, conduct problems, and prosocial behavior. At 3-months follow-up the effect size (Cohen's d) for the TF-CBT group was 2.04 (trauma symptoms), 2.45 (depression and anxiety), 0.95 (conduct problems), and−1.57 (prosocial behavior). Conclusions A group-based, culturally modified, TF-CBT intervention delivered by nonclinically trained Congolese facilitators resulted in a large, statistically significant reduction in posttraumatic stress symptoms and psychosocial difficulties among war-affected girls exposed to rape or sexual violence. Clinical trial registration information—An RCT of TF-CBT with sexually-exploited, war-affected girls in the DRC; http://clinicaltrials.gov/; NCT01483261. |
| Databáze: | OpenAIRE |
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