Effectiveness of trauma-focused cognitive behavioral therapy for Japanese children and adolescents in community settings: a multisite randomized controlled trial. Issue 1 (31st December 2020)

• Record Type: Journal Article
• Authors: Kameoka, Satomi; Tanaka, Eizaburo; Yamamoto, Sayaka; Saito, Azusa; Narisawa, Tomomi; Arai, Yoko; Nosaka, Sachiko; Ichikawa, Kayoko; Asukai, Nozomu
• Is Part Of: European journal of psychotraumatology. Volume 11:Issue 1(2020)
• Publication Date: 2020-12-31
• Subjects: Clinical trials -- childhood trauma -- parents/caregivers -- PTSD -- RCT -- TF-CBT; ensayos clínicos -- trauma infantil -- padres/cuidadores -- TEPT -- RCT -- TF-CBT; 临床试验 -- 童年期创伤 -- 父母/照顾者 -- PTSD -- RCT -- TF-CBT; TF-CBT was superior to the waitlist with minimal services condition in terms of improving PTSS and depressive symptoms in Japanese youth with trauma in a community setting. The Japanese TF-CBT proved identical to the original, and is suitable for use with children and adolescents with trauma in non-Western settings.; Post-traumatic stress disorder -- Periodicals; Stress Disorders, Post-Traumatic; Post-traumatic stress disorder; Electronic journals; Periodicals; Periodicals; Fulltext; Internet Resources; Periodicals; 616.8521
• DOI: 10.1080/20008198.2020.1767987
• Languages: English
• ISSNs: 2000-8198

Abstract

ABSTRACT: Background: Trauma-focused cognitive behavioural therapy (TF-CBT) is an efficacious treatment model for children and adolescents with trauma-related disorders. However, few studies have been conducted in community settings, and there have been no randomized controlled trials in Asian countries. Objective: To evaluate the effectiveness of TF-CBT in regular community settings in Japan through comparison with a waitlist with minimal services control condition. Method: Thirty Japanese children and adolescents with posttraumatic stress disorder symptoms (22 females, eight males, mean age = 13.90, range = 6–18) were randomly assigned to 12 sessions of TF-CBT or the waitlist control condition. The primary outcome measure was the Kiddie Schedule for Affective Disorders and Schizophrenia score assessed by blinded evaluators one month later. Results: The mean number of sessions was 12 (range: 11–13) in the TF-CBT group and 4.87 (range: 3–7) in the control group. Intention to treat analysis showed that the TF-CBT group achieved significantly greater symptom reduction than did the control group. The effect size (Cohen's d ) between the TF-CBT and control groups was 0.96 ( p =.014) for posttraumatic symptoms and 1.15 ( p =.004) for depressive symptoms. However, the TF-CBT group did not show better results than the control group with regard to improvements in anxiety symptoms, psychosocial functioning, and behavioural problems. Conclusions: The findings provided preliminary evidence of the effectiveness of TF-CBT for treating youth with trauma in community mental health facilities. TF-CBT in the Japanese context proved identical to the original, demonstrating that it is also suitable for use with children and adolescents in non-Western settings.