These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Effectiveness of trauma-focused cognitive behavioral therapy for Japanese children and adolescents in community settings: a multisite randomized controlled trial.
    Author: Kameoka S, Tanaka E, Yamamoto S, Saito A, Narisawa T, Arai Y, Nosaka S, Ichikawa K, Asukai N.
    Journal: Eur J Psychotraumatol; 2020 Jul 01; 11(1):1767987. PubMed ID: 33029313.
    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. Antecedentes: La Terapia Cognitivo Conductual Centrada en el Trauma (TF-CBT en su sigla en inglés) es un modelo de tratamiento eficaz para niños y adolescentes con trastornos relacionados con el trauma. Sin embargo, hasta la fecha solo se han realizado unos pocos estudios en entornos comunitarios y no se han realizado ensayos controlados aleatorios en países asiáticos.Objetivo: Este estudio buscó evaluar la efectividad de la TF-CBT en entornos comunitarios regulares en Japón, en comparación con el tratamiento habitual (TAU en su sigla en inglés).Métodos: Treinta niños y adolescentes japoneses (22 mujeres, 8 hombres, promedio de edad = 13.90, rango = 6-18) fueron asignados aleatoriamente a 12 sesiones de la TF-CBT o al grupo TAU. La medida de resultado primaria fue el puntaje K-SADS (Calendario Kiddie para Trastornos Afectivos y Esquizofrenia) evaluado por evaluadores cegados un mes después del tratamiento.Resultados: El análisis de ‘intención de tratar’ mostró que el grupo TF-CBT logró una reducción significativa de síntomas, mayor que el grupo control. El tamaño del efecto (d de Cohen) entre el grupo TF-CBT y el grupo TAU fue de 0.96 (p =.014) para los síntomas postraumáticos y 1.15 (p =.004) para los síntomas depresivos.Conclusión: Los hallazgos revelaron que la TF-CBT es eficaz para tratar a jóvenes traumatizados en centros comunitarios de salud mental y podría implementarse con éxito en Japón. 背景: 聚焦创伤认知行为疗法 (TF-CBT) 对于患有创伤相关疾病的儿童和青少年是一种有效的治疗模型。但是, 至今仅有少量研究在社区环境中进行, 并且在亚洲国家未进行任何随机对照试验。目的: 本研究旨在评估与常规治疗 (TAU) 相比, TF-CBT在日本常规社区环境中的有效性。方法: 将30名日本儿童和青少年 (22名女性, 8名男性, 平均年龄为 13.90岁, 范围为6–18岁) 随机分配至TF-CBT或TAU组接受12个疗程。主要结果指标是治疗后一个月由盲测员评估的K-SADS (《学龄儿童情感障碍和精神分裂症问卷》) 得分。结果: ‘意向处理’分析表明, TF-CBT组的症状减轻程度明显高于对照组。 TF-CBT组和TAU组间的效应量 (Cohen’s d) 对于创伤后症状和抑郁症状分别为0.96 (p =.014) 和1.15 (p =.004) 。结论: 研究结果表明, TF-CBT可有效治疗社区精神卫生机构中遭受创伤的青年, 并且可以在日本成功实施。.
    [Abstract] [Full Text] [Related] [New Search]