Community Treatment of Posttraumatic Stress Disorder for Children Exposed to Intimate Partner Violence

Cohen, Judith A.; Mannarino, Anthony P.; Iyengar, Satish

doi:10.1001/archpediatrics.2010.247

Cited by 291 publications

(267 citation statements)

References 20 publications

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“…Our rate of attrition was comparable to clinic-based trauma intervention research (Cohen et al, 2011), but higher than other school-based studies, which have shown attrition rates as low as 9% (Jaycox et al, 2010). While we did not find systematic demographic differences between treatment completers and those who attrited from the treatment groups, future research is needed on the reasons for which youth may drop out of school-based treatment, which is typically much more accessible than clinic-based care (Jaycox et al, 2010).…”

Section: Study Strengths and Limitationssupporting

confidence: 59%

“…The 25% attrition rate of youth who began treatment is comparable to that of trauma treatment studies with similar populations in clinical outpatient contexts (e.g., Cohen, Mannarino, & Iyengar, 2011). However, other youth trauma interventions have shown decreased rates of attrition as well as increased initial intervention uptake (i.e., rate of initiating treatment after randomization).…”

Section: Methods Participantsmentioning

confidence: 66%

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Internalizing and Externalizing Symptoms Moderate Treatment Response to School-Based Trauma and Grief Component Therapy for Adolescents

Herres

Williamson

Kobak

et al. 2016

School Mental Health

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Internalizing and externalizing problems commonly co-occur with adolescent post-traumatic stress and grief reactions. However, little is known about whether these co-occurring symptoms moderate adolescents' response to sequenced components of trauma-and grieffocused interventions. Forty-four middle school students (aged 12-14) rated their self-identified Top Problem during a 17-week flexibly tailored course of Trauma and Grief Component Therapy for Adolescents (TGCTA), a groupbased treatment for traumatized and bereaved youth. Baseline internalizing and externalizing symptoms were examined as potential moderators of adolescents' response to skills-building (Module I), narrative-sharing (Modules II and III), and developmental progression (Module IV) phases of intervention. Piecewise analyses of change during the three treatment phases indicated that adolescents with more internalizing symptoms showed significantly less improvement during the skills-building phase and significantly more improvement during the narrative construction phase. Findings provide preliminary evidence that: (a) traumatized and bereaved adolescents show different trajectories of response to different TGCTA components as a function of internalizing versus externalizing baseline symptoms and (b) assessing self-nominated problems and broad-spectrum internalizing and externalizing symptoms can guide trauma-and bereavement-informed treatment planning and monitoring.

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Section: Study Strengths and Limitationssupporting

confidence: 59%

Section: Methods Participantsmentioning

confidence: 66%

Internalizing and Externalizing Symptoms Moderate Treatment Response to School-Based Trauma and Grief Component Therapy for Adolescents

Herres

Williamson

Kobak

et al. 2016

School Mental Health

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show abstract

“…Anneannenin ise, torununu 'yıllar önce kaybettiği kızının' yerine koyarak, 'onu yanından hiç ayırmayarak', kendi kızı ile kuramadığı, özlediği ilişkiyi torunu ile kurabildiği söylenebilir. Çalışmamızda belirtilen olgu örneğinde olduğu gibi, çoğul ve uzun süreli travma deneyimi olan kadınlar TSSB açısından risk taşırlar; sağaltımları konusunda uygun yöntemlerin seçilmesi, koruyucu ruh sağlığı uygulamaları açısından önemlidir (11,12). Bu nedenle, farklı yaşam biçimleri ile bölgelere özgü sosyoekonomik -kültürel değişkenlerin iyi tanınması ve bu değişkenlerin ruhsal belirtiler ile iliş-kisinin sorgulanmasının ulusal sağlık programlarımıza ışık tutacağı inancındayız.…”

Section: Discussionunclassified

Kadınlarda çoklu ruhsal travma: Bir olgu sunumu / Multiple psychiatric trauma in women: a case report

Yeloğlu¹,

Güveli²,

Kandemir³

et al. 2012

Dusunen Adam

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ÖZETKadınlarda çoklu ruhsal travma: Bir olgu sunumu Tüm dünyada travmatik yaşam olaylarına kadınlar daha fazla maruz kalmaktadırlar. Örneğin aile içi şiddet, tüm toplumlar ve sosyoekonomik gruplardaki kadınları etkileyen, birçok fiziksel ve psikososyal soruna yol açan, toplumu ilgilendiren önemli bir halk sağlığı sorunudur. Travmanın ciddiyeti, süresi, eş zamanlı farklı travmatik olayların varlığı, kişilik yapısı, travma öncesinde var olabilen psikiyatrik hastalık öyküsü travma sonrası stres bozukluğu (TSSB) gelişmesi olasılığını arttırır. Psikososyal desteğin iyi olması ise tam tersi bir etki yapar. Bu çalışma, bir olgu sunumudur. Otuz altı yaşındaki hastamızda, ergenlik döneminden beri varolan TSSB belirtileri yanında, bunlara eşlik eden depresif belirtiler de mevcuttu. Bu çalışmada, TSSB tanısı düşünülen kadınlarda TSSB'ye eş tanılı durumlar, TSSB için kolaylaştırıcı faktörler ve tedavi yöntemlerinin tartışılması amaçlanmıştır. Psikiyatrik hastalık öyküsü, psikodinamik ve psikososyal öykü ve psikolojik testler temelinde psikodinamik formülasyon yapılmıştır. Anahtar kelimeler: Kadın, travma sonrası stres bozukluğu, travmatik yaşam olayları ABSTRACT Multiple psychiatric trauma in women: a case reportWomen are more exposed to traumatic life events in all over the world. For example, domestic violence is a chronic public health problem, which affects women in all societies and socioeconomic groups and causes many physical, psychosocial problems for women. Severity of trauma, its duration, presence of comorbid different traumatic events, personality traits and history of psychiatric disorders increases the likelihood of development of posttraumatic stress disorder (PTSD). On the other hand, good psychosocial support protects against it. This study is a case report. Thirty-six years old patient had symptoms of PTSD as well as depressive symptoms that accompanied them since puberty. This study discussed the diagnosis of PTSD in women, comorbid conditions to PTSD, facilitating factors for PTSD, and treatment methods. Psychodynamic formulation has been reached on the basis of evaluation of the psychiatric disorder history, psychodynamic and psychosocial history and psychological tests.

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“…A comprehensive review of all evidence-based modalities is beyond the scope of this review. However, two examples of effective interventions, Trauma Focused Cognitive Behavior Therapy 47) and Child and Family Traumatic Stress Intervention 48) will highlight components and strengths common to many interventions. Additional information, including information on interventions can be found on the National Child Traumatic Stress Network website (http://nctsn.…”

Section: Psychotherapeutic Interventionsmentioning

confidence: 99%

“…47) Children and adolescents who benefit from TF-CBT include those with PTSD, anxiety, depressive or externalizing behaviors. Randomized controlled trials comparing TF-CBT efficacy against other psychotherapies have been performed by multiple investigators who have replicated findings of the original treatment developers.…”

Section: Trauma Focused Cognitive Behavioral Therapymentioning

confidence: 99%

Pharmacologic Considerations for Youth with Posttraumatic Stress Disorder

Keeshin

2017

J Korean Acad Child Adolesc Psychiatry

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Community Treatment of Posttraumatic Stress Disorder for Children Exposed to Intimate Partner Violence

Cited by 291 publications

References 20 publications

Internalizing and Externalizing Symptoms Moderate Treatment Response to School-Based Trauma and Grief Component Therapy for Adolescents

Internalizing and Externalizing Symptoms Moderate Treatment Response to School-Based Trauma and Grief Component Therapy for Adolescents

Kadınlarda çoklu ruhsal travma: Bir olgu sunumu / Multiple psychiatric trauma in women: a case report

Pharmacologic Considerations for Youth with Posttraumatic Stress Disorder

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