Trauma-focused Cognitive Behavior Therapy for Traumatized Children and Families

Cohen, Judith A.; Mannarino, Anthony P.

doi:10.1016/j.chc.2015.02.005

Cited by 134 publications

(69 citation statements)

References 21 publications

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“…For example, trauma-focused cognitive behavior therapy is the standard treatment for patients with depression or anxiety and childhood trauma. 50 Several pediatric practices assess parent ACEs, recognizing the high risk for future adversity among the children of ACE-impacted parents. 51 Practitioners could provide targeted anticipatory guidance or referrals to parent support programs for caregivers with significant childhood adversity.…”

Section: Discussionmentioning

confidence: 99%

Development and Evaluation of a Short Adverse Childhood Experiences Measure

Wade

Becker

Bevans

et al. 2017

American Journal of Preventive Medicine

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Introduction Clinicians require tools to rapidly identify individuals with significant childhood adversity as part of routine primary care. The goal of this study was to shorten the 11-item Behavioral Risk Factor Surveillance System Adverse Childhood Experiences (ACEs) measure and evaluate the feasibility and validity of this shortened measure as a screener to identify adults who have experienced significant childhood adversity. Methods Statistical analysis was conducted in 2015. ACE item responses obtained from 2011–2012 Behavioral Risk Factor Surveillance System data were combined to form a sample of 71,413 adults aged ≥18 years. The 11-item Behavioral Risk Factor Surveillance System ACE measure was subsequently reduced to a two-item screener by maintaining the two dimensions of abuse and household stressors and selecting the most prevalent item within each dimension. Results The screener included household alcohol and childhood emotional abuse items. Overall, 42% of respondents and at least 75% of the individuals with four or more ACEs endorsed one or both of these experiences. Using the 11-item ACE measure as the standard, a cut off of one or more ACEs yielded a sensitivity of 99%, but specificity was low (66%). Specificity improved to 94% when using a cut off of two ACEs, but sensitivity diminished (70%). There was no substantive difference between the 11-and two-item ACE measures in their strength of association with an array of health outcomes. Conclusions A two-item ACE screener appropriate for rapid identification of adults who have experienced significant childhood adversity was developed.

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Section: Discussionmentioning

confidence: 99%

Development and Evaluation of a Short Adverse Childhood Experiences Measure

Wade

Becker

Bevans

et al. 2017

American Journal of Preventive Medicine

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“…Systematic reviews of the effectiveness of cognitive behavioral therapy on adults show that is has some effect on reducing symptoms of posttraumatic stress disorder, depression, and anxiety and has the potential to change dysfunctions of the nervous system (65,66). New evidence suggests that family approaches are best (67). Evidence for cognitive behavioral therapy for children is mixed, and increasing knowledge about the pediatric brain may help inform child-based approaches (68).…”

Section: Approaches To Reducing the Burden Of Acesmentioning

confidence: 99%

Adverse childhood experiences and trauma informed care: the future of health care

et al. 2015

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Adverse childhood experiences (ACEs) are related to shortand long-term negative physical and mental health consequences among children and adults. Studies of the last three decades on ACEs and traumatic stress have emphasized their impact and the importance of preventing and addressing trauma across all service systems utilizing universal systemic approaches. Current developments on the implementation of trauma informed care (TIC) in a variety of service systems call for the surveillance of trauma, resiliency, functional capacity, and health impact of ACEs. Despite such efforts in adult medical care, early identification of childhood trauma in children still remains a significant public health need. This article reviews

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“…Originally designed for sexual abuse, TF-CBT has now been applied to a variety of traumas such as witnessing domestic violence, traumatic loss, war, and natural disasters [22]. The therapy is the most rigorously tested of youth-based PTSD treatments, with over 15 studies using randomized control designs to date [23]. Results generally find that TF-CBT yields significant reductions in PTSD symptoms in comparison to wait-list controls or usual care, with effect size differences in the moderate range [24,25].…”

Section: Trauma-focused Cognitive Behavioral Therapy (Tf-cbt)mentioning

confidence: 99%

Current Psychosocial Treatment Options for PTSD among Youth

Gilman

O’Bryan

Chard

et al. 2016

Curr Treat Options Psych

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Abbreviations PTSD Posttraumatic stress disorder I CPT Cognitive processing therapy I ET Exposure therapy I TF-CBT Trauma-focused cognitive behavioral therapy I RLH Real life heroes I CBITS Cognitive behavioral intervention for trauma in schools Opinion statement Exposure to traumatic events represents a significant and all-too-common experience for many children and youth. A significant number of youth will receive a diagnosis of posttraumatic stress disorder (PTSD), a debilitating condition that without treatment will contribute to contemporaneous and long-term negative health consequences. Psychotherapy often has been advocated as the first line in PTSD treatments, and existing interventions have been primarily based on treating individual symptoms. Nevertheless, the deleterious effects of PTSD reverberate beyond the youth; parents, caregivers, and other social influences (e.g., romantic partners) report high levels of distress due the youth's struggles with their symptoms or due to their own feelings of guilt, shame, or helplessness. Recognizing that social agents are a significant factor in both PTSD recovery, reduction in problematic behaviors, and caregiver stress, there is a surge of PTSD treatments that have been modified to include, either directly or indirectly, social agents. Although still in the beginning stages of development, these treatments hold much promise in treating PTSD and secondary symptoms of the child and reducing distress in others.

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Trauma-focused Cognitive Behavior Therapy for Traumatized Children and Families

Cited by 134 publications

References 21 publications

Development and Evaluation of a Short Adverse Childhood Experiences Measure

Development and Evaluation of a Short Adverse Childhood Experiences Measure

Adverse childhood experiences and trauma informed care: the future of health care

Current Psychosocial Treatment Options for PTSD among Youth

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