Unified Protocol vs Trauma-Focused Cognitive Behavioral Therapy Among Adolescents With PTSD

Mohajerin, Banafsheh; Lynn, Steven Jay; Cassiello-Robbins, Clair

doi:10.1016/j.beth.2023.03.003

Cited by 13 publications

(4 citation statements)

References 54 publications

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“…Scores for experiencing potentially traumatic events, impairment in psychosocial functioning, posttraumatic stress symptoms, dissociation symptoms, moods and feelings, PTSD checklist, intrusion symptoms, avoidance, negative alterations in cognition and mood, alterations in arousal and reactivity, post-traumatic cognitions, belief in "permanent and disturbing change," and "fragile person in a scary world" showed no statistically significant variations. Therefore, the findings indicate that app-assisted TF-CBT-based intervention could be effective as suggested by previous research [15,105,[115][116][117][118][119][120][121][122][123][124][125][126].…”

Section: Discussionsupporting

confidence: 71%

App-Assisted TF-CBT-Based Intervention as Add-On to Inpatient Treatment Reduces Children’s Post-traumatic Stress Symptoms and Post-traumatic Cognitions

Dirzyte,

Radzevičienė,

Perminas

et al. 2024

Preprint

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Previous studies suggested that trauma-focused cognitive behavior therapy (TF-CBT) is effective in reducing symptoms of post-traumatic stress disorder (PTSD) and depression in children and adolescents. However, the effects of app-assisted TF-CBT-based interventions in psychiatric clinics compared to treatment-as-usual (TAU) are under-explored. The purpose of this study was to reveal the added value of the app-assisted TF-CBT-based intervention as an add-on to TAU. The digitalized measures of the Child and Adolescent Trauma Screen (CATS), The Adolescent Dissociative Experience Scale (A-DES), Short Moods and Feelings Questionnaire (SMFQ), PTSD Checklist (PCL-5), and Children's Post-Traumatic Cognitions Inventory (CPTCI) were applied at baseline and post-treatment. The app-assisted TF-CBT-based group participants started with higher levels of negative alterations in cognition and mood compared to TAU participants but at post-treatment, no significant differences were observed between the app-assisted TF-CBT and TAU groups. Within the app-assisted TF-CBT group, post-treatment scores were significantly lower in post-traumatic stress symptoms, intrusion symptoms, alterations in arousal and reactivity, overall post-traumatic cognitions, and belief in being "a fragile person in a scary world”. Within the TAU group, post-treatment scores were notably lower just in dissociation and intrusion symptoms. The study suggests that app-assisted TF-CBT-based intervention can be effective in addressing specific trauma-related symptoms. The findings imply the necessity for screening for traumatic experiences, incorporating trauma-informed care, implementation of TF-CBT into treatment protocols, utilization of app-assisted interventions, tailoring interventions to individual needs, and comprehensive assessment and monitoring of treatment progress.

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Section: Discussionsupporting

confidence: 71%

App-Assisted TF-CBT-Based Intervention as Add-On to Inpatient Treatment Reduces Children’s Post-traumatic Stress Symptoms and Post-traumatic Cognitions

Dirzyte,

Radzevičienė,

Perminas

et al. 2024

Preprint

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“…Trauma-focused cognitive behavioral therapy (TF-CBT) is an evidence-based psychotherapy for coping with trauma in adults, adolescents, and young children [35][36][37]. Other programs in children and adolescents include client-centered play therapy, eye movement desensitization and reprocessing (EMDR) [23], kid narrative exposure therapy (KIDNET) [38], Support for Students Exposed to Trauma (SSET) [39], and Trauma Grief Component Treatment (TGCT) [40]; however, these programs are still experimental.…”

Section: Psychotherapy In Children After Trauma Exposurementioning

confidence: 99%

Cognitive-Behavioral Play Therapy and COVID-19 Pandemic Trauma in Preschool Children

Raudenska,

Gumančík,

Raudenský

et al. 2023

Cureus

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Traumatic life events, such as the ongoing COVID-19 pandemic, can be a challenging health emergency, among others. The pandemic can also affect young preschoolers. They can experience negative emotions and behavioral and social difficulties. It can be hard for children to understand on their own what is going on, as well as for their families. This narrative review summarizes the role of psychotherapeutic approaches in working with trauma and aims to manage trauma, such as COVID-19, in preschool children. It focuses on the possibilities of applying cognitive-behavioral play therapy (CBPT) in preschool children who suffer from trauma during the COVID-19 pandemic period. The therapeutic approaches are tailored to specific development in preschoolers. Furthermore, the article provides insights into the relationship between negative emotions, thinking, and behavior, and COVID-19 as a threat, by describing a cognitive model in preschool-aged children. Finally, the article offers possible ways of applying play-based cognitive-behavioral therapy programs in preschool children who are victims of trauma.

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“…Exposure to trauma also has yet to be probed as a moderator in the pediatric transdiagnostic psychotherapy literature. There is some evidence to suggest that transdiagnostic therapy may be effective in treating youth PTSD 25 , but this does not address the question of whether youths with trauma exposure, more broadly, have poorer treatment outcomes than youths who do not have such histories. Further, there has yet to be an investigation that examines the interaction of trauma exposure and depression comorbidity on transdiagnostic treatment outcomes in youths, despite the strong association between trauma exposure, risk for developing depressive disorder alone, and specific risk for developing comorbid anxiety and depression.…”

Section: Introductionmentioning

confidence: 99%

Impact of trauma exposure and depression comorbidity on response to transdiagnostic behavioral therapy for pediatric anxiety and depression

Angulo,

Goger,

Brent

et al. 2024

npj Mental Health Res

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By adolescence, two-thirds of youth report exposure to at least one traumatic event, yet the impact of trauma history is not routinely considered when evaluating the effect of psychotherapeutic interventions. Trauma may be a particularly important moderator of the effects of transdiagnostic therapies for emotional disorders, as trauma exposure is associated with risk for the development of comorbid depression and anxiety. The current study examined the history of trauma exposure and the presence of clinically significant depression as moderators of treatment outcomes in the Brief Behavioral Therapy (BBT) trial, the largest study of transdiagnostic psychotherapy for youth. Youths (age 8–16 years) were randomized to BBT (n = 89) based in pediatric primary care or assisted referral to outpatient community care (ARC; n = 86). Clinical response, functioning, anxiety symptoms, and depression symptoms were assessed at post-treatment (Week 16) and at follow-up (Week 32). A significant three-way interaction emerged between the treatment group, comorbid depression, and trauma exposure. BBT was broadly effective for 3/4 of the sample, but, for anxious-depressed youth with trauma exposure, BBT never significantly separated from ARC. Differences in outcome were not accounted for by other participant characteristics or by therapist-rated measures of alliance, youth engagement, or homework completion. Implications for models of learning and for intervention theory and development are discussed.

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Unified Protocol vs Trauma-Focused Cognitive Behavioral Therapy Among Adolescents With PTSD

Cited by 13 publications

References 54 publications

App-Assisted TF-CBT-Based Intervention as Add-On to Inpatient Treatment Reduces Children’s Post-traumatic Stress Symptoms and Post-traumatic Cognitions

App-Assisted TF-CBT-Based Intervention as Add-On to Inpatient Treatment Reduces Children’s Post-traumatic Stress Symptoms and Post-traumatic Cognitions

Cognitive-Behavioral Play Therapy and COVID-19 Pandemic Trauma in Preschool Children

Impact of trauma exposure and depression comorbidity on response to transdiagnostic behavioral therapy for pediatric anxiety and depression

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