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25 - Trauma-Focused Cognitive Behavioral Therapy

An Evidence-Based Approach for Helping Children Overcome the Impact of Child Abuse and Trauma

from Part III - Post-Traumatic Stress Disorder

Published online by Cambridge University Press:  12 April 2019

Lara J. Farrell
Affiliation:
Griffith University, Queensland
Thomas H. Ollendick
Affiliation:
Virginia Polytechnic Institute and State University
Peter Muris
Affiliation:
Universiteit Maastricht, Netherlands
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Innovations in CBT for Childhood Anxiety, OCD, and PTSD
Improving Access and Outcomes
, pp. 525 - 549
Publisher: Cambridge University Press
Print publication year: 2019

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References

Alisic, E., Zalta, A. K., vanWesel, F., Larsen, S. E., Hafstad, G. S., Hassanpour, K., & Smid, M. G. (2014). Rates of posttraumatic stress disorder in trauma-exposed children and adolescents: A meta-analysis. British Journal of Psychiatry, 204, 335340. doi: 10.1192/bjp.bp.113.131227CrossRefGoogle Scholar
Allen, B., & Hoskowitz, N. A. (2016). Structured trauma-focused CBT and unstructured play/experiential techniques in the treatment of sexually abused children: A field study with practicing clinicians. Child Maltreatment, 22(2), 112120. doi:10.1177/1077559516681866CrossRefGoogle ScholarPubMed
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Association.Google Scholar
Bryant, R. A., Salmon, K., Sinclair, E., & Davidson, P. (2007). The relationship between acute stress disorder and posttraumatic stress disorder in injured children. Journal of Traumatic Stress, 20(6), 10751079. doi:10.1002/jts.20282CrossRefGoogle ScholarPubMed
Cisler, J. M., Sigel, B. A., Kramer, T. L., Smitherman, S., Vanderzee, K., Pemberton, J., & Kilts, C. D. (2015). Amygdala response predicts trajectory of symptom reduction during trauma-focused cognitive-behavioral therapy among adolescent girls with PTSD. Journal of Psychiatric Research, 71, 3340. doi:10.1016/j.jpsychires.2015.09.011CrossRefGoogle ScholarPubMed
Cisler, J. M., Sigel, B. A., Steele, J. S., Smitherman, S., Vanderzee, K., Pemberton, J., … Kilts, C. D. (2016). Changes in functional connectivity of the amygdala during cognitive reappraisal predict symptom reduction during trauma-focused cognitive-behavioral therapy among adolescent girls with post-traumatic stress disorder. Psychological Medicine, 46(14), 30133023.CrossRefGoogle ScholarPubMed
Cloitre, M., Stolback, B. C., Herman, J. L., van der Kolk, B., Pynoos, R., Wang, J., & Petkova, E. (2009). A developmental approach to complex PTSD: Childhood and adult cumulative trauma as predictors of symptom complexity. Journal of Traumatic Stress, 22(5), 399408. doi:10.1002/jts.20444CrossRefGoogle ScholarPubMed
Cohen, J. A., Deblinger, E., Mannarino, A. M., & Steer, R. (2004). A multisite, RCT for children with sexual abuse-related PTSD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 43(4), 393402. doi:10.1097/00004583–2004040000-00005CrossRefGoogle Scholar
Cohen, J. A., & Mannarino, A. P. (1996a). A treatment outcome study for sexually abused preschool children: Initial findings. Journal of the American Academy of Child & Adolescent Psychiatry, 35(1), 4250. doi:10.1097/00004583–199601000-00011CrossRefGoogle ScholarPubMed
Cohen, J. A., & Mannarino, A. P. (1996b). Factors that mediate treatment outcome of sexually abused preschool children. Journal of the American Academy of Child & Adolescent Psychiatry, 35(10), 14021410. doi:10.1097/00004583–199610000-00028CrossRefGoogle ScholarPubMed
Cohen, J. A., & Mannarino, A. P. (1997). A treatment study for sexually abused preschool children: Outcome during a one-year follow-up. Journal of the American Academy of Child & Adolescent Psychiatry, 36(9), 12281235. doi:10.1097/00004583199709000-00015CrossRefGoogle ScholarPubMed
Cohen, J. A., & Mannarino, A. P. (1998a). Factors that mediate treatment outcome of sexually abused preschool children: Six- and 12-month follow-up. Journal of the American Academy of Child & Adolescent Psychiatry, 37(1), 4451. doi:10.1097/00004583199801000-00016CrossRefGoogle Scholar
Cohen, J. A., & Mannarino, A. P. (1998b). Interventions for sexually abused children: Initial treatment outcome findings. Child Maltreatment, 3(1), 1726. doi:10.1177/1077559598003001002CrossRefGoogle Scholar
Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York, NY: The Guilford Press.Google Scholar
Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2016). Treating trauma and traumatic grief in children and adolescents (2nd ed.). New York: The Guilford Press.Google Scholar
Cohen, J. A., Mannarino, A. P., & Iyenger, S. (2011). Community treatment of posttraumatic stress disorder for children exposed to intimate partner violence: A RCT. Archives of Pediatrics & Adolescent Medicine, 165(1), 1621. doi:10.1001/archpediatrics.2010.247CrossRefGoogle Scholar
Cohen, J. A., Mannarino, A. P., Jankowski, K., Rosenberg, S., Kodya, S., & II Wolford, G. L. (2016). A randomized implementation study of trauma-focused cognitive behavior therapy for adjudicated teens in residential treatment facilities. Child Maltreatment, 21(2), 156167. doi:10.1177/1077559515624775CrossRefGoogle ScholarPubMed
Cohen, J. A., Mannarino, A. P., Perel, J. M., & Staron, V. (2007). A pilot RCT of combined trauma-focused CBT and sertraline for childhood PTSD symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 46, 811819. doi:10.1097/chi.0b013e3180547105CrossRefGoogle Scholar
Cohen, J. A., Mannarino, A. P., & Staron, V. R. (2006). A pilot study of modified cognitive-behavior therapy or child traumatic grief (CBT-CTG). Journal of the American Academy of Child & Adolescent Psychiatry, 45, 14651473. doi: 10.1097/01.chi.0000237705.43260.2cCrossRefGoogle ScholarPubMed
Deblinger, E., Lippmann, J., & Steer, R. (1996). Sexually abused children suffering from posttraumatic stress symptoms: Initial treatment outcome findings. Child Maltreatment, 1(4), 310321. doi:10.1177/1077559596001004003CrossRefGoogle Scholar
Deblinger, E., Mannarino, A. P., Cohen, J. A., Runyon, M. K., & Heflin, A. H. (2015). Child sexual abuse: A primer for treating children, adolescents, and their nonoffending caregivers (2nd edn.). New York: Oxford University Press.CrossRefGoogle Scholar
Deblinger, E., Mannarino, A. P., Cohen, J. A., Runyon, M. K., & Steer, R. A. (2011). Trauma-focused cognitive behavior therapy for children: Impact of the trauma narrative component and treatment length. Depression and Anxiety, 28, 6775. doi: 10.1002/da.20744CrossRefGoogle ScholarPubMed
Deblinger, E., Mannarino, A. P., Cohen, J. A., & Steer, R. A. (2006). Follow-up study of a multisite, randomized, controlled trial for children with sexual abuse-related PTSD symptoms: Examining predictors of treatment response. Journal of the American Academy of Child & Adolescent Psychiatry, 45(12). doi: 10.1097/01.chi.0000240839.56114.bbGoogle Scholar
Deblinger, E., Neubauer, F., Runyon, M. K., & Baker, D. (2006). What do you know? A therapeutic card game about child sexual and physical abuse and domestic violence. Stratford, NJ: CARES Institute.Google Scholar
Deblinger, E., Stauffer, L., & Steer, R. (2001). Comparative efficacies of supportive and cognitive behavioral group therapies for children who were sexually abused and their nonoffending mothers. Child Maltreatment, 6(4), 332343. doi: 10.1177/1077559501006004006CrossRefGoogle ScholarPubMed
Deblinger, E., Steer, R. A., & Lippmann, J. (1999). Two-year follow-up study of cognitive behavior therapy for sexually abused children suffering from post-traumatic stress symptoms. Child Abuse & Neglect, 23(12), 13711378. doi:10.1016/S0145-2134(99)00091–5CrossRefGoogle ScholarPubMed
Diehle, J., Opmeer, B. C., Boer, F., Mannarino, A. P., & Lindauer, R. J. L. (2015). Trauma-focused cognitive behavioral therapy or eye movement desensitization and reprocessing: What works in children with posttraumatic stress symptoms? A RCT. European Child & Adolescent Psychiatry, 24(2), 227236. doi:10.1007/s00787-014–0572-5CrossRefGoogle ScholarPubMed
Dittmann, I., & Jensen, T. K. (2014). Giving a vice to traumatized youth-experiences with trauma-focused cognitive behavioral therapy. Child Abuse & Neglect, 38, 12211230. doi:10.1016/j.chiabu.2013.11.008CrossRefGoogle Scholar
Dorsey, S., Pullmann, M., Berliner, L., Koschmann, E. F., McKay, M., & Deblinger, E. (2014). Engaging foster parents in treatment: A randomized trial of supplementing trauma-focused cognitive behavioral therapy with evidence-based engagement strategies. Child Abuse & Neglect, 38(9), 15081520. doi:10.1016/j.chiabu.2014.03.020CrossRefGoogle ScholarPubMed
Dorsey, S., Pullmann, M. D., Deblinger, E., Berliner, L., Kerns, S. E., … Garland, A. F. (2013). Improving practice in community-based settings: A randomized trial of supervision – study protocol. Implementation Science, 8(89). doi: 10.1186/1748–5908-8–89CrossRefGoogle ScholarPubMed
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., … Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventative Medicine, 14, 245258.CrossRefGoogle ScholarPubMed
Foa, E. B., Chrestman, K., & Gilboa-Schechtman, E. (2008). Prolonged exposure manual for children and adolescents suffering from PTSD. New York: Oxford University Press.Google Scholar
Foa, E. B., & Rothbaum, B. O. (1998). Treating the trauma of rape: Cognitive–behavioral therapy for PTSD. New York: The Guilford Press.Google Scholar
Goldbeck, L., Muche, R., Sachser, C., Tutus, D., & Rosner, R. (2016). Effectiveness of trauma-focused cognitive behavioral therapy for children and adolescents: A RCT in eight German mental health clinics. Psychotherapy and Psychomatics 85(3), 159170. doi:10.1159/000442824CrossRefGoogle Scholar
Greer, D., Grasso, D. J., Cohen, A., & Webb, C. (2014). Trauma-focused treatment in a state system of care: Is it worth the cost? Administration and Policy in Mental Health and Mental Health Services Research, 41(3), 317323. doi: 10.1007/s10488-013–0468-6CrossRefGoogle Scholar
Hayes, A. M., Yasinski, C., Grasso, D., Ready, C. B., Alpert, E., McCauley, T., … Deblinger, E. (2017). Constructive and unproductive processing of traumatic experiences in trauma-focused cognitive-behavioral therapy for youth. Behavior Therapy, 48, 166181. doi:10.1016/j.beth.2016.06.004CrossRefGoogle ScholarPubMed
Jensen, T. K., Holt, T., Ormhaug, S. M., Egeland, K., Granly, L., Hoaas, L. C., … Wentzel-Larsen, T. (2014). A randomized effectiveness study comparing trauma-focused cognitive behavioral therapy with therapy as usual for youth. Journal of Clinical Child & Adolescent Psychology, 43(3), 356369. doi:10.1080/15374416.2013.822307CrossRefGoogle ScholarPubMed
Kameoka, S., Yagi, J., Arai, Y., Nosaka, S., Saito, A., Miyake, W., … Asukai, N. (2015). Feasibility of trauma-focused cognitive behavioral therapy for traumatized children in Japan: A pilot study. International Journal of Mental Health Systems, 9(26), (Open Access). http://dx.doi.org/10.1186/s13033-015–0021-yCrossRefGoogle ScholarPubMed
Kendall-Tackett, K., Williams, L., & Finkelhor, D. (1993). Impact of sexual abuse on children: A review and synthesis of recent empirical studies. Psychological Bulletin, 113, 164180. doi:10.1027//0033-2909.113.1.164CrossRefGoogle ScholarPubMed
King, N. J, Tange, B. J., Mullen, P., Myerson, N., Heyne, D., Rollings, S., … Ollendick, T. H. (2000). Treating sexually abused children with posttraumatic stress symptoms: A randomized clinical trial. Journal of the American Academy of Child & Adolescent Psychiatry, 39, 13471355. doi:10.1097/00004583–200011000-00008CrossRefGoogle ScholarPubMed
Kliethermes, M., Schacht, M., & Drewry, K. (2014). Complex trauma. Child and Adolescent Psychiatric Clinics of North America, 23(2), 339361. doi: 10.1016/j.chc.2013.12.009CrossRefGoogle ScholarPubMed
Konanur, S., Muller, R. T., Cinamon, J. S., Thornback, K., & Zorzella, P. M. (2015). Effectiveness of trauma-focused cognitive behavioral therapy in a community-based program. Child Abuse & Neglect, 50, 159170. doi:10.1016/j.chiabu.2015.07.013CrossRefGoogle Scholar
Lai, B., Tiwari, A., Self-Brown, S., Cronholm, P., & Kinnish, K. (2017). Patterns of caregiver factors predicting participation in trauma-focused cognitive behavioral therapy. Journal of Child and Adolescent Trauma (online). doi:10.1007/s40653-017–0177-5CrossRefGoogle Scholar
Lieberman, A. F., Van Horn, P., & Ghosh Ippen, C. (2005). Toward evidence-based treatment: Child-parent psychotherapy with preschoolers exposed to marital violence. Journal of the American Academy of Child and Adolescent Psychiatry, 44(12), 12411248.CrossRefGoogle ScholarPubMed
Lyons, J. S., Weiner, D. A., & Schneider, A. (2006). A field trial of three evidence based practices for trauma with children in state custody. Report to the Illinois Department of Children and Family Services. Evanston, IL: Mental Health Resources Services and Policy Program, Northwestern University.Google Scholar
Mannarino, A. P., Cohen, J. A., Deblinger, E., Runyon, M. K., & Steer, R. A. (2012). Trauma-focused cognitive behavior therapy for children: Sustained impact of treatment 6–12 months later. Child Maltreatment, 17(3), 231241.CrossRefGoogle Scholar
McMullen, J., O’Callaghan, P., Shannon, C., Black, A., & Eskin, J. (2013). Group trauma-focused cognitive-behavioural therapy with former child soldiers and other war-affected boys in the DR Congo: A RCT. Journal of Child Psychology and Psychiatry, 54(11), 12311241. doi:10.1111/jcpp.12094CrossRefGoogle Scholar
Morina, M., Koerssen, R., & Pollet, T. V. (2016). Interventions for children and adolescents with posttraumatic stress disorder: A meta-analysis of comparative outcome studies. Clinical Psychology, 47, 4154.Google ScholarPubMed
Murray, L. K., Skavenski, S., Kane, J. C., Mayeya, J., Dorsey, S., Cohen, J. A., … Bolton, P. A. (2015). Effectiveness of trauma-focused cognitive behavioral therapy among trauma-affected children in Lusaka, Zambia – A randomized clinical trial. JAMA Pediatrics, 169(8), 761769. doi:10.1001/jamapediatrics.2015.0580CrossRefGoogle ScholarPubMed
O’Callaghan, P., McMullen, J., Shannon, C., Rafferty, H., & Black, A. (2013). A RCT of trauma-focused cognitive behavioral therapy for sexually exploited, war-affected Congolese girls. Journal of the American Academy of Child & Adolescent Psychiatry, 52(4), 359369. doi:10.1016/j.jaac.2013.01.013CrossRefGoogle ScholarPubMed
Ormaug, S. M., Jensen, T. K., Wentzel-Larsen, T., & Shirk, S. R. (2014). The therapeutic alliance in treatment of traumatized youths: Relation to outcome in a randomized clinical trial. American Psychological Association, 82(1), 5264. doi:10.1037/a0033884Google Scholar
Papakostas, G. I., & Fava, M. (2008). Predictors, moderators, and mediators (correlates) of treatment outcome in major depressive disorder. Dialogues in Clinical Neuroscience, 10(4), 439451.CrossRefGoogle ScholarPubMed
Pineles, S. L., Mostoufi, S. M., Ready, C. B., Street, A. E., Griffin, M. G., & Resick, P. A. (2011). Trauma reactivity, avoidant coping, and PTSD symptoms: A moderating relationship? Journal of Abnormal Psychology, 120(1), 240246. doi: 10.1037/a0022123CrossRefGoogle ScholarPubMed
Ready, C. B., Hayes, A. M., Yasinski, C. W., Webb, C., Gallop, R., Deblinger, E., & Laurenceau, J. P. (2015). Overgeneralized beliefs, accommodation, and treatment outcome in youth receiving trauma-focused cognitive behavioral therapy for childhood trauma. Behavior Therapy, 46, 671688. doi:10.1016/j.beth.2015.03.004CrossRefGoogle ScholarPubMed
Ruggerio, K. J., Saunders, B. E., Davidson, T. M., Lesky Cook, D., & Hanson, R. (2017). Leveraging technology to address the quality chasm in children’s evidence-based psychotherapy. Psychiatric Services, 63(7), 650652. doi:10.1176/appi.ps.201600548’CrossRefGoogle Scholar
Salloum, A., Dorsey, C. S., Swaidan, V. R., & Storch, E. A. (2015). Parents’ and children’s perception of parent-led trauma-focused cognitive behavioral therapy. Child Abuse & Neglect, 40(2), 1223. doi:10.1016/j.chiabu.2014.11.018CrossRefGoogle ScholarPubMed
Salloum, A., Small, B. J., Robst, J., Scheeringa, M. S., Cohen, J. A., & Storch, E. A. (2015). Stepped and standard care for childhood trauma: A pilot randomized clinical trial. Research on Social Work Practice (Online First), 111. doi:10.1177/1049731515601898CrossRefGoogle Scholar
Salloum, A., Wang, W., Robst, J., Murphy, T. K., Scheeringa, M. S., Cohen, J. A., & Storch, E. A. (2015). Stepped care versus standard trauma-focused cognitive behavioral therapy for young children. Journal of Child Psychology and Psychiatry, 57(5), 614622. doi:10.1111/jcpp.12471CrossRefGoogle ScholarPubMed
Satullo, J., & Bradway, R. (1987). It happens to boys too. Pittsfield, MA: Center for Berkshires Press.Google Scholar
Shapiro, F. (2001). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures (2nd edn.). New York: The Guilford Press.Google Scholar
Sharma-Patel, K., & Brown, E. J. (2016). Emotion regulation and self-blame as mediators and moderators of trauma-specific treatment. Psychology of Violence (APA), 6(3), 400409. doi:10.1037/vio0000044CrossRefGoogle Scholar
Spinazzola, J., Ford, J. T., Zucker, M., van der Kolk, B. A., Silva, S., Smith, F. S., & Blaustein, M. (2005). Complex trauma exposure, outcomes, and intervention among children and adolescents. Psychiatric Annals, 35(5), 433439.CrossRefGoogle Scholar
Wamser-Nanney, R. & Steinzor, C. E. (2017). Factors related to attrition from trauma-focused cognitive behavioral therapy. Child Abuse & Neglect, 66, 7383. doi:10.1016/j.chiabu.2016.11.031CrossRefGoogle ScholarPubMed
Wamser-Nanney, R., Scheeringa, M. S., & Weems, C. F. (2014). Early treatment response in children and adolescents receiving CBT for trauma. Journal of Pediatric Psychology, 41(1), 111. doi:10.1093/Google ScholarPubMed
Webb, C., Hayes, A. M., Grasso, D., Laurenceau, J-P., & Deblinger, E. (2014). Trauma-focused cognitive behavioral therapy for youth: Effectiveness in a community setting. Psychological Trauma: Theory, Research, Practice, and Policy 6(5), 555562. doi.org/10.1037/a0037364CrossRefGoogle Scholar
Xiangming, F., Brown, D. S., Florencea, C. S., & Mercya, J. A. (2012). The economic burden of child maltreatment in the United States and implications for prevention. Child Abuse and Neglect, 36 (2), 156165. doi:10.1016/j.chiabu.2011.10.006Google Scholar
Yasinski, C., Hayes, A. M., Ready, C. B., Cummings, J. A., Berman, I. S., McCauley, T., & Deblinger, E. (2016). In-session caregiver behavior predicts symptom change in youth receiving trauma-focused cognitive behavioral therapy (TF-CBT). Journal of Consulting and Clinical Psychology, 84(12), 10661077. doi:10.1037/ccp0000147CrossRefGoogle ScholarPubMed

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