Smith, Charlotte, Ford, Catherine ORCID: https://orcid.org/0000-0002-8646-9402, Dalgleish, Tim, Smith, Patrick, McKinnon, Anna, Goodall, Ben, Wright, Isobel, Pile, Victoria and Meiser-Stedman, Richard ORCID: https://orcid.org/0000-0002-0262-623X (2024) Cognitive therapy for PTSD following multiple trauma exposure in children and adolescents: A case series. Behavioural and Cognitive Psychotherapy. ISSN 1352-4658 (In Press)
Full text not available from this repository. (Request a copy)Abstract
Background: Cognitive therapy for PTSD (CT-PTSD) is an efficacious treatment for children and adolescents with post-traumatic stress disorder (PTSD) following single incident trauma, but there is a lack of evidence relating to this approach for youth with PTSD following exposure to multiple traumatic experiences. Aims: To assess the safety, acceptability and feasibility of CT-PTSD for youth following multiple trauma, and obtain a preliminary estimate of its pre-post effect size. Method: Nine children and adolescents (aged 8-17 years) with multiple-trauma PTSD were recruited to a case series of CT-PTSD. Participants completed a structured interview and mental health questionnaires at baseline, post-treatment and 6-month follow-up, and measures of treatment credibility, therapeutic alliance, and mechanisms proposed to underpin treatment response. A developmentally adjusted algorithm for diagnosing PTSD was used. Results: No safety concerns or adverse effects were recorded. Suicidal ideation reduced following treatment. No participants withdrew from treatment or from the study. CT-PTSD was rated as highly credible. Participants reported strong working alliances with their therapists. Data completion was good at post-treatment (n=8), but modest at 6-month follow-up (n=6). Only two participants met criteria for PTSD (developmentally adjusted algorithm) at post-treatment. A large within-subjects treatment effect was observed post-treatment and at follow up for PTSD severity (using self-report questionnaire measures; ds>1.65) and general functioning (CGAS; ds<1.23). Participants showed reduced anxiety and depression symptoms at post-treatment and follow-up (RCADS-C; ds>.57). Conclusions: These findings suggest that CT-PTSD is a safe, acceptable and feasible treatment for children with multiple-trauma PTSD, which warrants further evaluation.
Item Type: | Article |
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Uncontrolled Keywords: | ct-ptsd,ptsd,case series,children,intervention,clinical psychology ,/dk/atira/pure/subjectarea/asjc/3200/3203 |
Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health Faculty of Medicine and Health Sciences > Research Groups > Mental Health |
Related URLs: | |
Depositing User: | LivePure Connector |
Date Deposited: | 14 Oct 2024 17:30 |
Last Modified: | 03 Jan 2025 01:03 |
URI: | https://ueaeprints.uea.ac.uk/id/eprint/97022 |
DOI: | 10.1017/S1352465824000444 |
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