Investigating the Effect of Evidence-based Treatment for Post-traumatic Stress Disorder Among Youth
Trauma-focused cognitive-behavioral therapy (TF-CBT) is an evidence-based practice (EBP) for the treatment of posttraumatic stress disorder (PTSD) and posttraumatic stress symptoms (PTSS) among children and adolescents. In the current study, data were collected from youth receiving TF-CBT in specialized child and adolescent mental health services (CAMHS) and their caregivers in 2018-2021.
|Condition or Disease||Intervention/Treatment||Phase|
Implementation of TF-CBT is a state-wide initiative, funded by the Norwegian Ministry of Health and Care Services, and is without costs for the clinics and patients. The Norwegian Center for Violence and Traumatic Stress Studies (NKVTS) is responsible for the project. TF-CBT trainers at NKVTS train therapists at the participating CAMHS in TF-CBT. Data are collected to monitor the training and patient outcomes. Data are collected anonymously to support and ensure high-quality treatment and also provide the opportunity to investigate the effect of the implementation of TF-CBT in Norwegian CAMHS. In the period 2018-2021, additional data were collected as part of a larger study where the aim was to investigate the effect of the implementation leadership support on implementation outcomes (ClinicalTrials.gov Identifier: NCT03042832).
Data were collected through online questionnaires before, during, and after TF-CBT was provided based on usual care. Routine procedures for trauma exposure screening and related posttraumatic stress symptoms were implemented. Those who scored above a predefined clinical cut-off were enrolled into TF-CBT based on the child and her or his caregiver's consent.
The aim of the study is to investigate the patient outcomes and therapeutic processes in TF-CBT.
Arms and Interventions
Trauma-focused cognitive-behavioral therapy (TF-CBT), an evidence-based method for the treatment of posttraumatic stress among youth, was provided to children and adolescents referred to CAMHS.
Other: Trauma-focused cognitive behavioral therapy (TF-CBT)
Trauma-focused cognitive-behavioral therapy (TF-CBT) is an evidence-based method for the treatment of posttraumatic stress among youth.
Primary Outcome Measures
- CATS-II (Child and Adolescent Trauma Screen, version II) [2018-2021]
The child´s exposure to potential traumatizing events and posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) will be measured before, during, and after TF-CBT.
Other Outcome Measures
- Therapeutic Alliance for Youth and Caregivers (TASC) [2018-2021]
Therapeutic alliance will be measured during and after TF-CBT.
- Cognitions [2018-2021]
Cognitions will be measured with the Child Post-Traumatic Cognitions Inventory (CPTCI)
- Fidelity in TF-CBT [2018-2021]
Audio recordings of therapy sessions will be scored for fidelity.
- Life quality (EQ-5D-Y) [2018-2021]
Life quality will be measured with the EQ-5D-Y (a child- and age-specific measure of the health-related quality of life (HRQoL)) before, during and after TF-CBT
- Loneliness [2018-2021]
Loneliness will be measured by items developed by the study group before, during and after TF-CBT.
- The Client Satisfaction Questionnaire (CSQ) [2018-2021]
Client satisfaction will be measured with the The Client Satisfaction Questionnaire (CSQ) after TF-CBT.
- Pediatric Symptom Checklist (PSC) [2018-2021]
Emotional and behavioral problems will be measured with the Pediatric Symptom Checklist (PSC) before, during and after TF-CBT
Referred to Norwegian CAMHS
Screened for trauma exposure and PTSS
- Below the age of 6 and above the age of 18
Contacts and Locations
Sponsors and Collaborators
- Norwegian Center for Violence and Traumatic Stress Studies
- Ministry of Health and Care Services, Norway
- Principal Investigator: Ane-Marthe S Skar, PhD, Norwegian Center for Violence and Traumatic Stress Studies
Study Documents (Full-Text)None provided.
- Implementation of TF-CBT