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Effectiveness of Trauma-Focused Cognitive Behavioral Therapy in Treating Children With Post-Traumatic Stress Disorder
This study is currently recruiting participants.
Study NCT00614068   Information provided by National Institute of Mental Health (NIMH)
First Received: February 11, 2008   Last Updated: March 13, 2008   History of Changes

February 11, 2008
March 13, 2008
January 2007
December 2008   (final data collection date for primary outcome measure)
University of California Los Angeles- Post-Traumatic Stress Disorder (UCLA-PTSD) Reaction Index [ Time Frame: Measured at baseline and Month 3 ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00614068 on ClinicalTrials.gov Archive Site
 
 
 
Effectiveness of Trauma-Focused Cognitive Behavioral Therapy in Treating Children With Post-Traumatic Stress Disorder
Creating a Collaborative Field Research Organization

This study will compare the effectiveness of trauma-focused cognitive behavioral therapy versus standard care in treating children with post-traumatic stress disorder.

Each year approximately 5 million children in the United States are exposed to some form of traumatic event, and nearly 40% of these children will go on to develop post-traumatic stress disorder (PTSD). There are a number of traumatic events that have been shown to cause PTSD in children, including natural disaster, physical or sexual abuse, loss of a loved one, and witnessing an act of violence. Children with PTSD may experience persistent generalized fear and anxiety, recurrent nightmares, mood swings, withdrawal, and depression. If left untreated, PTSD can cause serious distress for those affected, resulting in emotional, academic, and social problems. Trauma-focused cognitive behavioral therapy (TF-CBT), a form of psychotherapy that focuses on trauma, may be the most effective means of improving PTSD screening and treatment in community-based mental health services. Although TF-CBT has shown success in treating children with PTSD in the research setting, its use in community clinics remains limited. This study will compare the effectiveness of TF-CBT versus treatment as usual (TAU) in treating children with PTSD in community clinics. The study will also develop a community collaboration between a community mental health agency and an academic institution, both in New York City, to address childhood trauma and PTSD and to enhance research in community clinics.

Participation in this study will last about 3 months. Potential parent and child participants will first undergo initial assessments, which will include interviews and questionnaires concerning symptoms of PTSD. Eligible participants will then be assigned randomly to receive TF-CBT or TAU. Participants in both groups will attend 12 sessions over 3 months. TF-CBT sessions will include trauma-focused treatment and will teach participants behavioral management and coping skills to overcome their PTSD. TAU sessions will include routine community clinic care and will not involve a trauma-focused treatment component. Upon completion of treatment, participants will complete repeat interviews and questionnaires.

Phase III
Interventional
Treatment, Randomized, Single Blind (Outcomes Assessor), Parallel Assignment
Post-Traumatic Stress Disorder
  • Behavioral: Trauma-focused cognitive behavioral therapy (TF-CBT)
  • Behavioral: Treatment as usual (TAU)
  • Experimental: Participants will receive 12 sessions of trauma-focused cognitive behavioral therapy over 3 months.
  • Active Comparator: Participants will receive 12 sessions of treatment as usual over 3 months.
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
40
 
December 2008   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Seeking services at Jewish Board of Family and Children's Services outpatient clinics
  • Meets DSM-IV criteria for PTSD
  • Stable on medication for 1 month before study entry
  • English-speaking

Exclusion Criteria:

  • Active suicidality or anyone whose life circumstances might be considered peri-traumatic (e.g., active current abuse)
  • Uncontrolled psychosis
  • Severe mental retardation or severe brain damage
  • Severe language comprehension barriers
Both
8 Years to 18 Years
No
Contact: Joseph Rubacka, BA 212-987-0030 ext 5 joselh.rubacka@mssm.edu
Contact: Rohini Luthra, PhD 212-987-0030 ext 3 rohini.luthra@mssm.edu
United States
 
NCT00614068
Claude Chemtob, Mount Sinai School of Medicine
R24 MH63910, DSIR SE-CE
National Institute of Mental Health (NIMH)
 
Principal Investigator: Claude M. Chemtob, PhD Mount Sinai School of Medicine
Study Director: Rohini Luthra, PhD Mount Sinai School of Medicine
National Institute of Mental Health (NIMH)
March 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP