Effectiveness of trauma-focused cognitive behavioral therapy for Japanese children and adolescents in community settings: A multisite randomized controlled trial

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dc.contributor.authorKameoka, S., Tanaka, E., Yamamoto, S., Saito, A., Narisawa, T., Arai, Y., ... & Asukai, N.
dc.date.accessioned2020-09-03T18:02:05Z
dc.date.available2020-09-03T18:02:05Z
dc.date.issued2020
dc.description.abstractBackground: Trauma-focused cognitive behavioural therapy (TF-CBT) is an efficacious treatment model for children and adolescents with trauma-related disorders. However, few studies have been conducted in community settings, and there have been no randomized controlled trials in Asian countries. Objective: To evaluate the effectiveness of TF-CBT in regular community settings in Japan through comparison with a waitlist with minimal services control condition. Method: Thirty Japanese children and adolescents with posttraumatic stress disorder symptoms (22 females, eight males, mean age = 13.90, range = 6–18) were randomly assigned to 12 sessions of TF-CBT or the waitlist control condition. The primary outcome measure was the Kiddie Schedule for Affective Disorders and Schizophrenia score assessed by blinded evaluators one month later. Results: The mean number of sessions was 12 (range: 11–13) in the TF-CBT group and 4.87 (range: 3–7) in the control group. Intention to treat analysis showed that the TF-CBT group achieved significantly greater symptom reduction than did the control group. The effect size (Cohen’s d) between the TF-CBT and control groups was 0.96 (p =.014) for posttraumatic symptoms and 1.15 (p =.004) for depressive symptoms. However, the TF-CBT group did not show better results than the control group with regard to improvements in anxiety symptoms, psychosocial functioning, and behavioural problems. Conclusions: The findings provided preliminary evidence of the effectiveness of TF-CBT for treating youth with trauma in community mental health facilities. TF-CBT in the Japanese context proved identical to the original, demonstrating that it is also suitable for use with children and adolescents in non-Western settings.en_US
dc.identifier.citationKameoka, S., Tanaka, E., Yamamoto, S., Saito, A., Narisawa, T., Arai, Y., ... & Asukai, N. (2020). Effectiveness of trauma-focused cognitive behavioral therapy for Japanese children and adolescents in community settings: a multisite randomized controlled trial. European Journal of Psychotraumatology, 11(1), 1767987.en_US
dc.identifier.urihttps://www.tandfonline.com/doi/pdf/10.1080/20008198.2020.1767987
dc.identifier.urihttp://hdl.handle.net/11212/4856
dc.language.isoenen_US
dc.publisherEuropean Journal of Psychotraumatologyen_US
dc.subjectchildhood traumaen_US
dc.subjectTF-CBTen_US
dc.subjectcaregiversen_US
dc.subjectTrauma-focused cognitive behavioural therapyen_US
dc.subjectPTSDen_US
dc.subjectInternational Resourcesen_US
dc.subjectJapanen_US
dc.subjectresearchen_US
dc.titleEffectiveness of trauma-focused cognitive behavioral therapy for Japanese children and adolescents in community settings: A multisite randomized controlled trialen_US
dc.typeArticleen_US

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