Feasibility of trauma-focused cognitive behavioral therapy for traumatized children in Japan: a Pilot Study

International Journal of Mental Health Systems

Nozomu Asukai⁴  Eizaburo Tanaka⁷  Yasuko Asano⁶  Sayaka Yamamoto⁷  Saeko Takada⁷  Wakako Miyake³  Azusa Saito⁵  Sachiko Nosaka⁸  Yoko Arai¹  Junko Yagi²  Satomi Kameoka⁷ 

[1] Victim Support Center of Tokyo, 3-18-1, Toyama, Shinjuku-ku, Tokyo 169-0052, Japan;Department of Neuropsychiatry, Iwate Medical University, 19-1 Uchimaru, Morioka-shi 020-8505, Iwate, Japan;Osaka Medical Center and Research Institute for Maternal and Child Health, 840 Murodo-cho, Izumi 594-1101, Osaka, Japan;Tokyo Metropolitan Institute of Medical Science, 2-1-6 Kamikitazawa, Setagaya-ku, Tokyo 156-8506, Japan;Faculty of Human Sciences, Mejiro University, 4-31-1, Naka-Ochiai, Shinjuku-ku, Tokyo 161-8539, Japan;Osaka Prefectural Child Guidance Center, 28-5 Yasaka-tyou, Neyagawa 572-0838, Osaka, Japan;Hyogo Institute for Traumatic Stress, 1-3-2 Wakinohama-kaiganndori, Chuo-ku, Kobe 651-0073, Hyogo, Japan;Graduate School of Human Sciences, Osaka University, 1-2 Yamadaoka, Suita 565-0871, Osaka, Japan

关键词: Treatment;    Trauma-focused cognitive behavioral therapy;    Trauma;    Post-traumatic stress disorder;    Children;   

Others  :  1216883
DOI  :  10.1186/s13033-015-0021-y

 received in 2015-05-02, accepted in 2015-06-26,  发布年份 2015

【 摘 要 】

Background

Trauma-focused cognitive behavioral therapy is used to treat children who have experienced traumatic events and suffer from trauma-related disorders. Its effectiveness has been demonstrated in several randomized controlled studies. However, most of these studies have been performed in the United States, with few studies conducted in Asian countries. Therefore, we aimed to evaluate the feasibility of trauma-focused cognitive behavioral therapy in children who have experienced traumatic events and who suffer from trauma-related disorders in Japan.

Findings

Thirty-five traumatized children (mean age = 10.9 years; range = 3–17 years; 74.3% girls) who received trauma-focused cognitive behavioral therapy were included. The effectiveness of the program was evaluated in each case using the University of California at Los Angeles Post-Traumatic Stress Disorder Reaction Index for DSM-IV for trauma-related symptoms and the Children’s Global Assessment Scale for social functioning. Pre- and post-treatment outcome measures were analyzed using two-tailed paired t tests. The results for 35 participants indicate that post-traumatic stress symptoms were significantly improved following therapy [t(35) = 8.27; p < 0.01], whereas the assessment of social functioning supported the effectiveness of the program [t(35) = −14.68; p < 0.01]. The pre- to post-treatment effect sizes (Glass’s delta) were 1.24 for the University of California at Los Angeles Post-Traumatic Stress Disorder Reaction Index and 1.96 for the Children’s Global Assessment Scale.

Conclusions

Our findings indicate that trauma-focused cognitive behavioral therapy is feasible for treating traumatized children of an Asian population. We discuss the implications of this result for clinical practice and future research.

【 授权许可】

   
2015 Kameoka et al.

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