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- Title
A Randomized Controlled Study of Cognitive-Behavioral Therapy for Posttraumatic Stress in Street Children in Mexico City.
- Authors
Shein‐Szydlo, Janet; Sukhodolsky, Denis G.; Kon, David Szydlo; Tejeda, Miguel Marin; Ramirez, Esteli; Ruchkin, Vladislav
- Abstract
The study aimed to evaluate cognitive-behavioral therapy (CBT) for posttraumatic stress (PTS), depression, anxiety, and anger in street children by a randomized controlled trial of CBT versus a waitlist control. It was conducted in 8 residential facilities for street children in Mexico City, with assessments at baseline, posttreatment, and 3 months later. Children who reported at least moderate posttraumatic stress, and fulfilled the study requirement were enrolled in the study (N = 100, 12-18 years old, 36 boys). There were 51 children randomized to CBT and 49 to the waitlist condition. Randomization was stratified by gender. CBT consisted of 12 individual 1-hour sessions administered weekly by 2 trained, master's-level clinicians. Outcome measures included self-reports of PTS, depression, anxiety, and anger; global improvement was assessed by the independent evaluator. Compared to participants in the waitlist condition participants in CBT showed a significant reduction in all symptoms, with effects sizes of 1.73 to 1.75. At follow up there was attrition (n = 36), and no change from posttreatment scores. The study did find statistically significant improvement in symptoms in the CBT group compared to the waitlist condition; symptoms remained stable at 3 months. The study found that CBT for trauma in a sample of street children provided a reduction of a broad range of mental health symptoms.
- Subjects
MEXICO; RANDOMIZED controlled trials; POST-traumatic stress disorder; ANXIETY; MENTAL depression; CHILDREN; ANXIETY treatment; THERAPEUTICS; TREATMENT of post-traumatic stress disorder; ANGER; COGNITIVE therapy; COMPARATIVE studies; RESEARCH methodology; MEDICAL cooperation; RESEARCH; SELF-evaluation; EVALUATION research; TREATMENT effectiveness; RUNAWAYS (People); PSYCHOLOGY
- Publication
Journal of Traumatic Stress, 2016, Vol 29, Issue 5, p406
- ISSN
0894-9867
- Publication type
journal article
- DOI
10.1002/jts.22124