Trauma-focused cognitive behavioral therapy or eye movement desensitization and reprocessing: what works in children with posttraumatic stress symptoms? A randomized controlled trial
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| 024 | 7 | 0 | |a 10.1007/s00787-014-0572-5 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00787-014-0572-5 | ||
| 245 | 0 | 0 | |a Trauma-focused cognitive behavioral therapy or eye movement desensitization and reprocessing: what works in children with posttraumatic stress symptoms? A randomized controlled trial |h [Elektronische Daten] |c [Julia Diehle, Brent Opmeer, Frits Boer, Anthony Mannarino, Ramón Lindauer] |
| 520 | 3 | |a To prevent adverse long-term effects, children who suffer from posttraumatic stress symptoms (PTSS) need treatment. Trauma-focused cognitive behavioral therapy (TF-CBT) is an established treatment for children with PTSS. However, alternatives are important for non-responders or if TF-CBT trained therapists are unavailable. Eye movement desensitization and reprocessing (EMDR) is a promising treatment for which sound comparative evidence is lacking. The current randomized controlled trial investigates the effectiveness and efficiency of both treatments. Forty-eight children (8-18years) were randomly assigned to eight sessions of TF-CBT or EMDR. The primary outcome was PTSS as measured with the Clinician-Administered PTSD Scale for Children and Adolescents (CAPS-CA). Secondary outcomes included parental report of child PTSD diagnosis status and questionnaires on comorbid problems. The Children's Revised Impact of Event Scale was administered during the course of treatment. TF-CBT and EMDR showed large reductions from pre- to post-treatment on the CAPS-CA (−20.2; 95% CI −12.2 to −28.1 and −20.9; 95% CI −32.7 to −9.1). The difference in reduction was small and not statistically significant (mean difference of 0.69, 95% CI −13.4 to 14.8). Treatment duration was not significantly shorter for EMDR (p=0.09). Mixed model analysis of monitored PTSS during treatment showed a significant effect for time (p<0.001) but not for treatment (p=0.44) or the interaction of time by treatment (p=0.74). Parents of children treated with TF-CBT reported a significant reduction of comorbid depressive and hyperactive symptoms. TF-CBT and EMDR are effective and efficient in reducing PTSS in children. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Children |2 nationallicence | |
| 690 | 7 | |a PTSD |2 nationallicence | |
| 690 | 7 | |a RCT |2 nationallicence | |
| 690 | 7 | |a Trauma |2 nationallicence | |
| 690 | 7 | |a CBT |2 nationallicence | |
| 690 | 7 | |a EMDR |2 nationallicence | |
| 700 | 1 | |a Diehle |D Julia |u Department of Child and Adolescent Psychiatry, Academic Medical Centre, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands |4 aut | |
| 700 | 1 | |a Opmeer |D Brent |u Clinical Research Unit, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands |4 aut | |
| 700 | 1 | |a Boer |D Frits |u Department of Child and Adolescent Psychiatry, Academic Medical Centre, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands |4 aut | |
| 700 | 1 | |a Mannarino |D Anthony |u Department of Psychiatry, Four Algheny Center, Drexel University College of Medicine, 15212, Pittsburgh, PA, USA |4 aut | |
| 700 | 1 | |a Lindauer |D Ramón |u Department of Child and Adolescent Psychiatry, Academic Medical Centre, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands |4 aut | |
| 773 | 0 | |t European Child & Adolescent Psychiatry |d Springer Berlin Heidelberg |g 24/2(2015-02-01), 227-236 |x 1018-8827 |q 24:2<227 |1 2015 |2 24 |o 787 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00787-014-0572-5 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00787-014-0572-5 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Diehle |D Julia |u Department of Child and Adolescent Psychiatry, Academic Medical Centre, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Opmeer |D Brent |u Clinical Research Unit, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Boer |D Frits |u Department of Child and Adolescent Psychiatry, Academic Medical Centre, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Mannarino |D Anthony |u Department of Psychiatry, Four Algheny Center, Drexel University College of Medicine, 15212, Pittsburgh, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Lindauer |D Ramón |u Department of Child and Adolescent Psychiatry, Academic Medical Centre, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t European Child & Adolescent Psychiatry |d Springer Berlin Heidelberg |g 24/2(2015-02-01), 227-236 |x 1018-8827 |q 24:2<227 |1 2015 |2 24 |o 787 | ||