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A Randomized Controlled Study of Cognitive-Behavioral Therapy for Posttraumatic Stress in Street Children in Mexico City
CIPPAC, Mexico City, DF, Mexico..
Yale Univ, Sch Med, Ctr Child Study, New Haven, CT 06510 USA..
ABC Med Ctr, ABC Neurol Ctr, Mexico City, DF, Mexico..
Univ Nacl Autonoma Mexico, Mexico City, DF, Mexico..
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2016 (English)In: Journal of Traumatic Stress, ISSN 0894-9867, E-ISSN 1573-6598, Vol. 29, no 5, p. 406-414Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2016. Vol. 29, no 5, p. 406-414
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:uu:diva-310025DOI: 10.1002/jts.22124ISI: 000386185600002PubMedID: 27602880OAI: oai:DiVA.org:uu-310025DiVA: diva2:1055313
Available from: 2016-12-12 Created: 2016-12-09 Last updated: 2017-11-29Bibliographically approved

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