Child and parent secondary outcomes in stepped care versus standard care treatment for childhood trauma

Salloum, Alison; Lu, Yuanyuan; Chen, Henian; Salomon, Kristen; Scheeringa, Michael S.; Cohen, Judith A.; Swaidan, Victoria R.; Storch, Eric A.

doi:10.1016/j.jad.2022.03.049

Cited by 7 publications

(4 citation statements)

References 38 publications

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“…We expected that baseline internalizing symptoms would predict Step One treatment response given that we found previously that child responders of Step One had lower internalizing scores post-treatment than non-responders (Salloum et al, 2022b). One possible explanation is that the interpersonal time that children received during their parent–child meetings helped the children feel less withdrawn.…”

Section: Discussion and Applications To Practicementioning

confidence: 99%

“…The following child outcome measures were used to measure the primary (Salloum et al, 2022a) and secondary outcomes (Salloum, et al, 2022b) in the clinical trial. In the current study, the child outcome measures are used to test child PTSS, severity, internalizing problems, externalizing problems, sleep disturbances, and anger outbursts as potential predictors of Step One.…”

Section: Child Outcome Measuresmentioning

confidence: 99%

“…The following parent outcome measures were used to measure secondary outcomes in the clinical trial (Salloum et al, 2022b). In the current study, the parent outcome measures are used to test parent PTSS, depression and parenting stress as predictors of Step One.…”

Section: Parent Outcome Measuresmentioning

confidence: 99%

“…When comparing SC-TF-CBT (including Step One and Step Two participants) to standard TF-CBT, comparable decreases over time in internalizing symptoms, sleep disturbances, externalizing symptoms, and anger outbursts were observed. However, when conducting the non-inferiority test for completers and intent-to-treat samples, non-inferiority for the completers sample was not supported for internalizing problems at post-treatment and externalizing problems at all time points (Salloum et al, 2022b). A post hoc analysis indicated that Step One responders had lower internalizing and externalizing problem scores at post-treatment than non-responders (Salloum et al, 2022a).…”

Section: Introductionmentioning

confidence: 99%

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Exploring Treatment Response Predictors of a Parent-Led Therapist-Assisted Treatment for Childhood Trauma

Salloum

Ali

et al. 2022

Research on Social Work Practice

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Purpose: While stepped care trauma-focused cognitive behavioral therapy (SC-TF-CBT) is an effective service delivery model, understanding predictors of Step One, a parent-led therapist-assisted treatment, will help inform how to best match children at baseline to treatments. Method : Potential predictor variables were explored from 63 parent–child Step One participants with 43 responders and 20 non-responders. Baseline tailoring variables explored were anticipated critical life events, demographics, trauma-related variables, and child and parent outcomes. Results: Predictors of Step One non-response were parental depression, child anger outbursts and Hispanic/Latino parents even after controlling for child demographics, child post-traumatic stress, severity, and impairment. Conclusions: Parents with depression and children with high anger outbursts should consider starting with Step Two, therapist-led TF-CBT. Step One may benefit from including TF-CBT culturally modified strategies for Hispanic/Latino parents. If preference is to start with Step One, these parents and children should be closely monitored for treatment progress.

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Section: Discussion and Applications To Practicementioning

confidence: 99%

Section: Child Outcome Measuresmentioning

confidence: 99%

Section: Parent Outcome Measuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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