Effectiveness of trauma-focused cognitive behavioral therapy for Japanese children and adolescents in community settings: a multisite randomized controlled trial

Kameoka, Satomi; Tanaka, Eiko; Yamamoto, Sayaka; Saito, Azusa; Narisawa, Tomomi; Arai, Yôko; Nosaka, Sachiko; Ichikawa, Kayoko

doi:10.1080/20008198.2020.1767987

Cited by 8 publications

(5 citation statements)

References 26 publications

(36 reference statements)

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“…For future crosscultural studies, it would be valuable to include measurements on culture orientations (Olff et al, 2019). Future accumulation of data may reveal areas of commonality (Ho et al, 2020;Kameoka et al, 2020;Oe, Ito, Takebayashi, Katayanagi, & Horikoshi, 2020) and differences with Western results.…”

Section: Discussionmentioning

confidence: 99%

Screening for psychotrauma related symptoms: Japanese translation and pilot testing of the Global Psychotrauma Screen

Kobayashi

Ishida

et al. 2020

European Journal of Psychotraumatology

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Background: The impact of traumatic experiences or adverse life experiences has been shown to potentially affect a wide range of mental health outcomes. However, there was no brief instrument to screen for a range of psychological problems in different domains after a potentially traumatic event, and for risk factors and protective factors. Objective: The aim of this study is to examine the internal consistency and concurrent validity of the Japanese version of the Global Psychotrauma Screen (GPS) in a traumatized sample in Japan. Method: A total sample (n = 58) with varying levels of potential posttrauma symptoms due to domestic violence or other events were recruited into this study. Self-rating measures of posttraumatic stress disorder (PTSD), depression, anxiety, and alcohol problems were conducted to investigate the concurrent validity. Results: The results show that a range of posttrauma symptoms assessed by the GPS were highly endorsed by this traumatized sample in all domains except for self-harm, derealization, and depersonalization. The GPS sum score was highly correlated (r > 0.79) with other measures of PTSD, depression, and anxiety symptoms. Also, the subdomain scores showed acceptable correlations with corresponding domain measures. Participants who had been sexually assaulted or had unwanted sexual experiences, and participants who had been physically assaulted during childhood, had higher scores on the total GPS and on subdomains of PTSD, as well as symptoms associated with Complex PTSD. Conclusions: This study provides an initial indication that the GPS may be a useful screening tool for trauma survivors and elucidates that the consequences of trauma are not limited to PTSD. Tamizaje de síntomas asociados con trauma psicológico: traducción japonesa y prueba piloto del mapeo global de psicotrauma Antecedentes: Se ha demostrado que el impacto de las experiencias traumáticas o de las experiencias vitales adversas tiene el potencial de comprometer la salud mental dentro de un amplio rango de consecuencias. Sin embargo, no existía ningún instrumento breve para tamizar una variedad de problemas psicológicos, en diferentes dominios, después de un evento potencialmente traumático, ni para los factores de riesgo, ni para los factores protectores. Objetivo: El objetivo de este estudio es el de examinar la consistencia interna y la validez concurrente de la versión japonesa del Mapeo Global de Psicotrauma (GPS, por sus siglas en ingles) en una muestra de personas traumatizadas en Japón. Método: Para este estudio, se reclutó una muestra total (n=58) con distintos niveles de síntomas postraumáticos potenciales secundarios a violencia domestica u otros eventos. Para investigar la validez concurrente, se realizaron mediciones auto reportadas para el trastorno de estrés postraumático (TEPT), la depresión, la ansiedad y para problemas asociados al consumo de alcohol. Resultados: Los resultados muestran que un espectro de síntomas postraumáticos, evaluados mediante el GPS, se encontraba altamente vinculado a esta ...

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Section: Discussionmentioning

confidence: 99%

Screening for psychotrauma related symptoms: Japanese translation and pilot testing of the Global Psychotrauma Screen

Kobayashi

Ishida

et al. 2020

European Journal of Psychotraumatology

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“…It is unclear how these cultural differences may influence the feasibility of TF-CBT in East Asia. To our knowledge, only two studies that used the original Western version of TF-CBT have implemented in Japan (Kameoka et al, 2015, 2020). Even though TF-CBT reduced PTSD symptoms, the author reported that the effect size of the study was smaller than that of studies in Western countries (Kameoka et al, 2015).…”

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confidence: 99%

“…They have more negative perceptions of themselves (such as blame and shame) and were more vulnerable to maladaptive trauma-related cognitions than people in Western countries after experiencing traumas (Abraham, 1999; Koo et al, 2014; Luo, 2000). Besides, external emotion regulation (such as expressing emotions in public) and negative emotion expression are considered inappropriate and unexpected in Asia (Kameoka et al, 2020, Mortenson, 2006). It is unclear how these cultural differences may influence the feasibility of TF-CBT in East Asia.…”

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confidence: 99%

Cultural adaptation of trauma-focused cognitive behavioral therapy for trauma-affected children in China.

Li¹,

Li²,

Lin³

et al. 2023

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Trauma-focused cognitive behavioral therapy (TF-CBT) developed in the United States is one of the most widely used interventions for children with posttraumatic stress disorder. However, little information was provided about the cultural adaptation process when it was used in other countries. It was seldom adopted in East Asia. Furthermore, few studies adapted TF-CBT as a school-based intervention. This study was aimed at exploring the cultural fitness of TF-CBT in China and documenting the adaptation process. Method: In the present study, feedback from stakeholders, including seven mental health practitioners, ten caregivers, eight school staffs, and forty-five children, was collected through focus groups or individual interviews. The adaptations were made for TF-CBT based on these people's feedback. Results: The results showed that it was necessary to make adaptations of TF-CBT. Even though most of the core components were culturally appropriate, some culturally specific factors were found, including the resistance to parental involvement, the lack of children's intentions and abilities to seek support, the difficulty in children's cognitive coping, and the strong stigmatization toward TF-CBT in communities. The present study made corresponding adaptations. It developed an adapted version of intervention "power up children's psychological immunity" based on TF-CBT. The new version of intervention included seven group sessions and three to five individual sessions. Conclusion: Cultural adaptation is crucial to promote the acceptance of TF-CBT among stakeholders, including trauma-affected children, caregivers, school principals, class teachers, and mental health practitioners. The adapted intervention may promote the implementation of it in China. Clinical Impact StatementThis is the first study to explore the cultural fitness of trauma-focused cognitive behavioral therapy (TF-CBT) in China. The result found that most of the core components, structures, and techniques of TF-CBT could be used. However, some contents of TF-CBT needed to be changed. The present study also documented the adaptation process of TF-CBT. This not only provides a reliable and effective intervention for Chinese children, but also could give some reference advice for the adaptation of TF-CBT in other Asian countries.

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“…Numerous studies provided evidence on the efficacy of TF-CBT for children and adolescents [17,[91][92][93][94][95][96][97][98][99][100][101][102][103]. Some studies supported the effectiveness of digital solutions for CBT [104][105][106][107].…”

Section: Discussionmentioning

confidence: 99%

App-Assisted TF-CBT-Based Intervention as Add-On to Inpatient Treatment Reduces Children’s Post-traumatic Stress Symptoms and Post-traumatic Cognitions

Dirzyte,

Radzevičienė,

Perminas

et al. 2024

Preprint

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Previous studies suggested that trauma-focused cognitive behavior therapy (TF-CBT) is effective in reducing symptoms of post-traumatic stress disorder (PTSD) and depression in children and adolescents. However, the effects of app-assisted TF-CBT-based interventions in psychiatric clinics compared to treatment-as-usual (TAU) are under-explored. The purpose of this study was to reveal the added value of the app-assisted TF-CBT-based intervention as an add-on to TAU. The digitalized measures of the Child and Adolescent Trauma Screen (CATS), The Adolescent Dissociative Experience Scale (A-DES), Short Moods and Feelings Questionnaire (SMFQ), PTSD Checklist (PCL-5), and Children's Post-Traumatic Cognitions Inventory (CPTCI) were applied at baseline and post-treatment. The app-assisted TF-CBT-based group participants started with higher levels of negative alterations in cognition and mood compared to TAU participants but at post-treatment, no significant differences were observed between the app-assisted TF-CBT and TAU groups. Within the app-assisted TF-CBT group, post-treatment scores were significantly lower in post-traumatic stress symptoms, intrusion symptoms, alterations in arousal and reactivity, overall post-traumatic cognitions, and belief in being "a fragile person in a scary world”. Within the TAU group, post-treatment scores were notably lower just in dissociation and intrusion symptoms. The study suggests that app-assisted TF-CBT-based intervention can be effective in addressing specific trauma-related symptoms. The findings imply the necessity for screening for traumatic experiences, incorporating trauma-informed care, implementation of TF-CBT into treatment protocols, utilization of app-assisted interventions, tailoring interventions to individual needs, and comprehensive assessment and monitoring of treatment progress.

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Effectiveness of trauma-focused cognitive behavioral therapy for Japanese children and adolescents in community settings: a multisite randomized controlled trial

Abstract: Effectiveness of trauma-focused cognitive behavioral therapy for Japanese children and adolescents in community settings: a multisite randomized controlled trial,

Cited by 8 publications

References 26 publications

Screening for psychotrauma related symptoms: Japanese translation and pilot testing of the Global Psychotrauma Screen

Screening for psychotrauma related symptoms: Japanese translation and pilot testing of the Global Psychotrauma Screen

Cultural adaptation of trauma-focused cognitive behavioral therapy for trauma-affected children in China.

App-Assisted TF-CBT-Based Intervention as Add-On to Inpatient Treatment Reduces Children’s Post-traumatic Stress Symptoms and Post-traumatic Cognitions

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