<\/p>
The efficacy of trauma-focused cognitive behavioral therapy (TF-CBT) has been shown in several randomized controlled trials. However, few trials have been conducted in community clinics, few have used therapy as usual (TAU) as a comparison group, and none have been conducted outside of the United States. The objective of this study was to evaluate the effectiveness of TF-CBT in regular community settings compared with TAU. <\/p>\n
One hundred fifty-six traumatized youth (M<\/i> age = 15.1 years, range = 10–18; 79.5% girls) were randomly assigned to TF-CBT or TAU. Intent-to-treat analysis using mixed effects models showed that youth receiving TF-CBT reported significantly lower levels of posttraumatic stress symptoms (est. = 5.78, d<\/i> = 0.51), 95% CI [2.32, 9.23]; depression (est. = 7.00, d<\/i> = 0.54), 95% CI [2.04, 11.96]; and general mental health symptoms (est. = 2.54, d<\/i> = 0.45), 95% CI [0.50, 4.58], compared with youth in the TAU group. Youth assigned to TF-CBT showed significantly greater improvements in functional impairment (est. = ?1.05, d<\/i> = ?0.55), 95% CI [?1.67, ?0.42]. <\/p>\n
Although the same trend was found for anxiety reduction, this difference was not statistically significant (est. = 4.34, d<\/i> = 0.30), 95% CI [?1.50, 10.19]. Significantly fewer youths in the TF-CBT condition were diagnosed with posttraumatic stress disorder compared to youths in the TAU condition, ?2<\/sup>(1, N<\/i> = 116) = 4.61, p<\/i> = .031, Phi = .20). <\/p>\n Findings indicate that TF-CBT is effective in treating traumatized youth in community mental health clinics and that the program may also be successfully implemented in countries outside the United States.<\/p>\n<\/body><\/html>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"file":0,"project":[]},"publication_tag":[],"topic_tax":[],"class_list":["post-6122","academic-article","type-academic-article","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/nkvts.dev08.dekodes.no\/english\/wp-json\/wp\/v2\/academic-article\/6122","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nkvts.dev08.dekodes.no\/english\/wp-json\/wp\/v2\/academic-article"}],"about":[{"href":"https:\/\/nkvts.dev08.dekodes.no\/english\/wp-json\/wp\/v2\/types\/academic-article"}],"wp:attachment":[{"href":"https:\/\/nkvts.dev08.dekodes.no\/english\/wp-json\/wp\/v2\/media?parent=6122"}],"wp:term":[{"taxonomy":"publication_tag","embeddable":true,"href":"https:\/\/nkvts.dev08.dekodes.no\/english\/wp-json\/wp\/v2\/publication_tag?post=6122"},{"taxonomy":"topic_tax","embeddable":true,"href":"https:\/\/nkvts.dev08.dekodes.no\/english\/wp-json\/wp\/v2\/topic_tax?post=6122"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}