Effectiveness of trauma-focused cognitive behavioral therapy among trauma-affected children in Lusaka, Zambia: A randomized clinical trial

JAMA Pediatrics

Volumn 169, Issue 8, 2015, Pages 761-769

  Murray, Laura K ^a   Skavenski, Stephanie ^a   Kane, Jeremy C ^a   Mayeya, John ^b   Dorsey, Shannon ^c   Cohen, Judy A ^d   Michalopoulos, Lynn T M ^e   Imasiku, Mwiya ^f   Bolton, Paul A ^a  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^b MINISTRY OF HEALTH   (Zambia)

^c UNIVERSITY OF WASHINGTON   (United States)

^d ALLEGHENY GENERAL HOSPITAL   (United States)

^e Och Spine at New York Presbyterian Hospitals   (United States)

^f UNIVERSITY OF ZAMBIA   (Zambia)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ANXIETY DISORDER; ARTICLE; ASSESSMENT OF HUMANS; CHILD; CHILD CARE; COGNITIVE THERAPY; CONTROLLED STUDY; FEMALE; FOLLOW UP; HUMAN; INTENTION TO TREAT ANALYSIS; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PSYCHOTRAUMA; RANDOMIZED CONTROLLED TRIAL; STRESS RELATED SYMPTOM; TRAUMA FOCUSED COGNITIVE BEHAVIORAL THERAPY; TREATMENT OUTCOME; UCLA POSTTRAUMATIC STRESS DISORDER REACTION INDEX; ZAMBIA; COMPARATIVE STUDY; OUTCOME ASSESSMENT; PRESCHOOL CHILD; PROCEDURES; STRESS DISORDERS, POST-TRAUMATIC;

ADOLESCENT; CHILD; CHILD, PRESCHOOL; COGNITIVE THERAPY; FEMALE; HUMANS; MALE; OUTCOME ASSESSMENT (HEALTH CARE); STRESS DISORDERS, POST-TRAUMATIC; TREATMENT OUTCOME; ZAMBIA;

EID: 84939779385     PISSN: 21686203     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamapediatrics.2015.0580     Document Type: Article

References (52)

1. UNICEF. Towards an AIDS-Free Generation - Children and AIDS: Sixth Stocktaking Report, 2013. http://www.avert.org/children-orphaned-hiv-and-aids.htm#sthash.UT2jNnZs.dpuf. Accessed July 24, 2014.
2. UNAIDS. Towards an AIDS Free Generation. UNAIDS Children and AIDS Sixth Stocktaking Report. 2013. http://www.unaids.org/sites/default/files/en/media/unaids/contentassets/documents/unaidspublication/2013/20131129-stocktaking-report-children-aids-en.pdf. Accessed July 24, 2014.
3. Kieling C, Baker-Henningham H, Belfer M, et al. Child and adolescent mental health worldwide: evidence for action. Lancet. 2011;378(9801):1515-1525.
4. Benjet C. Childhood adversities of populations living in low-income countries: prevalence, characteristics, and mental health consequences. Curr Opin Psychiatry. 2010;23(4):356-362.
5. Idele P, Gillespie A, Porth T, et al. Epidemiology of HIV and AIDS among adolescents: current status, inequities, and data gaps. J Acquir Immune Defic Syndr. 2014;66(suppl 2):S144-S153.
6. Monasch R, Boerma JT. Orphanhood and childcare patterns in sub-Saharan Africa: an analysis of national surveys from 40 countries. AIDS. 2004; 18(suppl 2):S55-S65.
7. Andrews G, Skinner D, Zuma K. Epidemiology of health and vulnerability among children orphaned and made vulnerable by HIV/AIDS in sub-Saharan Africa. AIDS Care. 2006;18(3):269-276.
8. Cluver L, Gardner F. The mental health of children orphaned by AIDS: a review of international and southern African research. J Child Adolesc Ment Health. 2007;19(1):1-17.
9. Felitti VJ, Anda RF, Nordenberg D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998;14(4):245-258.
10. Schenk KD. Community interventions providing care and support to orphans and vulnerable children: a review of evaluation evidence. AIDS Care. 2009;21(7):918-942.
11. Murray LK, Haworth A, Semrau K, et al. Violence and abuse among HIV-infected women and their children in Zambia: a qualitative study. J Nerv Ment Dis. 2006;194(8):610-615.
12. Murray LK, Bass J, Chomba E, et al. Validation of the UCLA Child Posttraumatic stress disorder-reaction index in Zambia. Int J Ment Health Syst. 2011;5(1):24.
13. Murray LK, Dorsey S, Skavenski S, et al. Identification, modification, and implementation of an evidence-based psychotherapy for children in a low-income country: the use of TF-CBT in Zambia. Int J Ment Health Syst. 2013;7(1):24.
14. Murray LK, Skavenski S, Michalopoulos LM, et al. Counselor and client perspectives of Trauma-focused Cognitive Behavioral Therapy for children in Zambia: a qualitative study. J Clin Child Adolesc Psychol. 2014;43(6):902-914.
15. Murray LK, Familiar I, Skavenski S, et al. An evaluation of trauma focused cognitive behavioral therapy for children in Zambia. Child Abuse Negl. 2013;37(12):1175-1185.
16. Cohen JA, Mannarino A, Deblinger E. Treating Trauma and Traumatic Grief in Children and Adolescents. New York, NY: Guilford Press; 2006.
17. Murray LK, Skavenski S, Bass J, et al. Implementing evidence-based mental health care in low-resource settings: a focus on safety planning procedures. J Cogn Psychother. 2014;28(3):168-185.
18. Murray LK, Dorsey S, Bolton P, et al. Building capacity in mental health interventions in low resource countries: an apprenticeship model for training local providers. Int J Ment Health Syst. 2011; 5(1):30.
19. Cohen JA, Deblinger E, Mannarino AP, Steer RA. A multisite, randomized controlled trial for children with sexual abuse-related PTSD symptoms. J Am Acad Child Adolesc Psychiatry. 2004;43(4):393-402.
20. Dorsey S, Briggs EC, Woods BA. Cognitive-behavioral treatment for posttraumatic stress disorder in children and adolescents. Child Adolesc Psychiatr Clin N Am. 2011;20(2):255-269.
21. Cohen JA, Mannarino AP, Knudsen K. Treating sexually abused children: 1 year follow-up of a randomized controlled trial. Child Abuse Negl. 2005;29(90):135-145.
22. Deblinger E, Mannarino AP, Cohen JA, Steer RA. A follow-up study of a multisite, randomized, controlled trial for children with sexual abuse-related PTSD symptoms. J Am Acad Child Adolesc Psychiatry. 2006;45(12):1474-1484.
23. Deblinger E, Steer RA, Lippmann J. Two-year follow-up study of cognitive behavioral therapy for sexually abused children suffering post-traumatic stress symptoms. Child Abuse Negl. 1999;23(12): 1371-1378.
24. Huey SJ Jr, Polo AJ. Evidence-based psychosocial treatments for ethnic minority youth. J Clin Child Adolesc Psychol. 2008;37(1):262-301.
25. Steinberg AM, Brymer MJ, Kim S, et al. Psychometric properties of the UCLA PTSD reaction index: part I. J Trauma Stress. 2013;26(1):1-9.
26. Johns Hopkins Bloomberg School of Public Health. The DIME Program Research Model: design, implementation, monitoring, and evaluation. 2013. http://www.jhsph.edu/research/centers-and-institutes/center-for-refugee-and-disaster-response/response-service/AMHR/dime/index.html. Accessed August 9,2014.
27. Achenbach T. Manual for the Child Behavior Checklist. Burlington: University of Vermont; 1992.
28. Sikkema KJ, Anderson ES, Kelly JA, et al. Outcomes of a randomized, controlled community-level HIV prevention intervention for adolescents in low-income housing developments. AIDS. 2005;19(14):1509-1516.
29. Humeniuk, RE, Henry-Edwards, S, Ali, RL, Poznyak, V, Monteiro M. The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): Manual for Use in Primary Care. Geneva, Switzerland; World Health Organization; 2010.
30. Azur MJ, Stuart EA, Frangakis C, Leaf PJ. Multiple imputation by chained equations: what is it and how does it work? Int J Methods Psychiatr Res. 2011;20(1):40-49.
31. Cohen J. Statistical Power Analysis for the Behavioral Sciences. Hillsdale, NJ: L. Erlbaum Associates; 1988.
32. Achenbach TM, Rescorla LA. The Achenbach System of Empirically Based Assessment (ASEBA) for Ages 1.5 to 18 Years. Vol 2. 3rd ed. Mahwah, NJ: Erlbaum: 2004:179-213.
33. Ertl V, Pfeiffer A, Schauer E, Elbert T, Neuner F. Community-implemented trauma therapy for former child soldiers in Northern Uganda: a randomized controlled trial. JAMA. 2011;306(5): 503-512.
34. McMullen J, O'Callaghan P, Shannon C, Black A, Eakin J. Group trauma-focused cognitivebehavioural therapy with former child soldiers and other war-affected boys in the DR Congo: a randomised controlled trial. J Child Psychol Psychiatry. 2013;54(11):1231-1241.
35. O'Callaghan P, McMullen J, Shannon C, Rafferty H, Black A. A randomized controlled trial of trauma-focused cognitive behavioral therapy for sexually exploited, war-affected Congolese girls. J Am Acad Child Adolesc Psychiatry. 2013;52(4):359-369.
36. Betancourt TS, McBain R, Newnham EA, et al. A behavioral intervention for war-affected youth in Sierra Leone: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2014;53(12):1288-1297.
37. Mueller J, Alie C, Jonas B, Brown E, Sherr L. A quasi-experimental evaluation of a community-based art therapy intervention exploring the psychosocial health of children affected by HIV in South Africa. Trop Med Int Health. 2011;16(1):57-66.
38. Tol WA, Komproe IH, Jordans MJD, et al. School-based mental health intervention for children in war-affected Burundi: a cluster randomized trial. BMC Med. 2014;12(56):56.
39. Jensen TK, Holt T, Ormhaug SM, et al. A randomized effectiveness study comparing trauma-focused cognitive behavioral therapy with therapy as usual for youth. J Clin Child Adolesc Psychol. 2014;43(3):356-369.
40. Bolton P, Lee C, Haroz EE, et al. A transdiagnostic community-based mental health treatment for comorbid disorders: development and outcomes of a randomized controlled trial among Burmese refugees in Thailand. PLoS Med. 2014;11(11):e1001757.
41. O'Donnell K, Dorsey S, Gong W, et al. Treating maladaptive grief and posttraumatic stress symptoms in orphaned children in Tanzania: group-based trauma-focused cognitive-behavioral therapy. J Trauma Stress. 2014;27(6):664-671.
42. Deblinger E, Lippmann J, Steer R. Sexually abused children suffering posttraumatic stress symptoms: Initial treatment outcome findings. Child Maltreat. 1996;1:310-321.
43. Bass JK, Annan J, McIvor Murray S, et al. Controlled trial of psychotherapy for Congolese survivors of sexual violence. N Engl J Med.2013; 368(23):2182-2191.
44. Bolton P, Bass J, Neugebauer R, et al. Group interpersonal psychotherapy for depression in rural Uganda: a randomized controlled trial. JAMA. 2003; 289(23):3117-3124.
45. Bolton P, Bass J, Betancourt T, et al. Interventions for depression symptoms among adolescent survivors of war and displacement in northern Uganda: a randomized controlled trial. JAMA. 2007;298(5):519-527.
46. Patel V, Weiss HA, Chowdhary N, et al. Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial. Lancet.2010;376 (9758):2086-2095.
47. Padmanathan P, De Silva MJ. The acceptability and feasibility of task-sharing for mental healthcare in low and middle income countries: a systematic review. Soc Sci Med. 2013;97:82-86.
48. Interagency Standing Committee, World Health Organization. IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings. Geneva, Switzerland: World Health Organization; 2007.
49. Cluver L, Gardner F, Operario D. Psychological distress amongst AIDS-orphaned children in urban South Africa. J Child Psychol Psychiatry. 2007;48 (8):755-763.
50. Whetten K, Ostermann J, Whetten RA, et al Positive Outcomes for Orphans (POFO) Research Team. A comparison of the wellbeing of orphans and abandoned children ages 6-12 in institutional and community-based care settings in 5 less wealthy nations. PLoS One. 2009;4(12):e8169.
51. UNICEF. Statistics and Monitoring. 2010. http://www.unicef.org/statistics. Accessed September 2, 2014.
52. Tol WA, Komproe IH, Susanty D, Jordans MJD, Macy RD, De Jong JT. School-based mental health intervention for children affected by political violence in Indonesia: a cluster randomized trial. JAMA. 2008;300(6):655-662.