Protocol for a randomised controlled trial of risk screening and early intervention comparing child- and family-focused cognitive-behavioural therapy for PTSD in children following accidental injury

Kenardy, Justin and Cobham, Vanessa and Nixon, Reginald D. V. and McDermott, Brett and March, Sonja (2010) Protocol for a randomised controlled trial of risk screening and early intervention comparing child- and family-focused cognitive-behavioural therapy for PTSD in children following accidental injury. BMC Psychiatry, 10. pp. 92-100.

[img]
Preview
Text (Published Version)
Kenardy_etal_BMCP_V10_PV.pdf
Available under License Creative Commons Attribution.

Download (247Kb) | Preview
[img]
Preview
Text (Published Version (ERRATUM))
Kenardy_ERRATUM.pdf
Available under License Creative Commons Attribution.

Download (146Kb) | Preview

Abstract

Background: Accidental injury represents the most common type of traumatic event to which a child or adolescent may be exposed, with a significant number of these children going on to experience posttraumatic stress disorder (PTSD). However, very little research has examined potential interventions for the treatment of PTSD in these children. The present trial aims to evaluate and compare child- and family-focused versions of a cognitive-behavioural early intervention for PTSD following accidental injury.
Methods/Design: The principal clinical question under investigation is the efficacy of an early, trauma-focused cognitive-behavioural intervention for the treatment of PTSD in children following accidental injury. Specifically, we compare the efficacy of two active treatments (child-focused and family-focused CBT) and a waitlist control (no therapy) to determine which is associated with greater reductions in psychological and health-related outcome measures over time. The primary outcome will be a reduction in trauma symptoms on a diagnostic interview in the active treatments compared to the waitlist control and greater reductions in the family-compared to the child-focused condition. In doing so, this project will also trial a method of stepped screening and assessment to determine those children requiring early intervention for PTSD following accidental injury.
Discussion: The present trial will be one of the first controlled trials to examine a trauma-focused CBT, early intervention for children experiencing PTSD following accidental injury (as opposed to other types of traumatic events) and the first within a stepped care approach. In addition, it will provide the first evidence comparing the efficacy of child and family-focused interventions for this target group. Given the significant number of children and adolescents exposed to accidental injury, the successful implementation of this protocol has considerable implications. If efficacious, this early intervention will assist in reducing symptoms of traumatic stress as well as preventing chronic disorder and disability in children experiencing acute PTSD following accidental injury.


Statistics for USQ ePrint 25425
Statistics for this ePrint Item
Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © 2010 Kenardy et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ERRATUM: A correction to the article 'Protocol for a randomised controlled trial of risk screening and early intervention comparing child and family-focused cognitive-behavioural therapy for PTSD in children following accidental injury,' published in a 2010 issue is presented. BMC Psychiatry. 2011, 11(1), p15-16
Faculty / Department / School: Historic - Faculty of Sciences - Department of Psychology
Date Deposited: 04 Jul 2014 02:28
Last Modified: 08 Jul 2014 01:03
Uncontrolled Keywords: posttraumatic stress disorder; randomized controlled trial; risk assessment
Fields of Research : 11 Medical and Health Sciences > 1103 Clinical Sciences > 110319 Psychiatry (incl. Psychotherapy)
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111714 Mental Health
17 Psychology and Cognitive Sciences > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology
Socio-Economic Objective: C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920410 Mental Health
Identification Number or DOI: 10.1186/1471-244X-10-92
URI: http://eprints.usq.edu.au/id/eprint/25425

Actions (login required)

View Item Archive Repository Staff Only