Cue-centered treatment for youth exposed to interpersonal violence: a randomized controlled trial.
This study provides preliminary evidence of the feasibility and efficacy of the Stanford cue-centered treatment for reducing posttraumatic stress, depression, and anxiety in children chronically exposed to violence. Sixty-five youth aged 8–17 years were recruited from 13 schools. Participants were randomly assigned to cue-centered treatment or a waitlist control group. Assessments were conducted at 4 discrete time points. Self-report measures assessed youth symptoms of posttraumatic stress disorder (PTSD), anxiety, and depression.Self-report ratings of caregiver anxiety and depression as well as caregiver report of child PTSD were also obtained. Therapists evaluated participants’ overall symptom improvement across treatment sessions. Hierarchal linear modeling analyses showed that compared to the waitlist group, the cue-centered treatment group had greater reductions in PTSD symptoms both by caregiver and child report, as well as caregiver anxiety. Cue-centered treatment, a hybrid trauma intervention merging diverse theoretical approaches, demonstrated feasibility,adherence, and efficacy in treating youth with a history of interpersonal violence.
Victor G
VG
Carrion
Hilit
H
Kletter
Carl F
CF
Weems
Rebecca Rialon
RR
Berry
John P
JP
Rettger
D000223:Adaptation, Psychological; D000293:Adolescent; D001007:Anxiety / Q000209:etiology / Q000628:therapy*; D058445:Bullying / Q000523:psychology; D017028:Caregivers / Q000523:psychology; D002648:Child; D003463:Cues; D003863:Depression / Q000209:etiology / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D006708:Homicide / Q000523:psychology; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D011569:Psychiatric Status Rating Scales; D011582:Psychological Theory; D011614:Psychotherapy, Brief / Q000379:methods*; D057566:Self Report; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology / Q000628:therapy*; D014754:Violence / Q000523:psychology*