posttraumatic stress trauma
Conditions
Interventions
FITT is a four-week family-based intensive trauma treatment program, containing
a preparation phase in week 1, an intensive phase in week 2 and 3 and an
integration phase in week 4. Research indicat
Sponsors
Vrije Universiteit
Eligibility
Age
12 Years to 64 Years
Inclusion criteria
Inclusion criteria: 1) the child has been exposed to child abuse/family violence; 2) the acute safety in the family has been established in the short time; 3) the child is between 12 and 20 years old; 4) the child lives at home with its caregiver(s); 5) caregivers, living with the child are able to participate in the systemic components; 6) the child has trauma symptoms, at least intrusions and avoidance; 7) both custodial parents gave written informed consent consistent with the Dutch legislation; 8) caregivers and children master the Dutch language
Exclusion criteria
Exclusion criteria: Children and parents with acute psychotic symptoms or severe alcohol and/or drug addictions. Children with a suicide attempt in the past 3 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Child PTSD symptoms The Clinician-administered-ptsd-scale-children-and-adolescents (CAPS-CA; Pynoos et al., 2015) is a standardized clinical interview, to assess PTSD conform the DSM-5 standards. A Dutch translation of the CAPS-CA (Van Meijel, Ensink, Verlinden, & Lindauer, 2019) is administered to children aged 8-18. The core traumatic event is chosen on the basis of the life-events checklist. If the core traumatic event is actually a sequence of events, which is often the case in family violence, a brief term is chosen to capture the core of these events. The CAPS-CA assesses the frequency and intensity in which each PTSD symptoms occur. A five-point severity rating scale is used for all symptoms, ranging from 0 (= absent) to 4 (= extreme/incapacitating). A total symptom severity score is calculated by summing severity scores for items 1-20. A total symptom score can also be calculated per cluster; re-experiencing (items 1-5), avoidance (items 6 and 7) negative alterations in cognitions and mood (items 8-17) and hyperarousal (items 15-20). A symptom cluster score may also be calculated for dissociation by summing items 29 and 30. To determine the PTSD diagnostic status individual symptoms should be dichotomized as *present* or *absent*. A symptom is considered present only if the corresponding item severity score is rated 2 (=Moderate/ threshold or higher). Items 9 and 11-20 have the additional requirement of a trauma-relatedness rating of Definite or Probable. The DSM-5 diagnostic rule requires the presence of least one Criterion B symptom, one Criterion C symptom, two Criterion D symptoms, and two Criterion E symptoms. Also, Criteria F (disturbance at least one month) and G (disturbance cause either clinically significant distress or functional impairment) must be met. The Children*s Revised Impact of Event Scale (CRIES-13; originally developed by Horowitz, Wilner, & Alvarez, 1979; translated to Dutch by Olff, 2005) is a questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| Child functioning The Strengths and Difficulties Questionnaire (SDQ; Van Widenfelt, Goedhart, Treffers & Goodman, 2003) is a 25-item questionnaire to measure a) conduct problems, b) emotional functioning, c) hyperactivity/inattention, d) Peer problems, e) prosocial behaviour. There is a self-report, parent and teacher version. The internal consistency of the teacher version is good. The parent and self-report version have an internal consistency that is generally acceptable (Van Widenfelt et al., 2003). The Children*s Depression Inventory (CDI; Kovacs, 1982). is a 28-item self-rated questionnaire that measures symptoms of depression in children (7-18 years): mood disturbances; capacity for enjoyment; depressed self-evaluation; disturbances in behavior toward other people; and vegetative symptoms, which include fatigue, oversleeping, having difficulty with activities requiring effort, and other symptoms of passivity or inactivity. Per item the child is asked to choose one of three sentences that best fits his/her feelings and thoughts in the past two weeks. The answers are calculated in a total score (ranging from 0 to 54). The internal consistency in a Dutch sample was high (a = 0.79), just as the test-retest reliability (r = 0.79) (Timbremont, Braet, & Roelofs, 2008). The CDI has high criterion validity and scores on the CDI correlate high with scores on other measures for depression (Timbremont et al., 2008). The Child Dissociation Checklist (CDC; Putnam, Helmers, & Trickett, 1993) is a 20-item parent-rated questionnaire with a 3-point Likert scale answering format ranging from *not true*(0), *somewhat or somehow true*(1) and *very true*(2). The child dissociation checklist is a screening device and gives an indication for dissociative problems in children (5-18 years). It shows good test-retest reliability (r = 0.69) and internal consistency (Cronbach*s a = 0.86) (Hartveld & Janssen, 1992). Good convergent and discriminant validity have | — |
Countries
Netherlands
Outcome results
None listed