Trauma-focused cognitive behavioral therapy (Tf-CBT) for children and adolescents after abuse and maltreatment: Results of a pilot study

Posttraumatic stress disorder (PTSD) is a common consequence of abuse and maltreatment during childhood and adolescence. There is strong evidence for the efficacy of trauma-focused cognitive behavioral therapy (Tf-CBT) after sexual abuse. This pilot study describes feasibility and preliminary treatment effects after mixed maltreatment types including domestic violence. 15 participants (six female; age M = 10.5, SD = 3.7) completed Tf-CBT. PTSD symptoms were analyzed after therapy. Reasons for dropping out are described for three patients. After treatment, there were significantly fewer symptoms compared to pre-treatment (CAPS-CA total symptom severity score: pre-treatment M = 40.6, SD = 10.5; post-treatment M = 15.2, SD = 14.3, p < .001, d = 1.8). Few drop outs occurred due to avoidance behavior and stressed caregivers. In addition to previous studies with sexually abused children, this study provides preliminary evidence for the effectiveness of Tf-CBT in a sample of patients with PTSD related to mixed maltreatment types. However, psychosocial stability of patients and caregivers is required.