Traumatic and stressful events in early childhood: Can treatment help those at highest risk?

Abstract Objective This study involves a reanalysis of data from a randomized controlled trial to examine whether child–parent psychotherapy (CPP), an empirically based treatment focusing on the parent–child relationship as the vehicle for child improvement, is efficacious for children who experienc...

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Veröffentlicht in:	Child abuse & neglect 2011-07, Vol.35 (7), p.504-513
Hauptverfasser:	Ghosh Ippen, Chandra, Harris, William W, Van Horn, Patricia, Lieberman, Alicia F
Format:	Artikel
Sprache:	eng
Schlagworte:	ACE Adolescents Adult At Risk Persons At risk youth Attachment Behavior Problems Biological and medical sciences California Child abuse & neglect Child development Child trauma Child, Preschool Childhood Children Child–parent psychotherapy Clinical Diagnosis Clinical trials Community Services CPP Cumulative risk Depression Depression (Psychology) Domestic Violence - psychology Dyadic Family Violence Female Humans Interviews as Topic Male Medical sciences Mental Health Miscellaneous Modeling (Psychology) Mothers Outcome Assessment, Health Care Outcomes of Treatment Parent Child Relationship Parent-Child Relations Pediatrics Physical Health Post traumatic stress disorder Posttraumatic stress Posttraumatic Stress Disorder Preschool Children Psychiatry Psychodynamic therapy Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapies. Psychological and clinical counseling Psychotherapy Psychotherapy - methods Randomized controlled trial Randomized Controlled Trials Referral and Consultation Resistance (Psychology) Risk Stress Disorders, Post-Traumatic - prevention & control Stress Disorders, Post-Traumatic - therapy Stress, Psychological - therapy Stressful events Surveys and Questionnaires Symptoms Symptoms (Individual Disorders) Trauma Traumatic and stressful life events Treatment outcome Treatments Young Children
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Zusammenfassung:	Abstract Objective This study involves a reanalysis of data from a randomized controlled trial to examine whether child–parent psychotherapy (CPP), an empirically based treatment focusing on the parent–child relationship as the vehicle for child improvement, is efficacious for children who experienced multiple traumatic and stressful life events (TSEs). Methods Participants comprised 75 preschool-aged children and their mothers referred to treatment following the child's exposure to domestic violence. Dyads were randomly assigned to CPP or to a comparison group that received monthly case management plus referrals to community services and were assessed at intake, posttest, and 6-month follow-up. Treatment effectiveness was examined by level of child TSE risk exposure (
ISSN:	0145-2134 1873-7757
DOI:	10.1016/j.chiabu.2011.03.009