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Post-Traumatic Stress DisorderTCTNCT01516827

Effectiveness of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) for Children With Post-traumatic Stress Disorder (TreatChildTrauma)

A study testing Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in people with Post-Traumatic Stress Disorder, run by University of Ulm at 8 sites in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This multi-site randomized controlled trial compares the effectiveness of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) as developed by Cohen, Mannarino \& Deblinger (2006) with a wait-list condition in a population of children aged 7-16 years who were exposed to traumatic events beyond the age of three years… Read more about this study

Who is it for?
Ages 7 to 16 years
Conditions the study is for
Post-Traumatic Stress Disorder
What is being tested?
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
159 participants
Where
8 sitesGermany
Study dates
Feb 2012to Jun 2016
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 7 to 16 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Age 7-16 years
  • Exposure to a traumatic event (index trauma) after the age of 3 years, at least 3 months before assessment
  • ≥35 points on the Clinician -Administered PTSD Scale for Children and Adolescents (CAPS-CA) total symptom severity score and at least one symptom per PTSD cluster related to the index trauma according to DSM IV diagnostic criteria
  • PTSD should be the main mental health problem, patients with co-morbid mental disorders are included
  • No major brain injury of the child due to the traumatic event (Glasgow Coma Scale <9 points at primary medical examination)
  • Co-operation of at least one non-offending primary caregiver (improves treatment outcome)
  • Living within reasonable distance (max 1 hour of travel) to the treatment center to allow treatment on a weekly basis (feasibility)

Who cannot join

  • Psychosis
  • Acute suicidality
  • Psychopharmacological medication started or changed up to 6 weeks before first assessment

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

Germany8 sites
  • Vivantes Klinik für Kinder- und Jugendpsychiatrie, Psychotherapie und Psychosomatik

    Berlin, 13407

  • Vestische Kinder- und Jugendklinik Datteln

    Datteln, 45711

  • Psychiatrische Klinik Lüneburg

    Lüneburg, 21339

  • Klinik für Psychiatrie und Psychotherapie

    Mannheim, 68072

  • Traumaambulanz LMU

    München, 80802

  • ZfP Südwürttemberg Weissenau

    Ravensburg, 88214

  • Klinik für Kinder- und Jugendpsychiatrie und -psychotherapie

    Saarbrücken, 66119

  • Universitätsklinikum Ulm

    Ulm, 89075

Other trials in Germany

About this study

Official title: Effectiveness of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) for Children With Post-traumatic Stress Disorder

This multi-site randomized controlled trial compares the effectiveness of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) as developed by Cohen, Mannarino \& Deblinger (2006) with a wait-list condition in a population of children aged 7-16 years who were exposed to traumatic events beyond the age of three years, at least three months ago, and developed Posttraumatic Stress Disorder (PTSD). Primary aims are to provide evidence that TF-CBT exceeds spontaneous remission of posttraumatic stress symptoms and to assess maintenance of treatment gains at 6 and 12 months post-treatment. Secondary aims are to evaluate the effectiveness of TF-CBT in reducing other psychopathology and cognitive distortions of patients and caregivers and to explore moderators and mediators of treatment response. The trial will contribute to implement an evidence-based treatment for traumatized children across a variety of healthcare settings in Germany. The novel aspect is to evaluate the effectiveness of TF-CBT with a broad range of traumatized "real-world" patients in the context of the German mental healthcare system.

Read the detailed description

Complete study protocol (in German) available from the PI lutz.goldbeck@uniklinik-ulm.de

Being tested
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
Keywords
PTSD, Children and Adolescents, Post-Traumatic Stress Disorder in Children and Adolescents
Medical subject headings
Stress Disorders, Post-Traumatic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)Behavioural

    TF-CBT (see also HThttp://tfcbt.musc.eduTH) is a manualised intervention for traumatized children and adolescents 7 to 16 years old and their parent/caregiver. The primary components are summarized by the acronym PRACTICE: Parenting skills, Psychoeducation, Relaxation, Affect modulation, Cognitive processing, Trauma narrative, In vivo mastery of trauma reminders, Conjoint child-parent session, and Enhancing safety and future development. We will use the manual as provided by Cohen et al. and available in German. The treatment program will comprise 12 sessions with children and parents (partly separated, partly conjoined sessions) of 90 minutes each. The 12 sessions will be distributed over a duration of 16 weeks.

Study groups in NCT01516827
Study groupRoleWhat they receive
TF-CBTExperimental12 Sessions Trauma-focused Cognitive Behavioral Therapy including the child/adolescents and a non-abusive caregiver according to the treatment manual: Cohen JA, Mannarino AP, and Deblinger E (2006) Treating Trauma and Traumatic Grief in Children and Adolenscents. Guilford, N.Y.
Receives: Behavioral: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
Wait-listNo interventionPatients in the control condition will be assigned to a wait-list (duration 4 months). During waiting time, clinical services will be provided as needed (excluding TF-CBT).

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from Baseline in Clinician-Administered PTSD Scale for Children and Adolescents (CAPS-CA)

    Symptom severity score

    Measured: Change from Baseline at 16 weeks (=end of treatment)

Secondary outcomes (46)
  1. Change from Baseline in Schedule for Affective Disorders and Schizophrenia for School Aged Children (K-SADS-PL)

    change in co-morbid psychiatric disorders

    Measured: Change from Baseline at 16 weeks (=end of treatment)

  2. Change from Baseline in Children's Global Assessment Scale (CGAS)

    Global impairment

    Measured: Change from Baseline at 16 weeks (=end of treatment)

  3. Change from Baseline in UCLA PTSD Reaction Index (self-report and caregiver report)

    Post-traumatic stress symptoms

    Measured: Change from Baseline at 8 weeks (=mid-treatment)

  4. Change from Baseline in Self-report for childhood anxiety related disorders (SCARED; Self-report and caregiver report)

    Anxiety

    Measured: Change from Baseline at 8 weeks (=mid-treatment)

  5. Change from Baseline in Children's Depression Inventory (CDI)

    Depression

    Measured: Change from Baseline at 8 weeks (=mid-treatment)

  6. Change from Baseline in Child Behavior Checklist (CBCL 4/18)

    General Psychopathology

    Measured: Change from Baseline at 8 weeks (=mid-treatment)

  7. Change from Baseline in Inventar zur Erfassung der Lebensqualität bei Kindern und Jugendlichen (ILK; Self-report and caregiver report)

    Quality of Life

    Measured: Change from Baseline at 8 weeks (=mid-treatment)

  8. Change from Baseline in Child Post Traumatic Cognitions Inventory (CPTCI)

    Trauma-related Cognitions (Child)

    Measured: Change from Baseline at 8 weeks (=mid-treatment)

  9. Change from Baseline in The Posttraumatic Cognitions Inventory (PTCI)

    Trauma-related cognitions (Parent)

    Measured: Change from Baseline at 8 weeks (=mid-treatment)

  10. Change from Baseline in Posttraumatic Diagnostic Scale (PDS)

    Parental symptoms: PTSD

    Measured: Change from Baseline at 8 weeks (=mid-treatment)

  11. Change from Baseline in Beck Depression Inventory (BDI-II)

    Parental Symptoms: Depression

    Measured: Change from Baseline at 8 weeks (=mid-treatment)

  12. Change from Baseline in State-Trait-Anxiety-Inventory (STAI)

    Parental symptoms: Anxiety

    Measured: Change from Baseline at 8 weeks (=mid-treatment)

  13. Change from Baseline in Children's Global Assessment Scale (CGAS)

    Global impairment

    Measured: Change from Baseline at 6 months post-treatment

  14. Change from Baseline in Children's Global Assessment Scale (CGAS)

    Global impairment

    Measured: Change from Baseline at 12 months post-treatment

  15. Change from Baseline in UCLA PTSD Reaction Index (self-report and caregiver report)

    Measured: Change from Baseline at 16 weeks (=end of treatment)

  16. Change from Baseline in UCLA PTSD Reaction Index (self-report and caregiver report)

    Measured: Change rom Baseline at 6 months post-treatment

  17. Change from Baseline in UCLA PTSD Reaction Index (self-report and caregiver report)

    Measured: Change from baseline at 12 months post-treatment

  18. Change from Baseline in Self-report for childhood anxiety related disorders (SCARED; Self-report and caregiver report)

    Measured: Change from Baseline at 16 weeks (=end of treatment)

  19. Change from Baseline in Self-report for childhood anxiety related disorders (SCARED; Self-report and caregiver report)

    Measured: Change from Baseline at 6 months post-treatment

  20. Change from Baseline in Self-report for childhood anxiety related disorders (SCARED; Self-report and caregiver report)

    Measured: Change from Baseline at 12 months post-treatment

  21. Change from Baseline in Children's Depression Inventory (CDI)

    Measured: Change from Baseline at 16 weeks (=end of treatment)

  22. Change from Baseline in Children's Depression Inventory (CDI)

    Measured: Change from Baseline at 6 months post-treatment

  23. Change from Baseline in Children's Depression Inventory (CDI)

    Measured: Change from Baseline at 12 months post-treatment

  24. Change from Baseline in Child Behavior Checklist (CBCL 4/18)

    Measured: Change from Baseline at 16 weeks (=end of treatment)

  25. Change from Baseline in Child Behavior Checklist (CBCL 4/18)

    Measured: Change from Baseline at 6 months post-treatment

  26. Change from Baseline in Child Behavior Checklist (CBCL 4/18)

    Measured: Change from Baseline at 12 months post-treatment

  27. Change from Baseline in Inventar zur Erfassung der Lebensqualität bei Kindern und Jugendlichen (ILK; Self-report and caregiver report)

    Measured: Change from Baseline at 16 weeks (=end of treatment)

  28. Change from Baseline in Inventar zur Erfassung der Lebensqualität bei Kindern und Jugendlichen (ILK; Self-report and caregiver report)

    Measured: Change from Baseline at 6 months post-treatment

  29. Change from Baseline in Inventar zur Erfassung der Lebensqualität bei Kindern und Jugendlichen (ILK; Self-report and caregiver report)

    Measured: Change from Baseline at 12 months post-treatment

  30. Change from Baseline in Child Post Traumatic Cognitions Inventory (CPTCI)

    Measured: Change from Baseline at 16 weeks (=end of treatment)

  31. Change from Baseline in Child Post Traumatic Cognitions Inventory (CPTCI)

    Measured: Change from Baseline at 6 months post-treatment

  32. Change from Baseline in Child Post Traumatic Cognitions Inventory (CPTCI)

    Measured: Change from Baseline at 12 months post-treatment

  33. Change from Baseline in The Posttraumatic Cognitions Inventory (PTCI)

    Measured: Change from Baseline at 16 weeks (=end of treatment)

  34. Change from Baseline in The Posttraumatic Cognitions Inventory (PTCI)

    Measured: Change from Baseline at 6 months post-treatment

  35. Change from Baseline in The Posttraumatic Cognitions Inventory (PTCI)

    Measured: Change from Baseline at 12 months post-treatment

  36. Change from Baseline in Posttraumatic Diagnostic Scale (PDS)

    Measured: Change from Baseline at 16 weeks (=end of treatment)

  37. Change from Baseline in Posttraumatic Diagnostic Scale (PDS)

    Measured: Change from Baseline at 6 months post-treatment

  38. Change from Baseline in Posttraumatic Diagnostic Scale (PDS)

    Measured: Change from Baseline at 12 months post-treatment

  39. Change from Baseline in Beck Depression Inventory (BDI-II)

    Measured: Change from Baseline at 16 weeks (=end of treatment)

  40. Change from Baseline in Beck Depression Inventory (BDI-II)

    Measured: Change from Baseline at 6 months post-treatment

  41. Change from Baseline in Beck Depression Inventory (BDI-II)

    Measured: Change from Baseline at 12 months post-treatment

  42. Change from Baseline in State-Trait-Anxiety-Inventory (STAI)

    Measured: Change from Baseline at 16 weeks (=end of treatment)

  43. Change from Baseline in State-Trait-Anxiety-Inventory (STAI)

    Measured: Change from Baseline at 6 months post-treatment

  44. Change from Baseline in State-Trait-Anxiety-Inventory (STAI)

    Measured: Change from Baseline at 12 months post-treatment

  45. Change from baselinein Clinician-Administered PTSD Scale for Children and Adolescents (CAPS-CA)

    Symptom severity score

    Measured: Change from Baseline at 6 monts post-treatment

  46. Change from Baseline in Clinician-Administered PTSD Scale for Children and Adolescents (CAPS-CA)

    Symptom severity score

    Measured: Change from baseline at 12 months post-treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Jan 2012 (estimated)
  2. Study startFeb 2012
  3. Primary completionJun 2016
  4. Study completionJun 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
159 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01516827
Sponsor's protocol ID
TCT-001-ULM
Acronym
TCT
Status last verified
Oct 2017
First submitted
13 Dec 2011
Last updated
27 Oct 2017
Results posted
No
Data monitoring committee
Yes

Publications

  • Tutus D, Pfeiffer E, Plener PL, Rosner R, Bernheim D, Sachser C. The Change in Parental Symptoms and Dysfunctional Cognitions in the Course of Trauma-Focused Cognitive-Behavioral Therapy: Sustainability Until One-Year Post-Treatment. J Child Adolesc Psychopharmacol. 2021 Mar;31(2):129-136. doi: 10.1089/cap.2020.0097. Epub 2020 Dec 23.

    PubMed 33370208
  • Lindebo Knutsen M, Sachser C, Holt T, Goldbeck L, Jensen TK. Trajectories and possible predictors of treatment outcome for youth receiving trauma-focused cognitive behavioral therapy. Psychol Trauma. 2020 May;12(4):336-346. doi: 10.1037/tra0000482. Epub 2019 Jul 25.

    PubMed 31343205
  • Tutus D, Goldbeck L, Pfeiffer E, Sachser C, Plener PL. Parental dysfunctional posttraumatic cognitions in trauma-focused cognitive behavioral therapy for children and adolescents. Psychol Trauma. 2019 Oct;11(7):722-731. doi: 10.1037/tra0000419. Epub 2018 Dec 20.

    PubMed 30570287
  • Sachser C, Keller F, Goldbeck L. Complex PTSD as proposed for ICD-11: validation of a new disorder in children and adolescents and their response to Trauma-Focused Cognitive Behavioral Therapy. J Child Psychol Psychiatry. 2017 Feb;58(2):160-168. doi: 10.1111/jcpp.12640. Epub 2016 Sep 28.

    PubMed 27677771
  • Unterhitzenberger J, Eberle-Sejari R, Rassenhofer M, Sukale T, Rosner R, Goldbeck L. Trauma-focused cognitive behavioral therapy with unaccompanied refugee minors: a case series. BMC Psychiatry. 2015 Oct 23;15:260. doi: 10.1186/s12888-015-0645-0.

    PubMed 26497391

Questions about this trial

What is this clinical trial studying?

A study testing Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in people with Post-Traumatic Stress Disorder, run by University of Ulm at 8 sites in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Oct 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline in Clinician-Administered PTSD Scale for Children and Adolescents (CAPS-CA) (time frame: Change from Baseline at 16 weeks (=end of treatment)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01516827, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Oct 2017.

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