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Treating Maladaptive Grief and Posttraumatic Stress Symptoms in Orphaned Children in Tanzania: Group‐Based Trauma‐Focused Cognitive–Behavioral Therapy
Author(s) -
O'Donnell Karen,
Dorsey Shan,
Gong Wenfeng,
Ostermann Jan,
Whetten Rachel,
Cohen Judith A.,
Itemba Dafrosa,
Magi Rachel,
Whetten Kathryn
Publication year - 2014
Publication title -
journal of traumatic stress
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.259
H-Index - 134
eISSN - 1573-6598
pISSN - 0894-9867
DOI - 10.1002/jts.21970
Subject(s) - grief , traumatic grief , medicine , mental health , clinical psychology , traumatic stress , depression (economics) , cognition , psychiatry , psychology , economics , macroeconomics
This study was designed to test the feasibility and child clinical outcomes for group‐based trauma‐focused cognitive behavior therapy (TF‐CBT) for orphaned children in Tanzania. There were 64 children with at least mild symptoms of grief and/or traumatic stress and their guardians who participated in this open trial. The TF‐CBT for Child Traumatic Grief protocol was adapted for use with a group, resulting in 12 weekly sessions for children and guardians separately with conjoint activities and 3 individual visits with child and guardian. Using a task‐sharing approach, the intervention was delivered by lay counselors with no prior mental health experience. Primary child outcomes assessed were symptoms of grief and posttraumatic stress (PTS); secondary outcomes included symptoms of depression and overall behavioral adjustment. All assessments were conducted pretreatment, posttreatment, and 3 and 12 months after the end of treatment. Results showed improved scores on all outcomes posttreatment, sustained at 3 and 12 months. Effect sizes (Cohen's d ) for baseline to posttreatment were 1.36 for child reported grief symptoms, 1.87 for child‐reported PTS, and 1.15 for guardian report of child PTS.