- The world is a scary place? INvestigating Treatments and Assessment for Children after Trauma
- Award date
- 23 September 2014
- Number of pages
- Document type
- PhD thesis
- Faculty of Medicine (AMC-UvA)
This dissertation provides new insights about treatments and assessment for children who experienced traumatic events. We investigated the comparative effectiveness of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and Eye Movement Desensitization and Reprocessing (EMDR) by means of a randomized controlled trial (RCT). The results of this trial suggest that both treatments are effective and efficient. We did not find statistically significant between-group differences. The preparation of this RCT included the validation of an assessment tool for Posttraumatic Stress Disorder (PTSD) in children, the Clinician-Administered PTSD Scale for Children and Adolescents (CAPS-CA). We found that the Dutch version of this interview is valid and reliable. During our work on the RCT, DSM-5 criteria for PTSD became known. One major change was the inclusion of trauma-related cognitions in the criteria. Therefore two chapters of the dissertation focus on the effects of psychotherapy on trauma-related cognitions and the assessment of these cognitions in children. Meta-analytic results showed that trauma-focused therapy leads to the largest reduction of trauma-related cognitions. Our validation study of the Dutch version of the Child Posttraumatic Cognitions Inventory showed that this instrument is a valid questionnaire that can help to assess trauma-related cognitions in children.
- Research conducted at: Universiteit van Amsterdam
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