Child and non-offending care giver ratings of post-traumatic stress symptoms before and after trauma-focused cognitive behavior therapy: a preliminary study

WCU Author/Contributor (non-WCU co-authors, if there are any, appear on document)
Sabrina DiCarlo (Creator)
Institution
Western Carolina University (WCU )
Web Site: http://library.wcu.edu/
Advisor
Kia Asberg

Abstract: The adverse impact of child maltreatment (CM) is undisputed. In fact, the experience of CM can have lasting negative effects across multiple psychosocial domains. For children who have experienced CM, intervention, in particular the availability of evidence-based treatment, is paramount in promoting positive child outcomes. Further, studies have confirmed the role of parent psychopathology in the prediction of child outcomes, yet assessment of parents’ trauma histories, psychopathology, and overall adjustment is not consistently performed by Child Protective Services and other agencies in charge of the welfare of children and families. Thus, the primary aims of the proposed study were to examine parental psychopathology and trauma in non-offending parents of children with maltreatment histories, and the role that these parental factors may have on children’s pre- and post-treatment adjustment; including the impact that separate parent treatment (Cognitive Processing Therapy) has on child treatment (Trauma-Focused Cognitive Behavioral Therapy) outcomes. Additional aims of this study sought to examine predictors of child treatment completion, child and parent rater concordance of child Post-Traumatic Stress Disorder (PTSD) symptomology, and changes in children’s PTSD symptoms pre- and post-treatment. While sample size issues prevented analyses of the primary aims regarding parental factors, significant results were found for concordance rates between child and parent reports of children’s PTSD symptomology, as well as the difference between children’s pre- and post-treatment PTSD scores.

Additional Information

Publication
Thesis
Language: English
Date: 2018
Keywords
child maltreatment, PTSD, rater concordance, trauma-focused CBT, treatment completion, treatment outcomes

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