Child and family traumatic stress intervention (CFTSI) reduces parental posttraumatic stress symptoms: A multi-site meta-analysis (MSMA) |
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| Institution: | 1. Psychiatric Clinic, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56100, Pisa, Italy;2. Pediatric Clinic, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56100, Pisa, Italy;1. School of Social Work, University of South Florida, Tampa, FL, USA;2. The Study Design and Data Analysis Center, College of Public Health, University of South Florida, Tampa, FL, USA;3. Department of Psychology, University of South Florida, Tampa, FL, USA;4. Department of Psychiatry, Tulane University School of Medicine, New Orleans, LA, USA;5. Department of Psychiatry, Allegheny Health Network, Drexel University College of Medicine, Pittsburgh, PA, USA;6. Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA;1. Faculty of Medicine, University of Queensland, Australia;2. Recover Injury Research Centre, University of Queensland, Australia;3. Department of Clinical Psychology, Norwich Medical School, University of East Anglia, UK;4. University of Birmingham, UK;5. Norfolk and Suffolk NHS Foundation Trust |
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| Abstract: | BackgroundFollowing traumatization, caregiver support is a crucial factor contributing to children's successful management of posttraumatic reactions and their recovery. Caregivers who have been traumatically impacted themselves, however, may be compromised in this posttraumatic caregiving role. Although there are a number of evidence-based child trauma treatments that are effective in reducing children's trauma symptoms, the impact of child treatment on participating caregiver's posttraumatic symptoms (PTS) has received less attention.ObjectiveExplore PTS reduction caregivers experience through participation in their child's evidence-based trauma-focused mental health treatment.Participants and setting640 Child-Caregiver dyads referred for the Child and Family Traumatic Stress Intervention (CFTSI) following formal disclosure of abuse in a Child Advocacy Center (CAC).MethodsData were collected from 10 community treatment sites trained in CFTSI. A multi-site meta-analytic approach was used to evaluate pooled and site-specific therapeutic effect sizes for caregivers and children.ResultsCFTSI was associated with significant changes (Hedge's g = 1.17, Child-rated; g = 0.66, caregiver-rated) in children's PTS and with clinically meaningful improvements in PTS for 62% of participating caregivers who had started CFTSI with clinical levels of PTS as measured by the Post Traumatic Checklist–Civilian Version (PCL-C). The overall mean PCL-C change (9.31, SD = 12.9) in paired, pre-post PCL-C scores is close to a clinically meaningful change of 10 or higher. There was a robust moderate pooled effect size (g = 0.70, N = 640, p < 0.0001).ConclusionThe value of a reduction in caregiver PTS as a secondary outcome of children's trauma-focused treatment is discussed. |
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| Keywords: | Parental traumatic stress Caregiver traumatic stress Early intervention Child and family traumatic stress intervention CFTSI Multi-site meta-analysis |
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