Cognitive-Behavior Therapy for Disaster-Exposed Youth with Posttraumatic Stress: Results from a Multiple-Baseline Examination

Taylor, Leslie K.; Weems, Carl F.

doi:10.1016/j.beth.2010.09.001

Cited by 34Posttraumatic Stress Disorder ResearchChild Therapy and DevelopmentAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Cognitive-Behavior Therapy for Disaster-Exposed Youth with Posttraumatic Stress: Results from a Multiple-Baseline Examination

Taylor, Leslie K., Weems, Carl F.·2011·Behavior Therapy

DOI 10.1016/j.beth.2010.09.001

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Abstract

Youth traumatized by natural disasters report high levels of posttraumatic stress such as symptoms of posttraumatic stress disorder, other anxiety disorders, and depression. Research suggests that cognitive behavioral therapies are promising interventions for symptom reduction; however, few cognitive behavioral treatments have been systematically tested in youth hurricane survivors. The current study provides an examination of the efficacy of an intervention manual designed specifically for hurricane-exposed youth (i.e., the StArT manual) using a partially nonconcurrent multiple baseline design. Youth ages 8-13 (n = 6) who met diagnostic criteria for posttraumatic stress disorder were provided the individual StArT treatment in their school. Youth were assessed at pretreatment, weekly during treatment, and at posttreatment. Results provide initial evidence for the efficacy of the StArT manual and suggest the feasibility of conducting the StArT manual in a school setting. The importance of large-scale tests of effectiveness and implementation of cognitive behavioral treatments in the wake of disaster among youth are discussed.

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In an uncontrolled pre-post study of N = 6 American children exposed to Hurricane Katrina in 2005, StArT significantly reduced PTSD symptoms between pre- and post-treatment.
“Negative cognitions and PTSD symptoms significantly declined between pre- and post-treatment.”
From Promoting Recovery from Disasters, Pandemics, and Trauma: A Systematic Review of Brief Psychological Interventions to Reduce Distress in Adults, Children, and Adolescents (2023) · cites this paper as [47]
The long-term effectiveness of some interventions cannot be assessed because ten completed studies on these interventions did not report follow-up measurements.
“Furthermore, the long-term effectiveness of some interventions cannot be assessed because ten completed studies on these interventions did not report follow-up measurements [21,27,35,36,37,40,41,47,53,57].”
From Promoting Recovery from Disasters, Pandemics, and Trauma: A Systematic Review of Brief Psychological Interventions to Reduce Distress in Adults, Children, and Adolescents (2023) · cites this paper as [47]

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Psychosocial Interventions for Children and Adolescents after Man-Made and Natural Disasters: A Meta-Analysis and Systematic Review
Brown, R. C., Witt, A., Fegert, J. M., Keller, F., Rassenhofer, M., & Plener, P. L. (2017) · Psychological Medicine · doi:10.1017/s0033291717000496 · Cited by 192 · see citing works
Promoting Recovery from Disasters, Pandemics, and Trauma: A Systematic Review of Brief Psychological Interventions to Reduce Distress in Adults, Children, and Adolescents
Lotzin, A., Franc de Pommereau, A., & Laskowsky, I. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20075339 · Cited by 25 · see citing works
“StArT was piloted in an uncontrolled pre–post study in N = 6 American children exposed to Hurricane Katrina in 2005 [47].”
BackgroundMethodInfluential

Authors: Taylor, L. K., & Weems, C. F.
Affiliations: LSU New Orleans (US)
Corresponding author: Taylor, Leslie K.
Weems, Carl F.
ORCID: Weems, Carl F.
Venue: Behavior Therapy
Publisher: Elsevier BV
Published: 2011-09
Volume: 42
Issue: 3
Pages: 349-363
ISSN: 0005-7894 (ISSN-L)
DOI: 10.1016/j.beth.2010.09.001
OpenAlex: W2080091751
Cited by: 34
References: 71
Citations by year: 2025: 1 · 2024: 1 · 2023: 3 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 1 · 2014: 6 · 2013: 6 · 2012: 3
FWCI: 5.86
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Behavior Therapy (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: cognitive behavioral therapy, post-traumatic stress disorder, hurricane survivors, school-based intervention, treatment efficacy, anxiety disorders, depression, natural disasters, intervention manual
MeSH terms: Adolescent, Anxiety, Child, Depression, Disasters, Female, Humans, Male, Psychiatric Status Rating Scales, Severity of Illness Index, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy, Survivors, Secondary Prevention, New Orleans, Cyclonic Storms

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Cognitive-Behavior Therapy for Disaster-Exposed Youth with Posttraumatic Stress: Results from a Multiple-Baseline Examination

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