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Grief and trauma intervention for children after disaster: Exploring coping skills versus trauma narration
Abstract
This study evaluated the differential effects of the Grief and Trauma Intervention (GTI) with coping skills and trauma narrative processing (CN) and coping skills only (C). Seventy African American children (6-12 years old) were randomly assigned to GTI-CN or GTI-C. Both treatments consisted of a manualized 11-session intervention and a parent meeting. Measures of trauma exposure, posttraumatic stress symptoms, depression, traumatic grief, global distress, social support, and parent reported behavioral problems were administered at pre, post, 3 and 12 months post intervention. In general, children in both treatment groups demonstrated significant improvements in distress related symptoms and social support, which, with the exception of externalizing symptoms for GTI-C, were maintained up to 12 months post intervention. Results suggest that building coping skills without the structured trauma narrative may be a viable intervention to achieve symptom relief in children experiencing trauma-related distress. However, it may be that highly distressed children experience more symptom relief with coping skills plus narrative processing than with coping skills alone. More research on the differential effects of coping skills and trauma narration on child distress and adaptive functioning outcomes is needed.
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“Two recent trials that directly compared TF-CBT with non-TF-CBT alternatives reported that both were efficacious.23 26”
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“However, trauma-focused therapy can be difficult for some therapists to implement,22 23”
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“25 Two recent trials that directly compared TF-CBT with non-TF-CBT alternatives reported that both were efficacious.(23) 26 Thus, whether the inclusion of a trauma-focused component is essential in CBT for PTSD in children and adolescents is still uncertain.”
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- Salloum, A., & Overstreet, S.
- Affiliations
- University of South Florida (US)
- Tulane University (US)
- Corresponding author
- Salloum, Alison
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2012-03
- Volume
- 50
- Issue
- 3
- Pages
- 169-179
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2048135403
- Cited by
- 114
- References
- 54
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 8 · 2023: 11 · 2022: 3 · 2021: 9 · 2020: 10 · 2019: 9 · 2018: 4 · 2017: 10 · 2016: 10 · 2015: 10 · 2014: 11 · 2013: 6 · 2012: 2
- FWCI
- 10.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of South Florida (R061796)
- Institute of Mental Hygiene
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Keywords
- grief in children, traumatic grief, posttraumatic stress symptoms, coping strategies, disaster exposure, African American children, parental involvement, social support, externalizing problems, child distress
- MeSH terms
- Adaptation, Psychological, Analysis of Variance, Bereavement, Child, Depression, Disasters, Female, Grief, Humans, Male, Patient Compliance, Perception, Surveys and Questionnaires, School Health Services, Social Support, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy, Treatment Outcome, Patient Satisfaction, Narration, New Orleans, Cyclonic Storms
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