Personalized Cognitive Behavioral Therapy for Post-Traumatic Stress Disorder

This trial explores a new method to deliver therapy to Latino children who have experienced trauma, using Personalized Stepped Care Cognitive Behavioral Therapy (pSC-CBT-CT). The goal is to determine if personalizing the therapy process improves outcomes for children with post-traumatic stress disorder (PTSD). The therapy involves working with caregivers to support the child through structured sessions and activities. Children aged 7-12 who have experienced trauma and exhibit symptoms of PTSD may be suitable for this trial, especially if they speak English or Spanish. As an unphased trial, this study offers a unique opportunity to contribute to innovative therapy methods that could significantly enhance care for children with PTSD.

The trial requires that children must be stable on their current psychotropic medications for at least 4 weeks, and for benzodiazepines or stimulants, they must be stable for at least 2 weeks before participating. If your child is not stable on these medications, they will not be eligible for the trial.

Research shows that Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is generally well-tolerated by children with PTSD. Studies on similar therapies, such as Stepped Care Cognitive Behavioral Therapy (SC-CBT), indicate they are safe for treating PTSD in children. This method involves fewer therapy sessions and includes the child's caregiver, which can make it more comfortable for kids.

Researchers are excited about Personalized Stepped Care Cognitive Behavioral Therapy for Children after Trauma (pSC-CBT-CT) because it tailors therapy to incorporate specific cultural values and beliefs, particularly those of Latino communities. This personalized approach contrasts with standard Cognitive Behavioral Therapy (CBT), which generally follows a one-size-fits-all method. The treatment features a two-step process that begins with a caregiver-led phase, supported by therapists, and progresses to Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), offering a more structured, supportive, and culturally sensitive way to address PTSD in children. By involving caregivers directly in the therapeutic process and utilizing home-based tasks, pSC-CBT-CT aims to create a more engaging and effective treatment environment.

Research has shown that Cognitive Behavioral Therapy (CBT) effectively treats post-traumatic stress disorder (PTSD), providing both short-term and long-term benefits. In this trial, participants will receive a specific type of CBT called Personalized Stepped Care Cognitive Behavioral Therapy for Children after Trauma (pSC-CBT-CT), which is particularly beneficial. This method offers a personalized approach that adjusts based on the child's progress. It begins with a simpler treatment and can become more intensive if needed, making it suitable for each child's unique needs. By actively involving caregivers, the therapy aims to improve outcomes for children dealing with trauma. For Latino families, this therapy is customized to include cultural values and beliefs, potentially enhancing its effectiveness.¹⁶⁷⁸⁹