Evidence map›Paper›PMID 35331823›Full record

Trial reportJournal of affective disorders2022

Child and parent secondary outcomes in stepped care versus standard care treatment for childhood trauma.

Alison Salloum, Yuanyuan Lu, Henian Chen, Kristen Salomon, Michael S Scheeringa, Judith A Cohen, Victoria Swaidan, Eric A Storch

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of affective disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Annual Research Review: Interventions for young children exposed to trauma.Journal of child psychology and psychiatry, and allied disciplines · 2026
    Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Alison SalloumSchool of Social Work, University of South Florida, Tampa, FL, USA. Electronic address: asalloum@usf.edu.
Yuanyuan LuThe Study Design and Data Analysis Center, College of Public Health, University of South Florida, Tampa, FL, USA.
Henian ChenThe Study Design and Data Analysis Center, College of Public Health, University of South Florida, Tampa, FL, USA.
Kristen SalomonDepartment of Psychology, University of South Florida, Tampa, FL, USA.
Michael S ScheeringaDepartment of Psychiatry, Tulane University School of Medicine, New Orleans, LA, USA.
Judith A CohenDepartment of Psychiatry, Allegheny Health Network, Drexel University College of Medicine, Pittsburgh, PA, USA.
Victoria SwaidanSchool of Social Work, University of South Florida, Tampa, FL, USA.
Eric A StorchDepartment of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.
University of South Florida · USBaylor College of Medicine · USDrexel University · USTulane University · US

Funding

Preclinical and Clincial OutcomesP50HD103555 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI MIRJANA MALETIC-SAVATIC · 2020 to 2026
$9.9M
Stepped Care for Children after Trauma: Optimizing TreatmentR01MH107522 · NIMH · UNIVERSITY OF SOUTH FLORIDA · PI SALLOUM, ALISON ANN · 2015 to 2018
$2.2M
NICHD NIH HHS P50 HD103555NIMH NIH HHS R01 MH107522
6 · The paper itself

Abstract

introductionStepped care trauma-focused cognitive behavioral therapy (SC-TF-CBT) is comparable in efficacy to standard TF-CBT for child posttraumatic stress symptoms (PTSS), but less is known about the effectiveness of SC-TF-CBT on child and parent secondary outcomes. The aim of this community-based randomized clinical trial was to compare child- and caregiver-secondary outcomes among SC-TF-CBT versus TF-CBT participants.

methodsChildren (ages 4 to 12) with PTSS and their caregivers were randomly assigned to either SC-TF-CBT (n = 91) or TF-CBT (n = 92). Secondary child (internalizing and externalizing behavior problems, anger outburst and sleep disturbances) and parent outcomes (PTSS, depression symptoms, and parenting stress) were measured at baseline, post-treatment and 6- and 12-month follow-up.

resultsThere were comparable changes at all-time points in child and caregiver secondary outcomes. Non-inferiority tests indicated that for completers and intent-to-treat samples, SC-TF-CBT was non-inferior to TF-CBT for all outcomes except parenting stress at 6-months. The analysis with completers did not support non-inferiority at post-treatment for internalizing and externalizing problems and at 6- and 12-month follow-up assessments for externalizing problems, but the intent-to-treat analysis did support non-inferiority. LIMITATIONS: Limitations included modest rates of attrition, excluding in vivo component for standard TF-CBT, parent-only assessments, and no control condition.

conclusionsSC-TF-CBT is an effective alternative treatment method although parents with high stress may need more support and children with externalizing problems may need more standard TF-CBT sessions.

Indexed as

Adverse Childhood ExperiencesCognitive Behavioral TherapyStress Disorders, Post-TraumaticChildChild, PreschoolHumansParentsTreatment OutcomeChildrenCognitive behavioral therapyParentsPosttraumatic stressStepped careTrauma therapy

Identifiers

PMID35331823
PMCPMC9035131
OpenAlexW4220685253

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.