Evidence map›Paper›PMID 40588848›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2025

Evaluation of the feasibility and effectiveness of trauma-focused cognitive behavioural therapy for children and youth in Ukraine during the war.

Elisa Pfeiffer, Maike Garbade, Renée Beer, Anette Birgersson, Natalie Cabrera, Judith A Cohen, Esther Deblinger, Rafaela Gjini, Veronica Kirsch, Zlatina Kostova and 9 more

Abstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

19 authors.

Elisa PfeifferClinic for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, https://ror.org/032000t02Ulm University, Ulm, Germany.ORCID 0000-0002-9742-3004
Maike GarbadeClinic for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, https://ror.org/032000t02Ulm University, Ulm, Germany.ORCID 0000-0002-4585-7708
Renée BeerPrivate Practice for Education, Consultation and Therapy, Amsterdam, The Netherland.ORCID 0000-0003-1093-1311
Anette BirgerssonMarie Cederschiölds University, Stockholm, Sweden.
Natalie CabreraTF-CBT Australia, Sydney, NSW, Australia.ORCID 0000-0003-4252-4198
Judith A CohenDepartment of Psychiatry, https://ror.org/02gy6qp39Allegheny General Hospital, Pittsburgh, PA, USA.ORCID 0000-0002-2219-9802
Esther DeblingerRowan-Virtua School of Osteopathic Medicine, CARES Institute, Stratford, NJ, USA.ORCID 0000-0003-1081-2961
Rafaela GjiniClinic for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, https://ror.org/032000t02Ulm University, Ulm, Germany.ORCID 0009-0006-4467-587X
Veronica KirschPrivate Practice, Augsburg, Germany.ORCID 0000-0001-7086-1306
Zlatina KostovaChan Medical School, Department of Psychiatry, https://ror.org/0464eyp60University of Massachusetts, MA, USA.
Michael LarssonPrivate Practice, Enhetshälsa Sverige AB, ÄngelholmSweden.
Anthony MannarinoDepartment of Psychiatry, https://ror.org/02gy6qp39Allegheny General Hospital, Pittsburgh, PA, USA.ORCID 0009-0003-0964-0231
Gavin MoffittTF-CBT Australia, Sydney, NSW, Australia.ORCID 0009-0003-8575-6068
Marja OnsjöPrivate Practice for Education and Consultation, Psykolog Onsjö, Gothenburg, Sweden.ORCID 0000-0003-4220-5816
Tale OstensjoPrivate Practice, Oslo, Norway.ORCID 0009-0009-6082-9658
Anna VikgrenCentre for Support and Treatment, https://ror.org/02y2gng66Save the Children Sweden, Göteborg, Sweden.
Hanna WeylerCentre for Support and Treatment, https://ror.org/02y2gng66Save the Children Sweden, Stockholm, Sweden.ORCID 0009-0004-1772-9620
Vitalii Klymchukhttps://ror.org/036x5ad56University of Luxemourg, Esch-sur-Alzette, Luxembourg.ORCID 0000-0001-7898-5530
Cedric SachserClinic for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, https://ror.org/032000t02Ulm University, Ulm, Germany.ORCID 0000-0002-9353-7936

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe large-scale Russian invasion of Ukraine in early 2022 resulted in a humanitarian crisis with hundreds of thousands of children exposed to traumatic events. To date, trauma-focused evidence-based treatments (EBTs) for children and youth have not been systematically evaluated and implemented in Ukraine. This study aims at evaluating 1) the feasibility of a training program for Ukrainian therapists on Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) and 2) the feasibility and effectiveness of the treatment for children, youth, and their families in and from Ukraine during the ongoing war.

methodsThe project "TF-CBT Ukraine" was implemented between March 2022 and May 2024, in close collaboration with local and international partners. Therapists completed questionnaires before/after the training, and patients were asked to complete a measure on PTSD before and after treatment.

resultsAltogether 138 therapists started the training program and 44.9% were certified as TF-CBT therapists. The program completers reported overall high satisfaction with the training program, a positive change in their attitude towards EBTs and trauma-related knowledge gain. The patients (age 3-21, 37% male) reported significant improvement in symptoms of PTSD at the end of treatment with large pre-post effect sizes for DSM-5 PTSD (

conclusionsThe results of this study are promising in regard to the general implementation of trauma-focused EBTs in active conflict areas. Future studies need to replicate these findings in a randomized controlled study design.

Indexed as

Cognitive Behavioral TherapyStress Disorders, Post-TraumaticAdolescentAdultChildChild, PreschoolFeasibility StudiesFemaleHumansMaleUkraineWarfareYoung AdultchildrenPTSDtrauma-focused treatmentUkrainewar

Identifiers

PMID40588848
PMCPMC12303773

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.