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Clinical Child Psychology and Psychiatry, Vol. 11, No. 4, 543-553 (2006)
DOI: 10.1177/1359104506067876

Cognitive-behavioural Group Intervention for PTSD Symptoms in Children Following the Athens 1999 Earthquake: A Pilot Study

Ioanna Giannopoulou

NHS Community Mental Health Centre, Peristeri, Greece and Institute of Psychiatry, London, UK

Anastasia Dikaiakou

NHS Community Mental Health Centre, Peristeri, Greece

William Yule

Institute of Psychiatry, London, UK, Maudsley Hospital, London, UK

This study examined the effects of a short-term group cognitive-behavioural intervention in children who were experiencing PTSD symptoms following the Athens 1999 earthquake. Twenty children, aged 8-12 years, referred for treatment to a local child mental health team were assigned, depending on timing of referral to two groups - Group 1 ( N = 10), which started treatment 2 months after the earthquake and Group 2 ( N = 10), which started treatment at 4 months postearthquake. A statistically significant reduction in overall PTSD (Posttraumatic Stress Disorder) symptoms across the three PTSD symptom clusters - intrusion, avoidance, and arousal - as well as in depressive symptoms was reported immediately after the intervention. The treatment also produced a statistically significant improvement in children’s psychosocial functioning. Further significant improvement was reported in children at an 18-month follow-up. Treatment gains were maintained at a 4-year follow-up. Despite several limitations to this study, short-term group CBT (cognitive-behavioural therapy) was found to be a useful treatment approach, which can be offered in clinical settings, particularly if resources are limited.

Key Words: CBT • disaster • earthquake • group treatment • PTSD

References

  • American Psychiatric Association [APA]. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.) Washington, DC: Author .
  • Asarnow, J. R., & Carlson, E. J. (1985). Depression Self-rating Scale: Utility with child psychiatric inpatients . Journal of Consulting and Clinical Psychology, 53, 491-499 .[CrossRef][Medline] [Order article via Infotrieve]
  • Birleson, P. (1981). The validity of depressive disorder in childhood and the development of self-rating scale . Journal of Child Psychology and Psychiatry, 22, 73-88 .[Medline] [Order article via Infotrieve]
  • Birleson, P., Hudson, I., Buchanan, D. G., & Wolff, S. (1987). Clinical evaluation of a self-rating scale for depressive disorder: A research report . Journal of Child Psychology and Psychiatry, 28, 43-60 .[Medline] [Order article via Infotrieve]
  • Carr, V. J., Lewin, T. J., Webster, R. A., Kenardy, J. A., Hazell, P. L., & Carter, G. L. (1997). Psychosocial sequelae of the 1989 Newcastle earthquake, II: Exposure and morbidity profiles during the first 2 years post-disaster . Psychological Medicine, 27, 167-178 .[CrossRef][Medline] [Order article via Infotrieve]
  • Chetomb, C. M., Nakashima, J., & Hamada, R. S. (2002). Psychosocial intervention for postdisaster trauma in elementary school children . Archives of Pediatric and Adolescent Medicine, 156, 211-216 .[Abstract/Free Full Text]
  • Cohen, J. A., Berliner, L., & March, J. (2000). Treatment of children and adolescents. In E. Foa, T. Keane, & M. Friedman (Eds.), Effective treatments for PTSD (pp. 106-138). New York: Guilford Press .
  • Dyregrov, A., Kuterovac, G., & Barath, A. (1996). Factor analysis of the impact of event scale with children in war . Scandinavian Journal of Psychology, 37, 339-350 .[Medline] [Order article via Infotrieve]
  • Dyregrov, A., & Yule, W. (1995, May). Screening measures: The development of the UNICEFF screening battery . Paper presented at the 4th European Conference on Traumatic Stress, Paris.
  • Ehntholt, K. A., Smith, P. A., & Yule, W. (2005). School-based cognitive-behavioural therapy group intervention for refugee children who have experienced war-related trauma . Clinical Child Psychology and Psychiatry, 10, 235-250 .[Abstract]
  • Feen, N. C., Foa, E. B., Treadwell, K. R. H., & March, J. (2004). Posttraumatic stress disorder in Youth: A critical review of the cognitive and behavioral treatment outcome literature . Professional Psychology: Research and Practice, 35, 466-476 .[CrossRef]
  • Foa, E. B., & Rothbaum, B. O. (1998). Treating the trauma of rape: Cognitive-behavioral therapy for PTSD. New York: Guilford Press .
  • Giannopoulou, I., Smith, P., Ecker, C., Strouthos, M., Dikaikou, A., & Yule, W. (2006). Factor structure of the Children’s Revised Impact of Event Scale (CRIES) with children exposed to earthquake . Personality and Individual Differences, 40, 1027-1037 .[CrossRef]
  • Goenjian, A. K., Karayan, I., Pynoos, R. S., Minassian, D., et al. (1997). Outcome psychotherapy among early adolescents after trauma . American Journal of Psychiatry, 154, 536-542 .[Abstract]
  • Goenjian, A. K., Pynoos, R. S., Steinberg, A. M., Najarian, L. M., Asarnow, J. R., Karayan, I., Ghurabi, M., & Fairbanks, L. A. (1995.) Psychiatric comorbidity in children after the 1988 earthquake in Armenia . Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1174-1184 .[CrossRef][Medline] [Order article via Infotrieve]
  • Goenjian, A. K., Steinberg, A. M., Najarian, L. M., Fairbanks, L., Tashjian, M., & Pynoos, R. S. (2000). Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence . American Journal of Psychiatry, 157, 911-916 .[Abstract/Free Full Text]
  • Goodman, R. (1997). The Strengths and Difficulties Questionnaire: A research note . Journal of Child Psychology and Psychiatry, 38, 581-586 .[Medline] [Order article via Infotrieve]
  • Horowitz, M. J., Wilner, N., & Alvarez, W. (1979). Impact of Event Scale: A measure of subjective stress . Psychosomatic Medicine, 41, 209-218 .[Abstract/Free Full Text]
  • Hsu, C-C., Chong, M-Y., Yang, P., & Yen, C-F. (2002). Posttraumatic stress disorder among adolescent earthquake victims in Taiwan . Journal of the American Academy of Child and Adolescent Psychiatry, 41, 875-881 .[CrossRef][Medline] [Order article via Infotrieve]
  • Keane, T. M. (1996). Clinical perspectives on stress, traumatic stress, and PJSD in children and adolescents . Journal of School Psychology, 34, 193-197 .
  • Kovacs, M. (1985). The Children’s Depression Inventory (CDI) . Psychopharmacology Bulletin, 21, 995-998 .[Medline] [Order article via Infotrieve]
  • March, J. S., Amaya-Jackson, L., Murray, M. C., & Schulte, A. (1998). Cognitive-behavioral psychotherapy for children and adolescents with posttraumatic stress disorder after a single-incident stressor . Journal of the American Academy of Child and Adolescent Psychiatry, 37, 585-593 .[CrossRef][Medline] [Order article via Infotrieve]
  • National Institute for Clinical Excellence [NICE]. (2005). National clinical practice guideline number 26: Post-traumatic stress disorder - The management of PTSD in adults and children in primary and secondary care. London: Author .
  • Organization of Antiseismic Planning and Protection [OAPP]. (2001). Activities report 1999-2001. Athens: Greek Ministry of Environment and Public Works .
  • Saigh, P. A., Yule, W., & Inamdar, S. C. (1996). Imaginal flooding of traumatized children and adolescents . Journal of School Psychology, 34, 163-183 .[CrossRef]
  • Smith, P., Dyregrov, A., & Yule, W. (1999). Children and disasters: Teaching recovering techniques. Bergen: Children and War Foundation .
  • Smith, P., Perrin, S., Dyregrov, A., & Yule, W. (2003). Principal components analysis of the impact of event scale with children in war . Personality and Individual Differences, 34, 315-322 .[CrossRef]
  • Stein, B. D., Jaycox, L. H., Kataoka, S. H., Wong, M., Tu, W., Elliott, M. N., & Fink, A. (2003). A mental health intervention for schoolchildren exposed to violence. A randomized controlled trial . Journal of the American Medical Association, 290, 603-611 .[Abstract/Free Full Text]
  • Yule, W., ten Bruggencate, S., & Joseph, S. A. (1994). Principal components analysis of the Impact of Event Scale in adolescents who survived a shipping disaster . Personality and Individual Differences, 16, 685-691 .[CrossRef]

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This Article
Right arrow Abstract Freely available
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