Skip to main content
. 2016 Oct 11;2016(10):CD012371. doi: 10.1002/14651858.CD012371

Damra 2014.

Methods Randomised trial of trauma‐focused CBT vs no treatment in children who had been physically abused
Participants Included (n = 18)
Physically abused children who were referred by local community organisations and other local child protection institutes. Mean age: 11.3 years. Female: 0. Types of trauma: All had undergone physical abuse (most within 4 to 6 months before therapy) and had clinical symptoms of PTSD and depression for ≥ 5 weeks before. treatment. Mean PTSS‐C: TF‐CBT 23.66, control 24.55 (moderate to severe range)
Excluded
Not stated
Setting
Child care unit at Institute for Family Health (Jordan 2012)
Interventions Trauma‐focused CBT (n = 9)
Trauma‐related cognitions and feelings, along with skills training. Parents also received ‘Better Parenting Skills Education’. Ten sessions of 60 minutes (90 minutes for 2 Better Parenting sessions) for children and parents over 2 weeks
Therapists
Two qualified and accredited registered child counsellors who had previous experience working with abused children and had attended 6 days of TF‐CBT training. Counsellors were supervised for every session and via meetings or email. Sessions were directly monitored by the supervisor
Control (n = 9)
No treatment
Outcomes PTSD symptoms
Scale: Post‐Traumatic Stress Symptoms in Children (PTSS‐C; 30‐item)
Rater: child/adolescent
Depression
Scale: Children’s Depression Inventory (27‐item)
Rater: child/adolescent
When
Post treatment and at 4‐month follow‐up
Notes PTSD symptom data were not added to meta‐analyses because the effect sizes were several times higher than the overall estimate and contributed substantial heterogeneity
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants (performance bias High risk Control group appears to have been given no treatment
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Self report measures were used, and participants probably realised whether or not they were receiving treatment
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Follow‐up appears to have been 100%
Selective reporting (reporting bias) Unclear risk Protocol not identified
Other bias Unclear risk Comparison between groups not explored