Preprint Article Version 1 This version is not peer-reviewed

Feasibility of Children in Disaster: Evaluation and Recovery (CIDER) Protocol for Traumatized Adolescents in South Korea: A Preliminary Study

Version 1 : Received: 14 February 2019 / Approved: 15 February 2019 / Online: 15 February 2019 (15:04:13 CET)

How to cite: Lee, M.; Kim, H.S.; Park, E.J.; Bhang, S. Feasibility of Children in Disaster: Evaluation and Recovery (CIDER) Protocol for Traumatized Adolescents in South Korea: A Preliminary Study. Preprints 2019, 2019020142 (doi: 10.20944/preprints201902.0142.v1). Lee, M.; Kim, H.S.; Park, E.J.; Bhang, S. Feasibility of Children in Disaster: Evaluation and Recovery (CIDER) Protocol for Traumatized Adolescents in South Korea: A Preliminary Study. Preprints 2019, 2019020142 (doi: 10.20944/preprints201902.0142.v1).

Abstract

We aimed to evaluate the feasibility and preliminary efficacy of trauma-focused group psychotherapy in adolescents who experienced traumatic events in Korea. Participants were assigned and recruited from two sites in Korea. Children in Disaster: Evaluation and Recovery (CIDER) V1.0 is a trauma-focused group psychotherapy approach consisting of psychoeducation, normalization, stabilization, and techniques of managing the traumatic memory. The CIDER intervention consists of eight 50-minute-long sessions. The effectiveness of the intervention was evaluated using the Korean version of the Children’s Response to Traumatic Events Scale-Revised (K-CRTES-R), the Beck Depression Inventory (BDI), the State Anxiety Inventory for Children (SAIC), and the Pediatric Quality of Life Inventory (PedQL). Data were analyzed by Wilcoxon signed-rank test. We recruited 22 traumatized adolescents (mean age 16 years; SD 1.43; range 13–18 years old; 71.4% boys) in this pilot study. The K-CRTES-R scores were significantly improved (Z = −2.85, p < 0.01). The BDI demonstrated the effectiveness of the therapy (Z = −2.35, p < 0.05). The assessment of the PedQL supported the effect of CIDER (Z = −3.08, p < 0.01). However, there was no statistically significant differences in the SAIC scores (Z = −1.90, p > 0.05). The results show that there is preliminary evidence that CIDER intervention reduces post-traumatic stress and depressive symptoms and improves quality of life. Our findings indicate that CIDER is feasible for treating adolescents exposed to traumatic events. Larger controlled trials are needed to establish the efficacy of this trauma-focused group psychotherapy and examine its impact on post-traumatic stress disorder.

Subject Areas

CIDER; post-traumatic stress disorder; trauma; adolescent; trauma-focused group psychotherapy

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