Psychotherapy for Trauma-Related Distress
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores two types of therapy to assist young people who have experienced trauma and have ongoing medical conditions. The researchers aim to determine whether group sessions, individual sessions, or a combination of these therapies best reduce trauma symptoms and improve daily life. Participants will begin with group therapy and may transition to individual sessions if they require additional support. This trial suits youth who have previously participated in group settings, such as school or therapy sessions, and are not currently in individual therapy. As an unphased trial, it provides a unique opportunity for participants to contribute to innovative research that could shape future therapeutic approaches.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research has shown that both Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) and the Unified Protocol (UP) are safe and well-tolerated treatments. SPARCS, a type of group therapy, aids young people who have faced long-term stress or trauma. It has improved emotional and social skills without causing significant side effects. Similarly, the Unified Protocol is a flexible therapy that helps children manage their emotions more effectively. Studies indicate its effectiveness and general safety, with no major side effects reported. Both therapies are evidence-based, with research supporting their effectiveness and safety in treating emotional issues in children and teens.12345
Why are researchers excited about this trial?
Researchers are excited about these psychotherapy treatments for trauma-related distress because they offer a flexible, tailored approach for young people experiencing chronic stress or emotional disorders. Unlike traditional therapies that may focus on a single diagnosis, both the Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) and the Unified Protocol (UP) are designed to address a range of emotional issues in children and adolescents. These treatments start with group sessions and adapt to individual needs if necessary, ensuring a personalized path to improvement. This adaptability and focus on multi-diagnosis treatment make them potentially more effective for diverse emotional challenges faced by young people today.
What evidence suggests that this trial's therapies could be effective for trauma-related distress?
Research has shown that Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS), which participants in this trial may receive, helps teens improve their emotions, social skills, school performance, and behavior when dealing with long-term stress. Studies indicate that SPARCS reduces trauma symptoms and enhances coping skills.
Similarly, the Unified Protocol (UP), another treatment option in this trial, effectively treats emotional issues like anxiety and depression in young people. Research finds that UP reduces trauma symptoms and improves overall mental health. Both therapies have strong evidence supporting their ability to significantly help youth experiencing trauma-related distress.12467Are You a Good Fit for This Trial?
This trial is for youth ages 8-18 with chronic medical conditions and trauma-related distress, who can participate in group therapy and are not currently in individual therapy. Participants must speak English or Spanish, have a parent/guardian able to consent, and cannot have severe psychiatric symptoms or need immediate higher-level care.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Group Therapy
Participants receive either SPARCS or UP group therapy sessions
Individual Therapy
Participants who do not show sufficient improvement after group therapy receive additional individual therapy using either SPARCS or UP
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Structured Psychotherapy for Adolescents Responding to Chronic Stress
- Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents
Trial Overview
The study compares two types of talk therapies—SPARCS and Unified Protocol (UP)—delivered first in groups, then individually if needed. Youth are randomly assigned to each approach to see which sequence best improves trauma symptoms and daily functioning over about one year.
How Is the Trial Designed?
4
Treatment groups
Experimental Treatment
Participants are initially randomized to receive Unified Protocol (UP) in a group format. Participants who do not show sufficient improvement after Stage 1 will be re-randomized to Stage 2 individual therapy (SPARCS or UP).
Participants who do not show sufficient improvement after Stage 1 group therapy and are re-randomized to individual therapy receive Unified Protocol individual therapy. Sessions are tailored to participant needs. Treatment duration is guided by participant response, with booster sessions as needed.
Participants who do not show sufficient improvement after Stage 1 group therapy and are re-randomized to individual therapy receive Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) individual therapy. Sessions are tailored to participant needs and may include family involvement. Treatment duration is guided by participant response, with booster sessions as needed.
Participants are initially randomized to receive Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) in a group format. Participants who do not show sufficient improvement after Stage 1 will be re-randomized to Stage 2 individual therapy (SPARCS or Unified Protocol).
Find a Clinic Near You
Who Is Running the Clinical Trial?
Anthony Vesco
Lead Sponsor
Northwestern University
Collaborator
Substance Abuse and Mental Health Services Administration (SAMHSA)
Collaborator
Northwestern University Feinberg School of Medicine
Collaborator
Citations
SPARCS
SPARCS is a 16-session manually-guided and empirically-supported group treatment designed to improve the emotional, social, academic, and behavioral ...
Comparative Effectiveness of SPARCS and Unified ...
The study evaluates two evidence-based cognitive-behavioral therapies - Structured Psychotherapy for Adolescents Responding to Chronic Stress ( ...
SPARCS: Structured Psychotherapy
Igniting SPARCS of change: Structured psychotherapy for adolescents responding to chronic stress. In J. Ford, R. Pat-. Horenczyk & D. Brom (Eds.), Treating ...
Evidence Base Update for Psychosocial Treatments for ... - PMC
This article updates the evidence base on psychosocial treatments for child and adolescent trauma exposure completed for this journal by Silverman et al. (2008 ...
Structured Psychotherapy for Adolescents Responding to ...
SPARCS is a 16-session manually-guided and empirically-supported group treatment designed to improve the emotional, social, academic, and behavioral ...
6.
dcps.dc.gov
dcps.dc.gov/sites/default/files/dc/sites/dcps/publication/attachments/SPARCS%201pager%20draft.pdfYour Role as Principal The Importance of SPARCS ... - | dcps
SPARCS is a 16-week group counseling program that will require your commitment to allow your social worker protected time, one hour per week for implementation.
7.
nij.ojp.gov
nij.ojp.gov/topics/articles/school-safety-large-metropolitan-district-tests-various-school-based-mental-healthSchool Safety: Large, Metropolitan District Tests Various ...
Two particular types of evidence-based treatments, dialectical behavior therapy and structured psychotherapy for adolescents responding to ...
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