Evaluating Trauma-Focused Cognitive Behavioral Therapy for Unaccompanied Refugee Minors with PTSD in Greece A Randomized Trial Comparing TF-CBT to Usual Treatment in Accommodation Centers and Supported Independent Living

What This Trial Is About

Researchers are evaluating Trauma-Focused Cognitive Behavioral Therapy TF-CBT compared to Treatment-as-Usual TAU for unaccompanied refugee minors aged 15 to 18 years living in accommodation centers and Supported Independent Living programs in Greece. This randomized controlled trial aims to reduce post-traumatic stress symptoms and assess secondary outcomes like depression, anxiety, somatic symptoms, emotional and behavioral difficulties, and quality of life. The study also examines factors like age, gender, trauma history, and psychiatric comorbidity that might affect treatment response. Participants are randomly assigned to either the TF-CBT intervention or TAU control group. The TF-CBT group receives a structured, culturally adapted therapy over 12 weekly or bi-weekly sessions, including psychoeducation, relaxation, cognitive restructuring, trauma processing, and safety planning, delivered by trained psychologists under supervision. The TAU group receives routine clinical management and general psychological support without a structured therapeutic framework. Psychologists are also randomly assigned to groups and trained accordingly. Assessments occur at baseline, immediately after intervention, and three months later. During the study, participants complete standardized questionnaires in their preferred language, including the Child and Adolescent Trauma Screen, Depression Anxiety Stress Scale, Physical Health Questionnaire, Strengths and Difficulties Questionnaire, and WHO-5 Well-Being Index. Data collection is anonymous and electronic. Psychologists oversee assessments but do not access data, while interpreters assist as needed. The study includes collaboration with trained interpreters and follows ethical guidelines to ensure confidentiality. The total involvement includes intervention delivery and follow-up assessments over several months.

Trauma-Focused Cognitive Behavioral Therapy in Unaccompanied Refugee Minors With PTSD in Greece: An RCT