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Identifying Toddlers and Their Parents Who Are Suffering From Posttraumatic Distress Following War and Terror

This study has been completed.
ClinicalTrials.gov Identifier:
First Posted: January 25, 2008
Last Update Posted: September 4, 2013
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
Dr. Ruth Pat-Horenzcyk, Herzog Hospital
The project is aimed at identifying children who are suffering from posttraumatic distress and increasing capacity to provide treatment for them and for their caretakers. The project will be implemented in 3 cities in Israel, Haifa, Kiryat Shmona and Sderot, exposed to terrorism and the effects of war

Condition Phase
Stress Disorders, Post-Traumatic Early Phase 1

Study Type: Observational
Study Design: Observational Model: Family-Based
Time Perspective: Cross-Sectional
Official Title: Identifying Posttraumatic Distress Among Toddlers and Their Parents Following Ongoing Exposure to Terrorism or War

Resource links provided by NLM:

Further study details as provided by Dr. Ruth Pat-Horenzcyk, Herzog Hospital:

Primary Outcome Measures:
  • PTSD and behavioral and emotional problems [ Time Frame: April 2007- December 2008 ]

Secondary Outcome Measures:
  • Maternal depression and PTSD [ Time Frame: Aprol 2007- December 2008 ]

Other Outcome Measures:
  • Maternal flexibility [ Time Frame: April 2008- December 2008 ]

Enrollment: 500
Study Start Date: April 2007
Study Completion Date: December 2008
Primary Completion Date: April 2008 (Final data collection date for primary outcome measure)
Detailed Description:

A. Screening of young children and implementation of treatment The screening will consist of self-report questionnaires and a clinical interview with parents, conducted by trained professional about exposure to traumatic events and resulting post-traumatic specific symptoms among the toddlers and their parents. The screening procedure is bases on the accumulated clinical experience and empirical data gained in the ongoing similar project in Sderot. The level of cooperation by parents and teachers in the ongoing project has been exceptionally high, indicating a tremendous need for knowledge, skills and support. Based upon our previous experience, it is anticipated well-baby clinic nurses will also be extremely interested participation.

B. Workshops for parents, teachers, nurses The knowledge and skills of preschool teachers and nurses working in all our projects sights (well baby clinics, day care centers and kindergartens) as well as parents will be increased by providing training regarding the impact of war related trauma on preschool children. Workshops will better equip teachers, nurses and parents with knowledge about the emotional impact of trauma on young children and will increase the skills to help preschool children contain emotional distress as well as to help them in coping with the emotional consequences of trauma exposure.

C. Treatment Interventions All toddlers identified with posttraumatic distress will receive dyadic treatment focused on dealing with posttrauma. Dyadic treatment involving parents and children is aimed at increasing the attunement of parents to their toddlers and their needs in times of crises. Local practitioners in Sderot implementing this cutting-edge treatment received specialized training adjusted to the context of terror and trauma by a child trauma specialist from Mount Sinai Medical Center in New York.

D. Evaluation of treatment Evaluation of treatment efficacy (dyadic treatment) will be assessed by pre and post interviews that will be conducted by trained professionals with all parents participating in the dyadic treatments in each of the three cities


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Ages Eligible for Study:   1 Year to 6 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Families with children between the age 1-6 years

Inclusion Criteria:

  • Families with children between the age 1-6 years.
  • Families living in Sderot, Kyriat Shmona and Haifa

Exclusion Criteria:

  • Severe developmental problems
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00600418

Isreal Center for the Treatment of Psychotrauma
Jerusalem, Israel
Sponsors and Collaborators
Herzog Hospital
Principal Investigator: Ruth Pat-Horenczyk, Ph.d Isreal Center for the Treatment of Psychotrauma
Principal Investigator: Ruth Pat-Horenczyk, Ph.D The Israel Center for the Treatment of Psychotrauma
  More Information

Responsible Party: Dr. Ruth Pat-Horenzcyk, Director Children and Adolescents Clinical Services, Herzog Hospital
ClinicalTrials.gov Identifier: NCT00600418     History of Changes
Other Study ID Numbers: Rpat2CTIL
First Submitted: August 13, 2007
First Posted: January 25, 2008
Last Update Posted: September 4, 2013
Last Verified: September 2013

Keywords provided by Dr. Ruth Pat-Horenzcyk, Herzog Hospital:
Posttraumatic symptoms among toddlers

Additional relevant MeSH terms:
Stress Disorders, Post-Traumatic
Stress Disorders, Traumatic
Trauma and Stressor Related Disorders
Mental Disorders