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Trauma-informed art and play therapy: Pilot study outcomes for children and mothers in domestic violence shelters in the United States and South Africa.

Woollett N; Bandeira M; Hatcher A · Child abuse & neglect · 2020 · Uncontrolled mixed-methods pilot

Original publication · Original publication · Original publication

Recorded summary

Child depressive symptoms decreased; the change in PTSD symptoms was not statistically significant. Interviews suggested improved emotional expression.

Recorded limitations

Small uncontrolled pilot;21 child self-reports and 16 mother reports. Country comparison cannot establish equivalent efficacy.

Evidence and provenance

Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.

Study design and assessment
design
Uncontrolled mixed-methods pilot
assessment
category
nonrandomized-or-unestablished
is Randomized Controlled Trial
Not recorded
basis
No random allocation.
sources

https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

review Scope
abstract
trust Factor
scope
Paper
status
assessed
score
1
randomized Controlled Trial
Not recorded
peer Reviewed
true
blinding
not-applicable
basis
No random allocation.
sources

https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

review Scope
abstract
human Approval
false
display Crosses
1
masking Roles
participants
Not established from accessed source.
providers
Not established from accessed source.
assessors
Not established from accessed source.
analysts
Not established from accessed source.
rating Scale
library-trust-factor/1-3
jadad
status
not-applicable
score
Not recorded
evidence
evidence Type
Uncontrolled mixed-methods pilot
intervention
TF-CBT combined with art and play therapy Children:weekly 1–2-hour groups for 12 weeks; mothers:three group sessions.
comparator
No untreated comparison; two shelter contexts.
sample
Analyzed/interviewed: 21.
measurement
Depressive symptoms; PTSD symptoms
timing
End of 12 weeks
trial Id
relationship Note
Direct study of a therapeutic intervention, its follow-up, or service engagement in children/families affected by domestic or interparental violence. Population and setting are specific; no inference of effectiveness for all survivors, ages or violence contexts.
measured Genes
None recorded
pathways
None recorded
source Access
level
abstract
source URLs

https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

retrieved At
2026-10-30T07:25:30.543090+00:00
outcomes
  1. name
    Depressive symptoms
    follow Up
    End of 12 weeks
    result
    Within-group reduction.
    effect Estimate
    baseline Mean
    13.7
    endline Mean
    8.3
    p
    0.01
    uncertainty
    No controlled effect estimate.
    primary Status
    Not established from accessed source.
  2. name
    PTSD symptoms
    follow Up
    End of 12 weeks
    result
    Non-significant improvement trend.
    effect Estimate
    baseline Mean
    40
    endline Mean
    34.4
    p
    0.21
    uncertainty
    Null statistical finding retained.
    primary Status
    Not established from accessed source.
quality
risk Of Bias
Important concerns: Small uncontrolled pilot;21 child self-reports and 16 mother reports. Country comparison cannot establish equivalent efficacy.
attrition
Not established from accessed source.
confounding
Allocation, adherence, co-interventions and reporting limitations require consideration; see design and limitations.
adverse Findings
Adverse events not established from accessed source; absence of reporting is not absence of harm.
transfer Limits
Do not extrapolate beyond the described population and intervention.
jadad
not applicable
masking Roles
participants
Not established from accessed source.
providers
Not established from accessed source.
assessors
Not established from accessed source.
analysts
Not established from accessed source.
population
relation
direct
population
Children and mothers in one domestic-violence shelter per city.
exposure Evidence
Direct IPV shelter population in New York City and Johannesburg.
rationale
Direct study of a therapeutic intervention, its follow-up, or service engagement in children/families affected by domestic or interparental violence.
transfer Limit
Population and setting are specific; no inference of effectiveness for all survivors, ages or violence contexts.
Topics and recorded topic scores
  1. key
    language:domestic-family-violence
    title
    Domestic & Family Violence
    collection
    language
    trust Score
    2
Citation snapshot and identifiers
id
dv-children-32512265
doi
10.1016/j.chiabu.2020.104564
pmid
32512265
citation Snapshot
count
Not recorded
source
Not recorded
retrieved At
Not recorded
status
not-assessed
citations By Collection
language
Not recorded
Complete approved library record
publication Approval
status
approved-for-publication
approved By
Ben Korbel
approved At
2026-11-01
assessment
AI assessed; human approved for publication
scope
Qualified research-library summaries. No professional clinical peer review or treatment recommendation is claimed.
source Revision
audit-r2-9db37a66ba16
source Content Hash
9db37a66ba162f673d5506746a99ea39fc1ec0440ff18b72539f2ce331014997
source Access
level
abstract
source URLs

https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

retrieved At
2026-10-30T07:25:30.543090+00:00
editorial Audit
auditor
Codex (AI)
completed At
2026-10-31T05:11:05.655793+00:00
prior Content Hash
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prior Revision
r1-8a6842dc8264
prior Source
frozen-120
source Verification
id
dv-children-32512265
doi
10.1016/j.chiabu.2020.104564
pmid
32512265
fresh Metadata
Europe PMC core
metadata Retrieved
true
metadata SHA256
6fb3490536eaea58e9ab88ddc45f8e67045c4b9632d2bdcf5b71944b18389084
claim Check
Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
sources

https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

applied Proposals
None recorded
method
AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
limitations

Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.

study Family Id
art-play-woollett-2020-n21
family Linkage Uncertain
false
approaches
None recorded
id
dv-children-32512265
aliases
None recorded
title
Trauma-informed art and play therapy: Pilot study outcomes for children and mothers in domestic violence shelters in the United States and South Africa.
journal
Child abuse & neglect
neurotransmitters
None recorded
year
2020
authors
Woollett N; Bandeira M; Hatcher A
design
Uncontrolled mixed-methods pilot
kind
Journal article
identity Conflict
Not recorded
doi
10.1016/j.chiabu.2020.104564
pmid
32512265
urls

https://doi.org/10.1016/j.chiabu.2020.104564 · https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

collections

language

categories

Clinical & self-report

targets
None recorded
priority
1
quotes
None recorded
summary
Child depressive symptoms decreased; the change in PTSD symptoms was not statistically significant. Interviews suggested improved emotional expression.
limitation
Small uncontrolled pilot;21 child self-reports and 16 mother reports. Country comparison cannot establish equivalent efficacy.
citation Count
Not recorded
citation Snapshot
count
Not recorded
source
Not recorded
retrieved At
Not recorded
status
not-assessed
study Design Assessment
category
nonrandomized-or-unestablished
is Randomized Controlled Trial
Not recorded
basis
No random allocation.
sources

https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

review Scope
abstract
paper Trust Assessment
scope
Paper
status
assessed
score
1
randomized Controlled Trial
Not recorded
peer Reviewed
true
blinding
not-applicable
basis
No random allocation.
sources

https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

review Scope
abstract
human Approval
false
display Crosses
1
masking Roles
participants
Not established from accessed source.
providers
Not established from accessed source.
assessors
Not established from accessed source.
analysts
Not established from accessed source.
rating Scale
library-trust-factor/1-3
citations By Collection
language
Not recorded
topics
  1. key
    language:domestic-family-violence
    title
    Domestic & Family Violence
    collection
    language
    trust Score
    2
journal Key
childabuseandneglect
journal Label
Child abuse & neglect
chapter Entries
  1. id
    language-dv-dv-children-32512265
    aliases
    None recorded
    title
    Trauma-informed art and play therapy: Pilot study outcomes for children and mothers in domestic violence shelters in the United States and South Africa.
    authors
    Woollett N; Bandeira M; Hatcher A
    year
    2020
    journal
    Child abuse & neglect
    doi
    10.1016/j.chiabu.2020.104564
    pmid
    32512265
    urls

    https://doi.org/10.1016/j.chiabu.2020.104564 · https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

    collections

    language

    categories

    Clinical & self-report

    targets
    None recorded
    neurotransmitters
    None recorded
    conditions

    ptsd · depression

    condition Evidence
    1. id
      ptsd
      evidence
      1. field
        outcomes
        text
        Depressive symptoms | PTSD symptoms
        matched Text
        PTSD
      scope
      Study population or investigated outcome; not a diagnosis or efficacy claim.
    2. id
      depression
      evidence
      1. field
        outcomes
        text
        Depressive symptoms | PTSD symptoms
        matched Text
        Depressive
      scope
      Study population or investigated outcome; not a diagnosis or efficacy claim.
    age Groups

    children

    age Population
    record Id
    dv-children-32512265
    collections

    language

    groups

    children

    reported Ages
    School-aged; exact range not established from abstract
    youth Scope
    Not recorded
    youth Source Note
    focus
    source URL
    https://pubmed.ncbi.nlm.nih.gov/32512265/
    basis Type
    source-limited-ai-editorial-assessment
    classification Note
    Original age terms: children. Programme targets or possible eligibility are not counted as observed ages.
    community Matches
    1. category Id
      domestic-violence
      relation
      direct
    kind
    Journal article
    design
    Uncontrolled mixed-methods pilot
    origin
    approved-dv-20261101
    priority
    1
    quotes
    None recorded
    finding
    Child depressive symptoms decreased; the change in PTSD symptoms was not statistically significant. Interviews suggested improved emotional expression.
    summary
    Child depressive symptoms decreased; the change in PTSD symptoms was not statistically significant. Interviews suggested improved emotional expression.
    limitation
    Small uncontrolled pilot;21 child self-reports and 16 mother reports. Country comparison cannot establish equivalent efficacy.
    evidence
    evidence Type
    Uncontrolled mixed-methods pilot
    intervention
    TF-CBT combined with art and play therapy Children:weekly 1–2-hour groups for 12 weeks; mothers:three group sessions.
    comparator
    No untreated comparison; two shelter contexts.
    sample
    Analyzed/interviewed: 21.
    measurement
    Depressive symptoms; PTSD symptoms
    timing
    End of 12 weeks
    trial Id
    relationship Note
    Direct study of a therapeutic intervention, its follow-up, or service engagement in children/families affected by domestic or interparental violence. Population and setting are specific; no inference of effectiveness for all survivors, ages or violence contexts.
    measured Genes
    None recorded
    pathways
    None recorded
    source Access
    level
    abstract
    source URLs

    https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

    retrieved At
    2026-10-30T07:25:30.543090+00:00
    outcomes
    1. name
      Depressive symptoms
      follow Up
      End of 12 weeks
      result
      Within-group reduction.
      effect Estimate
      baseline Mean
      13.7
      endline Mean
      8.3
      p
      0.01
      uncertainty
      No controlled effect estimate.
      primary Status
      Not established from accessed source.
    2. name
      PTSD symptoms
      follow Up
      End of 12 weeks
      result
      Non-significant improvement trend.
      effect Estimate
      baseline Mean
      40
      endline Mean
      34.4
      p
      0.21
      uncertainty
      Null statistical finding retained.
      primary Status
      Not established from accessed source.
    quality
    risk Of Bias
    Important concerns: Small uncontrolled pilot;21 child self-reports and 16 mother reports. Country comparison cannot establish equivalent efficacy.
    attrition
    Not established from accessed source.
    confounding
    Allocation, adherence, co-interventions and reporting limitations require consideration; see design and limitations.
    adverse Findings
    Adverse events not established from accessed source; absence of reporting is not absence of harm.
    transfer Limits
    Do not extrapolate beyond the described population and intervention.
    jadad
    not applicable
    masking Roles
    participants
    Not established from accessed source.
    providers
    Not established from accessed source.
    assessors
    Not established from accessed source.
    analysts
    Not established from accessed source.
    population
    relation
    direct
    population
    Children and mothers in one domestic-violence shelter per city.
    exposure Evidence
    Direct IPV shelter population in New York City and Johannesburg.
    rationale
    Direct study of a therapeutic intervention, its follow-up, or service engagement in children/families affected by domestic or interparental violence.
    transfer Limit
    Population and setting are specific; no inference of effectiveness for all survivors, ages or violence contexts.
    study Design Assessment
    category
    nonrandomized-or-unestablished
    is Randomized Controlled Trial
    Not recorded
    basis
    No random allocation.
    sources

    https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

    review Scope
    abstract
    paper Trust Assessment
    scope
    Paper
    status
    assessed
    score
    1
    randomized Controlled Trial
    Not recorded
    peer Reviewed
    true
    blinding
    not-applicable
    basis
    No random allocation.
    sources

    https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

    review Scope
    abstract
    human Approval
    false
    display Crosses
    1
    masking Roles
    participants
    Not established from accessed source.
    providers
    Not established from accessed source.
    assessors
    Not established from accessed source.
    analysts
    Not established from accessed source.
    rating Scale
    library-trust-factor/1-3
    jadad
    status
    not-applicable
    score
    Not recorded
    citation Snapshot
    count
    Not recorded
    source
    Not recorded
    retrieved At
    Not recorded
    status
    not-assessed
    citation Count
    Not recorded
    publication Approval
    status
    approved-for-publication
    approved By
    Ben Korbel
    approved At
    2026-11-01
    assessment
    AI assessed; human approved for publication
    scope
    Qualified research-library summaries. No professional clinical peer review or treatment recommendation is claimed.
    source Revision
    audit-r2-9db37a66ba16
    source Content Hash
    9db37a66ba162f673d5506746a99ea39fc1ec0440ff18b72539f2ce331014997
    source Access
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    source URLs

    https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

    retrieved At
    2026-10-30T07:25:30.543090+00:00
    study Family Id
    art-play-woollett-2020-n21
    family Linkage Uncertain
    false
    approaches
    None recorded
    record Id
    dv-children-32512265
    source Pages
    None recorded
    editorial Audit
    auditor
    Codex (AI)
    completed At
    2026-10-31T05:11:05.655793+00:00
    prior Content Hash
    8a6842dc8264635b7de0ee73a4cfabe1fe438c92ac30bd9a3b77a3497170598b
    prior Revision
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    prior Source
    frozen-120
    source Verification
    id
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    doi
    10.1016/j.chiabu.2020.104564
    pmid
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    fresh Metadata
    Europe PMC core
    metadata Retrieved
    true
    metadata SHA256
    6fb3490536eaea58e9ab88ddc45f8e67045c4b9632d2bdcf5b71944b18389084
    claim Check
    Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
    sources

    https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

    applied Proposals
    None recorded
    method
    AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
    limitations

    Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.

    assessment Record
    id
    dv-children-32512265
    title
    Trauma-informed art and play therapy: Pilot study outcomes for children and mothers in domestic violence shelters in the United States and South Africa.
    authors

    Woollett N · Bandeira M · Hatcher A

    year
    2020
    journal
    Child abuse & neglect
    doi
    10.1016/j.chiabu.2020.104564
    pmid
    32512265
    trial Registration
    None recorded
    collection
    language
    intervention Family
    TF-CBT combined with art and play therapy
    publication Type
    Uncontrolled mixed-methods pilot
    study Family Id
    art-play-woollett-2020-n21
    family Linkage Uncertain
    false
    linked Publication PMIDs
    None recorded
    existing Repository Matches
    None recorded
    relevance
    relation
    direct
    population
    Children and mothers in one domestic-violence shelter per city.
    exposure Evidence
    Direct IPV shelter population in New York City and Johannesburg.
    rationale
    Direct study of a therapeutic intervention, its follow-up, or service engagement in children/families affected by domestic or interparental violence.
    transfer Limit
    Population and setting are specific; no inference of effectiveness for all survivors, ages or violence contexts.
    age
    groups

    children

    reported Range
    School-aged; exact range not established from abstract
    youth Scope
    focus
    country
    United States and South Africa
    setting
    Domestic-violence shelters.
    sample Size
    randomized
    Not recorded
    analyzed
    21
    description
    Analyzed/interviewed: 21.
    intervention
    description
    TF-CBT combined with art and play therapy
    dose
    Children:weekly 1–2-hour groups for 12 weeks; mothers:three group sessions.
    provider
    Not established from accessed source.
    comparator
    No untreated comparison; two shelter contexts.
    outcomes
    1. name
      Depressive symptoms
      follow Up
      End of 12 weeks
      result
      Within-group reduction.
      effect Estimate
      baseline Mean
      13.7
      endline Mean
      8.3
      p
      0.01
      uncertainty
      No controlled effect estimate.
      primary Status
      Not established from accessed source.
    2. name
      PTSD symptoms
      follow Up
      End of 12 weeks
      result
      Non-significant improvement trend.
      effect Estimate
      baseline Mean
      40
      endline Mean
      34.4
      p
      0.21
      uncertainty
      Null statistical finding retained.
      primary Status
      Not established from accessed source.
    finding
    Child depressive symptoms decreased; the change in PTSD symptoms was not statistically significant. Interviews suggested improved emotional expression.
    limitation
    Small uncontrolled pilot;21 child self-reports and 16 mother reports. Country comparison cannot establish equivalent efficacy.
    design
    type
    Uncontrolled mixed-methods pilot
    randomization Evidence
    No random allocation.
    masking
    participants
    Not established from accessed source.
    providers
    Not established from accessed source.
    assessors
    Not established from accessed source.
    analysts
    Not established from accessed source.
    crosses
    0
    cross Rationale
    No verified randomized comparative treatment-effect claim for this report; no trial cross assigned.
    quality
    risk Of Bias
    Important concerns: Small uncontrolled pilot;21 child self-reports and 16 mother reports. Country comparison cannot establish equivalent efficacy.
    attrition
    Not established from accessed source.
    confounding
    Allocation, adherence, co-interventions and reporting limitations require consideration; see design and limitations.
    adverse Findings
    Adverse events not established from accessed source; absence of reporting is not absence of harm.
    transfer Limits
    Do not extrapolate beyond the described population and intervention.
    jadad
    not applicable
    access
    level
    abstract
    source URLs

    https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

    retrieved At
    2026-10-30T07:25:30.543090+00:00
    sources
    1. url
      https://pubmed.ncbi.nlm.nih.gov/32512265/
      type
      PubMed XML bibliographic/abstract record
      retrieved At
      2026-10-30T07:25:30.543090+00:00
      identity Verified
      true
      notes
      Title and PMID matched between Europe PMC core metadata and PubMed XML; DOI, authors and journal metadata retained.
    2. url
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      type
      Europe PMC core bibliographic/abstract record
      retrieved At
      2026-10-30T07:25:30.543090+00:00
      identity Verified
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      Title and PMID matched between Europe PMC core metadata and PubMed XML; DOI, authors and journal metadata retained.
    publication Status
    status
    Published journal report; no retraction/erratum relationship flagged in retrieved PubMed record.
    correction Retraction Check
    method
    Inspected PubMed publication types and CommentsCorrections relationships plus Europe PMC metadata.
    relationships
    None recorded
    checked At
    2026-10-30T07:25:30.543090+00:00
    uncertainty
    Index metadata can lag; publisher Crossmark and trial-register reconciliation are not comprehensively verified.
    recommendation Rationale
    Adds explicitly limited child/family evidence on outcomes, mechanisms or acceptability; consider as a new candidate after human review.
    review
    status
    pending
    reviewer
    Not recorded
    assessment Status
    assessed
    assessment Notes
    Source-supported assessment with visible access limits; not a completed human approval or formal risk-of-bias instrument. This report does not represent an additional independent study when its family ID is shared.
    research Lane
    children
    review Ready
    true
    review Readiness
    ai-editorial-audit-complete-release-pending
    publication Recommendation
    status
    recommended-summary
    reason
    Suitable as a qualified research-library summary at the stated source-access level. This is not a conclusion that the intervention is effective or safe.
    scope
    Research summary only; no treatment recommendation
    human Release Approval
    false
    editorial Audit
    auditor
    Codex (AI)
    completed At
    2026-10-31T05:11:05.655793+00:00
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    frozen-120
    source Verification
    id
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    doi
    10.1016/j.chiabu.2020.104564
    pmid
    32512265
    fresh Metadata
    Europe PMC core
    metadata Retrieved
    true
    metadata SHA256
    6fb3490536eaea58e9ab88ddc45f8e67045c4b9632d2bdcf5b71944b18389084
    claim Check
    Headline finding/design/limitations compared with indexed abstract or accessible primary evidence; retained methods amendments separately adjudicated.
    sources

    https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

    applied Proposals
    None recorded
    method
    AI editorial assessment of all 130 publication records: compare identity, headline finding, design, relevance and limitations with indexed abstracts or available primary material; adjudicate retained source-supported methods amendments. This is a source-limited publication audit, not an independent full-text systematic review or a clinical guideline.
    limitations

    Abstract-only records do not establish allocation concealment, complete harms reporting or full risk of bias. · No formal independent RoB 2, GRADE appraisal or numerical reconstruction of every effect was performed. · Source-access labels describe retained appraisal evidence; fuller prior appraisals were checked through their source ledgers and selected material, not independently repeated in full. · Publication counts are not independent trial or participant counts; cohort links and overlapping review evidence remain provisional. · A randomized design cross does not indicate benefit, low risk of bias or human approval. No double-blind trial is verified in this release. · No professional clinical peer review is claimed. Recommended content is limited to accurately qualified research summaries.

    study Design Assessment
    category
    nonrandomized-or-unestablished
    is Randomized Controlled Trial
    Not recorded
    basis
    No random allocation.
    sources

    https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

    review Scope
    abstract
    paper Trust Assessment
    scope
    Paper
    status
    assessed
    score
    1
    randomized Controlled Trial
    Not recorded
    peer Reviewed
    true
    blinding
    not-applicable
    basis
    No verified randomized comparative treatment-effect claim for this report; no trial cross assigned.
    sources

    https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

    review Scope
    abstract
    human Approval
    false
    display Crosses
    0
    masking Roles
    participants
    Not established from accessed source.
    providers
    Not established from accessed source.
    assessors
    Not established from accessed source.
    analysts
    Not established from accessed source.
    jadad
    status
    not-applicable
    score
    Not recorded
    evidence
    population
    relation
    direct
    population
    Children and mothers in one domestic-violence shelter per city.
    exposure Evidence
    Direct IPV shelter population in New York City and Johannesburg.
    rationale
    Direct study of a therapeutic intervention, its follow-up, or service engagement in children/families affected by domestic or interparental violence.
    transfer Limit
    Population and setting are specific; no inference of effectiveness for all survivors, ages or violence contexts.
    intervention
    description
    TF-CBT combined with art and play therapy
    dose
    Children:weekly 1–2-hour groups for 12 weeks; mothers:three group sessions.
    provider
    Not established from accessed source.
    comparator
    No untreated comparison; two shelter contexts.
    outcomes
    1. name
      Depressive symptoms
      follow Up
      End of 12 weeks
      result
      Within-group reduction.
      effect Estimate
      baseline Mean
      13.7
      endline Mean
      8.3
      p
      0.01
      uncertainty
      No controlled effect estimate.
      primary Status
      Not established from accessed source.
    2. name
      PTSD symptoms
      follow Up
      End of 12 weeks
      result
      Non-significant improvement trend.
      effect Estimate
      baseline Mean
      40
      endline Mean
      34.4
      p
      0.21
      uncertainty
      Null statistical finding retained.
      primary Status
      Not established from accessed source.
    access
    level
    abstract
    source URLs

    https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

    retrieved At
    2026-10-30T07:25:30.543090+00:00
    citation Snapshot
    count
    Not recorded
    source
    Not recorded
    retrieved At
    Not recorded
    status
    not-assessed
    provenance
    Discovered by AI
    content Hash
    9db37a66ba162f673d5506746a99ea39fc1ec0440ff18b72539f2ce331014997
    revision
    audit-r2-9db37a66ba16
    archive Entries
    None recorded
    collection
    language
    chapter Number
    5
    topic Id
    domestic-family-violence
    topic Title
    Domestic & Family Violence
    trust Score
    2
evidence
evidence Type
Uncontrolled mixed-methods pilot
intervention
TF-CBT combined with art and play therapy Children:weekly 1–2-hour groups for 12 weeks; mothers:three group sessions.
comparator
No untreated comparison; two shelter contexts.
sample
Analyzed/interviewed: 21.
measurement
Depressive symptoms; PTSD symptoms
timing
End of 12 weeks
trial Id
relationship Note
Direct study of a therapeutic intervention, its follow-up, or service engagement in children/families affected by domestic or interparental violence. Population and setting are specific; no inference of effectiveness for all survivors, ages or violence contexts.
measured Genes
None recorded
pathways
None recorded
source Access
level
abstract
source URLs

https://pubmed.ncbi.nlm.nih.gov/32512265/ · https://europepmc.org/article/MED/32512265

retrieved At
2026-10-30T07:25:30.543090+00:00
outcomes
  1. name
    Depressive symptoms
    follow Up
    End of 12 weeks
    result
    Within-group reduction.
    effect Estimate
    baseline Mean
    13.7
    endline Mean
    8.3
    p
    0.01
    uncertainty
    No controlled effect estimate.
    primary Status
    Not established from accessed source.
  2. name
    PTSD symptoms
    follow Up
    End of 12 weeks
    result
    Non-significant improvement trend.
    effect Estimate
    baseline Mean
    40
    endline Mean
    34.4
    p
    0.21
    uncertainty
    Null statistical finding retained.
    primary Status
    Not established from accessed source.
quality
risk Of Bias
Important concerns: Small uncontrolled pilot;21 child self-reports and 16 mother reports. Country comparison cannot establish equivalent efficacy.
attrition
Not established from accessed source.
confounding
Allocation, adherence, co-interventions and reporting limitations require consideration; see design and limitations.
adverse Findings
Adverse events not established from accessed source; absence of reporting is not absence of harm.
transfer Limits
Do not extrapolate beyond the described population and intervention.
jadad
not applicable
masking Roles
participants
Not established from accessed source.
providers
Not established from accessed source.
assessors
Not established from accessed source.
analysts
Not established from accessed source.
population
relation
direct
population
Children and mothers in one domestic-violence shelter per city.
exposure Evidence
Direct IPV shelter population in New York City and Johannesburg.
rationale
Direct study of a therapeutic intervention, its follow-up, or service engagement in children/families affected by domestic or interparental violence.
transfer Limit
Population and setting are specific; no inference of effectiveness for all survivors, ages or violence contexts.
jadad
status
not-applicable
score
Not recorded
condition Evidence
  1. id
    ptsd
    evidence
    1. field
      outcomes
      text
      Depressive symptoms | PTSD symptoms
      matched Text
      PTSD
    scope
    Study population or investigated outcome; not a diagnosis or efficacy claim.
  2. id
    depression
    evidence
    1. field
      outcomes
      text
      Depressive symptoms | PTSD symptoms
      matched Text
      Depressive
    scope
    Study population or investigated outcome; not a diagnosis or efficacy claim.
conditions

ptsd · depression

topic Trust Scores

2

full Text
status
not-indexed
retrieval Available
false

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