Do psychological treatments for PTSD in children and young people reduce trauma-related appraisals? A systematic review and meta-analysis

被引:0
|
作者
Smith, Charlotte [1 ]
Ford, Catherine [1 ]
Baldwin, George [1 ]
Jensen, Tine K. [2 ]
Karatzias, Thanos [3 ]
Birkeland, Marianne Skogbrott [4 ]
Meiser-Stedman, Richard [1 ]
机构
[1] Univ East Anglia, Fac Med & Hlth Sci, Norwich Med Sch, Dept Clin Psychol & Psychol Therapies, Norwich, England
[2] Univ Oslo, Dept Psychol, Oslo, Norway
[3] Edinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh, Scotland
[4] Norwegian Ctr Violence & Traumat Stress Studies, Trondheim, Norway
关键词
PTSD; Child; Appraisals; Trauma; Meta-analysis; Systematic review; POSTTRAUMATIC-STRESS-DISORDER; RANDOMIZED CONTROLLED-TRIAL; NEGATIVE COGNITIONS; THERAPY; ADOLESCENTS; SYMPTOMS; COMORBIDITY; GIRLS; RISK;
D O I
10.1016/j.brat.2024.104621
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Research is increasingly highlighting the role of negative trauma-related appraisals in child and adolescent posttraumatic stress disorder (PTSD). The cognitive model of PTSD claims that an essential mechanism of treatment is a reduction in these appraisals. The current systematic review with meta-analysis investigated the extent to which psychological treatments for PTSD reduce negative trauma-related appraisals in children and adolescents. Four databases (PsycINFO, Medline Complete, CINAHL Complete and PTSDpubs) were searched on the 11-12th December 2022. The Risk of Bias 2 (ROB-2) tool was used to assess for risk of bias. Thirteen studies were included in this review, comprising 937 child and adolescent participants. Using a random effects model to perform the meta-analysis, a medium pooled effect size for the effect of current treatments on trauma-related appraisals was found (g = -.67, 95% CI [-.86, -.48]). There was only a moderate level of heterogeneity between studies (I2 = 44.4%), increasing the confidence with which these findings can be interpreted. These results indicate that psychological treatments for child and adolescent PTSD significantly reduce negative trauma-related appraisals. However, it is important to note that no trial included in the review was categorised as having low risk of bias.
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页数:9
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