Psychological Treatments for Symptoms of Posttraumatic Stress Disorder in Children, Adolescents, and Young Adults: A Meta-Analysis

被引:121
作者
Gutermann, Jana [1 ]
Schreiber, Franziska [1 ]
Matulis, Simone [1 ]
Schwartzkopff, Laura [1 ]
Deppe, Julia [1 ]
Steil, Regina [1 ]
机构
[1] Goethe Univ Frankfurt, Dept Clin Psychol & Psychotherapy, Varrentrappstr 40-42, D-60486 Frankfurt, Germany
关键词
Posttraumatic stress disorder; Children; Adolescents; Psychological treatment; Meta-analysis; Childhood; CLINICAL-TRIALS; TRAUMA; INTERVENTIONS; THERAPY;
D O I
10.1007/s10567-016-0202-5
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Meta-analyses of the treatment of posttraumatic stress disorder (PTSD) in childhood and adolescence are restricted to specific trauma, selected interventions, and methodologically rigorous studies. This large meta-analysis quantifies the effects of psychological treatments for PTSD symptoms in children and adolescents. An extensive literature search yielded a total of 13,040 articles; 135 studies with 150 treatment conditions (N = 9562 participants) met the inclusion criteria (psychological interventions with children and/or adolescents with PTSD symptoms that report quantitative measures of symptom change). The mean effect sizes (ESs) for PTSD symptoms ranged from large to small, depending on the control condition. Cognitive behavioral therapy (CBT) yielded the highest ESs. Age and caretaker involvement were identified as moderators. CBT, especially when conducted in individual treatment with the inclusion of parents, is a highly effective treatment for trauma symptoms. Psychological treatments need to be modified to address younger patients' specific needs.
引用
收藏
页码:77 / 93
页数:17
相关论文
共 42 条
[1]  
Achenbach T.M., 1991, University of Vermont, Department of Psychology Pediatrics
[2]  
[Anonymous], TRAUMATHERAPIE BEI K
[3]  
[Anonymous], 2005, POSTTR STRESS DIS PT
[4]  
Borenstein M., 2013, BIOSTAT
[5]   Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: Explanation and elaboration [J].
Boutron, Isabelle ;
Moher, David ;
Altman, Douglas G. ;
Schulz, Kenneth F. ;
Ravaud, Philippe .
ANNALS OF INTERNAL MEDICINE, 2008, 148 (04) :295-309
[6]   The data behind the dissemination: A systematic review of trauma-focused cognitive behavioral therapy for use with children and youth [J].
Cary, Colleen E. ;
McMillen, J. Curtis .
CHILDREN AND YOUTH SERVICES REVIEW, 2012, 34 (04) :748-757
[7]  
Cohen J., 2016, Treating trauma and traumatic grief in children and adolescents, V2nd ed.
[8]   Traumatic events and posttraumatic stress in childhood [J].
Copeland, William E. ;
Keeler, Gordon ;
Angold, Adrian ;
Costello, E. Jane .
ARCHIVES OF GENERAL PSYCHIATRY, 2007, 64 (05) :577-584
[9]   A meta-analysis of parent-involved treatment for child sexual abuse [J].
Corcoran, Jacqueline ;
Pillai, Vijayan .
RESEARCH ON SOCIAL WORK PRACTICE, 2008, 18 (05) :453-464
[10]   Understanding Interpersonal Trauma in Children: Why We Need a Developmentally Appropriate Trauma Diagnosis [J].
D'Andrea, Wendy ;
Ford, Julian ;
Stolbach, Bradley ;
Spinazzola, Joseph ;
van der Kolk, Bessel A. .
AMERICAN JOURNAL OF ORTHOPSYCHIATRY, 2012, 82 (02) :187-200