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08-04-2016

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

Auteurs: Jana Gutermann, Franziska Schreiber, Simone Matulis, Laura Schwartzkopff, Julia Deppe, Regina Steil

Gepubliceerd in: Clinical Child and Family Psychology Review | Uitgave 2/2016

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Abstract

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.
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Voetnoten
1
For the sake of comparability, pre-post ESs (rather than pre-follow-up effects) are reported.
 
2
For detailed information, see Electronic supplementary material 1.
 
3
This figure is based on 107 studies that provided data on mean age.
 
4
Deblinger et al. (1990), Habigzang et al. (2009), Habigzang et al. (2013), and Ronholt et al. (2013)—see Electronic supplementary material 3 for references.
 
5
Cohen and Mannarino (1997), Lesmana et al. (2009), and Trowell et al. (2002)—see Electronic supplementary material 3 for references.
 
Literatuur
go back to reference Achenbach, T. M. (1991). Integrative guide for the 1991 CBCL/4-18, YSR, and TRF profiles. Burlington, VT: University of Vermont, Department of Psychiatry. Achenbach, T. M. (1991). Integrative guide for the 1991 CBCL/4-18, YSR, and TRF profiles. Burlington, VT: University of Vermont, Department of Psychiatry.
go back to reference Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2005). Comprehensive meta-analysis (Version 2). Englewood, NJ: Biostat. Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2005). Comprehensive meta-analysis (Version 2). Englewood, NJ: Biostat.
go back to reference Boutron, I., Moher, D., Altman, D. G., Schulz, K. F., Ravaud, P., & Group C. (2008). Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: Explanation and elaboration. Annals of Internal Medicine, 148(4), 295–309.CrossRefPubMed Boutron, I., Moher, D., Altman, D. G., Schulz, K. F., Ravaud, P., & Group C. (2008). Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: Explanation and elaboration. Annals of Internal Medicine, 148(4), 295–309.CrossRefPubMed
go back to reference Cohen, J. A., Deblinger, E., & Mannarino, A. P. (2006). Treating trauma and traumatic grief in children and adolescents. New York: Guilford Press. Cohen, J. A., Deblinger, E., & Mannarino, A. P. (2006). Treating trauma and traumatic grief in children and adolescents. New York: Guilford Press.
go back to reference Deblinger, E., & Heflin, A. H. (1996). Treating sexually abused children and their nonoffending parents: A cognitive behavioral approach (1st ed.). Thousand Oaks: SAGE Publications Inc. Deblinger, E., & Heflin, A. H. (1996). Treating sexually abused children and their nonoffending parents: A cognitive behavioral approach (1st ed.). Thousand Oaks: SAGE Publications Inc.
go back to reference Foa, E., Hembree, E., & Rothbaum, B. (2007). Prolonged exposure therapy for PTSD: therapist guide. New York: Oxford University Press.CrossRef Foa, E., Hembree, E., & Rothbaum, B. (2007). Prolonged exposure therapy for PTSD: therapist guide. New York: Oxford University Press.CrossRef
go back to reference Forman-Hoffman, V. L., Zolotor, A. J., McKeeman, J. L., Blanco, R., Knauer, S. R., Lloyd, S. W., & Viswanathan, M. (2013). Comparative effectiveness of interventions for children exposed to nonrelational traumatic events. Pediatrics, 131(3), 526–539. doi:10.1542/peds.2012-3846.CrossRefPubMed Forman-Hoffman, V. L., Zolotor, A. J., McKeeman, J. L., Blanco, R., Knauer, S. R., Lloyd, S. W., & Viswanathan, M. (2013). Comparative effectiveness of interventions for children exposed to nonrelational traumatic events. Pediatrics, 131(3), 526–539. doi:10.​1542/​peds.​2012-3846.CrossRefPubMed
go back to reference Fraser, J. G., Lloyd, S., Murphy, R., Crowson, M., Zolotor, A. J., Coker-Schwimmer, E., & Viswanathan, M. (2013). A comparative effectiveness review of parenting and trauma-focused interventions for children exposed to maltreatment. Journal of Developmental and Behavioral Pediatrics, 34(5), 353–368. doi:10.1097/DBP.0b013e31828a7dfc.CrossRefPubMed Fraser, J. G., Lloyd, S., Murphy, R., Crowson, M., Zolotor, A. J., Coker-Schwimmer, E., & Viswanathan, M. (2013). A comparative effectiveness review of parenting and trauma-focused interventions for children exposed to maltreatment. Journal of Developmental and Behavioral Pediatrics, 34(5), 353–368. doi:10.​1097/​DBP.​0b013e31828a7dfc​.CrossRefPubMed
go back to reference Frost, N. D., Laska, K. M., & Wampold, B. E. (2014). The evidence for present-centered therapy as a treatment for posttraumatic stress disorder. Journal of Traumatic Stress, 27(1), 1–8. doi:10.1002/jts.21881.CrossRefPubMed Frost, N. D., Laska, K. M., & Wampold, B. E. (2014). The evidence for present-centered therapy as a treatment for posttraumatic stress disorder. Journal of Traumatic Stress, 27(1), 1–8. doi:10.​1002/​jts.​21881.CrossRefPubMed
go back to reference Giaconia, R. M., Reinherz, H. Z., Silverman, A. B., Pakiz, B., Frost, A. K., & Cohen, E. (1995). Traumas and posttraumatic stress disorder in a community population of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34(10), 1369–1380. doi:10.1097/00004583-199510000-00023.CrossRefPubMed Giaconia, R. M., Reinherz, H. Z., Silverman, A. B., Pakiz, B., Frost, A. K., & Cohen, E. (1995). Traumas and posttraumatic stress disorder in a community population of older adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34(10), 1369–1380. doi:10.​1097/​00004583-199510000-00023.CrossRefPubMed
go back to reference Gillies, D., Taylor, F., Gray, C., O’Brien, L., & D’Abrew, N. (2012). Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents. Cochrane Database of Systematic Reviews, 12, CD006726. doi:10.1002/14651858.CD006726.pub2. Gillies, D., Taylor, F., Gray, C., O’Brien, L., & D’Abrew, N. (2012). Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents. Cochrane Database of Systematic Reviews, 12, CD006726. doi:10.​1002/​14651858.​CD006726.​pub2.
go back to reference Glass, G. V. (1976). Primary, secondary and meta-analysis of research. Educational Research, 5, 3–8.CrossRef Glass, G. V. (1976). Primary, secondary and meta-analysis of research. Educational Research, 5, 3–8.CrossRef
go back to reference Harvey, S. T., & Taylor, J. E. (2010b). A meta-analysis of the effects of psychotherapy with sexually abused children and adolescents: Erratum. Clinical Psychology Review, 30(8), 1049–1050.CrossRef Harvey, S. T., & Taylor, J. E. (2010b). A meta-analysis of the effects of psychotherapy with sexually abused children and adolescents: Erratum. Clinical Psychology Review, 30(8), 1049–1050.CrossRef
go back to reference Hedges, L. V., & Vevea, J. L. (1998). Fixed- and random-effects models in meta-analysis. Psychological Methods, 3(4), 486–504.CrossRef Hedges, L. V., & Vevea, J. L. (1998). Fixed- and random-effects models in meta-analysis. Psychological Methods, 3(4), 486–504.CrossRef
go back to reference Jadad, A., Moore, R., Carroll, D., Jenkinson, C., Reynolds, D., Gavaghan, D., & McQuay, H. (1996). Assessing the quality of reports of randomized clinical trials: Is blinding necessary? Controlled Clinical Trials, 17(1), 1–12. doi:10.1016/0197-2456(95)00134-4.CrossRefPubMed Jadad, A., Moore, R., Carroll, D., Jenkinson, C., Reynolds, D., Gavaghan, D., & McQuay, H. (1996). Assessing the quality of reports of randomized clinical trials: Is blinding necessary? Controlled Clinical Trials, 17(1), 1–12. doi:10.​1016/​0197-2456(95)00134-4.CrossRefPubMed
go back to reference Kessler, R. C. (2000). Posttraumatic stress disorder: The burden to the individual and to society. Journal of Clinical Psychiatry, 61(Suppl 5), 4–14.PubMed Kessler, R. C. (2000). Posttraumatic stress disorder: The burden to the individual and to society. Journal of Clinical Psychiatry, 61(Suppl 5), 4–14.PubMed
go back to reference Kowalik, J., Weller, J., Venter, J., & Drachman, D. (2011). Cognitive behavioral therapy for the treatment of pediatric posttraumatic stress disorder: A review and meta-analysis. Journal of Behavior Therapy and Experimental Psychiatry, 42(3), 405–413. doi:10.1016/j.jbtep.2011.02.002.CrossRefPubMed Kowalik, J., Weller, J., Venter, J., & Drachman, D. (2011). Cognitive behavioral therapy for the treatment of pediatric posttraumatic stress disorder: A review and meta-analysis. Journal of Behavior Therapy and Experimental Psychiatry, 42(3), 405–413. doi:10.​1016/​j.​jbtep.​2011.​02.​002.CrossRefPubMed
go back to reference Leenarts, L. E., Diehle, J., Doreleijers, T. A., Jansma, E. P., & Lindauer, R. J. (2012). Evidence-based treatments for children with trauma-related psychopathology as a result of childhood maltreatment: A systematic review. European Child and Adolescent Psychiatry,. doi:10.1007/s00787-012-0367-5.PubMed Leenarts, L. E., Diehle, J., Doreleijers, T. A., Jansma, E. P., & Lindauer, R. J. (2012). Evidence-based treatments for children with trauma-related psychopathology as a result of childhood maltreatment: A systematic review. European Child and Adolescent Psychiatry,. doi:10.​1007/​s00787-012-0367-5.PubMed
go back to reference Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P. A., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration. British Medical Journal, 339, 37. doi:10.1136/bmj.b2700.CrossRef Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P. A., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration. British Medical Journal, 339, 37. doi:10.​1136/​bmj.​b2700.CrossRef
go back to reference Macdonald, G., Higgins, J. P., Ramchandani, P., Valentine, J. C., Bronger, L. P., Klein, P., Taylor, M. (2012). Cognitive-behavioural interventions for children who have been sexually abused. Cochrane Database of Systematic Reviews, 5, CD001930. doi:10.1002/14651858.CD001930.pub3. Macdonald, G., Higgins, J. P., Ramchandani, P., Valentine, J. C., Bronger, L. P., Klein, P., Taylor, M. (2012). Cognitive-behavioural interventions for children who have been sexually abused. Cochrane Database of Systematic Reviews, 5, CD001930. doi:10.​1002/​14651858.​CD001930.​pub3.
go back to reference Marciniak, M. D., Lage, M. J., Dunayevich, E., Russell, J. M., Bowman, L., Landbloom, R. P., & Levine, L. R. (2005). The cost of treating anxiety: The medical and demographic correlates that impact total medical costs. Depression and Anxiety, 21(4), 178–184. doi:10.1002/da.20074.CrossRefPubMed Marciniak, M. D., Lage, M. J., Dunayevich, E., Russell, J. M., Bowman, L., Landbloom, R. P., & Levine, L. R. (2005). The cost of treating anxiety: The medical and demographic correlates that impact total medical costs. Depression and Anxiety, 21(4), 178–184. doi:10.​1002/​da.​20074.CrossRefPubMed
go back to reference Nader, K., Kriegler, J. A., Blake, D. D., Pynoos, R. S., Newman, E., & Weather, F. W. (1996). Clinician administered PTSD scale, child and adolescent version. White River Junction, VT: National Center for PTSD. Nader, K., Kriegler, J. A., Blake, D. D., Pynoos, R. S., Newman, E., & Weather, F. W. (1996). Clinician administered PTSD scale, child and adolescent version. White River Junction, VT: National Center for PTSD.
go back to reference Newman, E., Pfefferbaum, B., Kirlic, N., Tett, R., Nelson, S., & Liles, B. (2014). Meta-analytic review of psychological interventions for children survivors of natural and man-made disasters. Current Psychiatry Reports,. doi:10.1007/s11920-014-0462-z. Newman, E., Pfefferbaum, B., Kirlic, N., Tett, R., Nelson, S., & Liles, B. (2014). Meta-analytic review of psychological interventions for children survivors of natural and man-made disasters. Current Psychiatry Reports,. doi:10.​1007/​s11920-014-0462-z.
go back to reference Nice. (2005). Post-traumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care CG26. London: National Institute for Health and Care Excellence. Nice. (2005). Post-traumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care CG26. London: National Institute for Health and Care Excellence.
go back to reference Resick, P. A., & Schnicke, M. K. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60(5), 748–756.CrossRefPubMed Resick, P. A., & Schnicke, M. K. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60(5), 748–756.CrossRefPubMed
go back to reference Resick, P. A., & Schnicke, M. K. (1993). Cognitive processing therapy for rape victims: A treatment manual. Newbury Park, CA: Sage. Resick, P. A., & Schnicke, M. K. (1993). Cognitive processing therapy for rape victims: A treatment manual. Newbury Park, CA: Sage.
go back to reference Ruf, M., Schauer, M., Neuner, F., Schauer, E., Catani, C., & Elbert, T. (2007). KIDNET—Narrative Expositionstherapie (NET) für Kinder. In M. Landolt & T. Hensel (Eds.), Traumatherapie bei Kindern und Jugendlichen (pp. 84–109). Göttingen: Hogrefe. Ruf, M., Schauer, M., Neuner, F., Schauer, E., Catani, C., & Elbert, T. (2007). KIDNET—Narrative Expositionstherapie (NET) für Kinder. In M. Landolt & T. Hensel (Eds.), Traumatherapie bei Kindern und Jugendlichen (pp. 84–109). Göttingen: Hogrefe.
go back to reference Sanchez-Meca, J., Rosa-Alcazar, A. I., & Lopez-Soler, C. (2011). The psychological treatment of sexual abuse in children and adolescents: A meta-analysis. International Journal of Clinical and Health Psychology, 11(1), 67–93. Sanchez-Meca, J., Rosa-Alcazar, A. I., & Lopez-Soler, C. (2011). The psychological treatment of sexual abuse in children and adolescents: A meta-analysis. International Journal of Clinical and Health Psychology, 11(1), 67–93.
go back to reference Silverman, W. K., Ortiz, C. D., Viswesvaran, C., Burns, B. J., Kolko, D. J., Putnam, F. W., & Amaya-Jackson, L. (2008). Evidence-based psychosocial treatments for children and adolescents exposed to traumatic events. Journal of Clinical Child and Adolescent Psychology, 37(1), 156–183. doi:10.1080/15374410701818293.CrossRefPubMed Silverman, W. K., Ortiz, C. D., Viswesvaran, C., Burns, B. J., Kolko, D. J., Putnam, F. W., & Amaya-Jackson, L. (2008). Evidence-based psychosocial treatments for children and adolescents exposed to traumatic events. Journal of Clinical Child and Adolescent Psychology, 37(1), 156–183. doi:10.​1080/​1537441070181829​3.CrossRefPubMed
go back to reference Watts, B. V., Schnurr, P. P., Mayo, L., Young-Xu, Y., Weeks, W. B., & Friedman, M. J. (2013). Meta-analysis of the efficacy of treatments for posttraumatic stress disorder. Journal of Clinical Psychiatry, 74(6), e541–e550. doi:10.4088/JCP.12r08225.CrossRefPubMed Watts, B. V., Schnurr, P. P., Mayo, L., Young-Xu, Y., Weeks, W. B., & Friedman, M. J. (2013). Meta-analysis of the efficacy of treatments for posttraumatic stress disorder. Journal of Clinical Psychiatry, 74(6), e541–e550. doi:10.​4088/​JCP.​12r08225.CrossRefPubMed
Metagegevens
Titel
Psychological Treatments for Symptoms of Posttraumatic Stress Disorder in Children, Adolescents, and Young Adults: A Meta-Analysis
Auteurs
Jana Gutermann
Franziska Schreiber
Simone Matulis
Laura Schwartzkopff
Julia Deppe
Regina Steil
Publicatiedatum
08-04-2016
Uitgeverij
Springer US
Gepubliceerd in
Clinical Child and Family Psychology Review / Uitgave 2/2016
Print ISSN: 1096-4037
Elektronisch ISSN: 1573-2827
DOI
https://doi.org/10.1007/s10567-016-0202-5