Evidence-Based Psychosocial Treatments for Children and Adolescents Exposed to Traumatic Events

@article{Silverman2008EvidenceBasedPT,
  title={Evidence-Based Psychosocial Treatments for Children and Adolescents Exposed to Traumatic Events},
  author={Wendy K. Silverman and Claudio D. Ortiz and Chockalingham Viswesvaran and Barbara J. Burns and David J. Kolko and Frank W Putnam and Lisa Amaya-Jackson},
  journal={Journal of Clinical Child \& Adolescent Psychology},
  year={2008},
  volume={37},
  pages={156 - 183}
}
The article reviews the current status (1993–2007) of psychosocial treatments for children and adolescents who have been exposed to traumatic events. Twenty-one treatment studies are evaluated using criteria from Nathan and Gorman (2002) along a continuum of methodological rigor ranging from Type 1 to Type 6. All studies were, at a minimum, robust or fairly rigorous. The treatments in each of these 21 studies also are classified using criteria from Chambless et al. (1996), and Chambless and… Expand

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ConditionsDepression, Grief, Post Traumatic Stress Disorder
InterventionBehavioral
Evidence Base Update for Psychosocial Treatments for Children and Adolescents Exposed to Traumatic Events
  • S. Dorsey, K. McLaughlin, +5 authors L. Amaya-Jackson
  • Medicine
  • Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
  • 2017
TLDR
This article updates the evidence base on psychosocial treatments for child and adolescent trauma exposure completed for this journal by Silverman et al. (2008), and focuses on 37 studies conducted during the seven years since the last review. Expand
Trauma-focused cognitive-behavioral therapy for children and adolescents: assessing the evidence.
TLDR
TF-CBT is a viable treatment for reducing trauma-related symptoms among some children who have experienced trauma and their nonoffending caregivers and should be available as a covered service in health plans. Expand
Interventions for Posttraumatic Stress With Children Exposed to Violence: Factors Associated With Treatment Success.
TLDR
Results indicated that individual therapies and those with exposure paradigms within a cognitive-behavioral therapy or skills-building framework show the most promise, but treatment is somewhat less effective for those with more severe symptomology and for younger children. Expand
Trauma-Focused Cognitive-Behavioral Therapy.
Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) was originally developed for children who had been sexually abused and their non-offending caretakers (Cohen et al., Treating trauma and traumaticExpand
Interventions for children and adolescents with posttraumatic stress disorder: A meta-analysis of comparative outcome studies.
TLDR
It is indicated that psychological interventions can effectively reduce PTSD symptoms in children and adolescents and there is very little evidence to support use of psychopharmacological interventions for pediatric PTSD. Expand
Psychological Treatments for Symptoms of Posttraumatic Stress Disorder in Children, Adolescents, and Young Adults: A Meta-Analysis
TLDR
CBT, especially when conducted in individual treatment with the inclusion of parents, is a highly effective treatment for trauma symptoms, and psychological treatments need to be modified to address younger patients’ specific needs. Expand
Characteristics and efficacy of early psychological interventions in children and adolescents after single trauma: a meta-analysis
TLDR
Findings suggest that early interventions should involve psycho-education, provide individual coping-skills and probably involve some kind of trauma exposure, and that a stepped procedure that includes an initial risk screen and the provision of multiple sessions to those children at risk may be a promising strategy. Expand
Evidence-based treatments for children with trauma-related psychopathology as a result of childhood maltreatment: a systematic review
TLDR
The results of this review suggest that trauma-focused cognitive-behavioral therapy (TF-CBT) is the best-supported treatment for children following childhood maltreatment, but in line with increased interest in the diagnosis of complex PTSD and given the likely relationship between childhood malt treatment and aggressive and violent behavior, the authors suggest that clinical practice should address a phase-oriented approach. Expand
Trauma-Focused Cognitive-Behavioral Therapy for Children
TLDR
Higher levels of child internalizing and depressive symptoms at pretreatment were predictive of the small minority of children who continued to meet full criteria for posttraumatic stress disorder at the 12-month follow-up. Expand
Acceptance and Commitment Therapy for the Treatment of Posttraumatic Stress Among Adolescents
TLDR
Results provide preliminary support for ACT as a treatment for adolescent PTS with mean reductions in self-reported PTS symptomology at posttreatment and an overall 68% and 84% respective reduction at follow-up. Expand
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Evidence-Based Psychosocial Treatments for Phobic and Anxiety Disorders in Children and Adolescents
  • W. Silverman, A. Pina, C. Viswesvaran
  • Psychology, Medicine
  • Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
  • 2008
TLDR
Meta-analytic results revealed no significant differences between individual and group treatments on diagnostic recovery rates and anxiety symptom reductions, as well as other youth symptoms, and Parental involvement was similarly efficacious as parental noninvolvement inindividual and group treatment formats. Expand
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TLDR
Strong evidence showed that individual and group cognitive-behavioral therapy can decrease psychological harm among symptomatic children and adolescents exposed to trauma, but evidence was insufficient to determine the effectiveness of play therapy, art therapy, pharmacologic therapy, psychodynamic therapy, or psychological debriefing in reducing psychological harm. Expand
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Treatment for traumatic stress appears to lead to greater improvement than either no treatment or routine community care, and child and adolescent posttraumatic stress disorder treatment research lags behind both adult posttraumatic Stress Disorder treatment research and other child treatment research. Expand
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TLDR
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TLDR
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The experimental intervention was more effective than the comparison program in increasing abuse-related caretaker support of the child and in decreasing caretaker self-blame and expectations of undue negative impact of the abuse on the child. Expand
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TLDR
The results of the present exploratory study including a limited number of children with PTSD are encouraging and warrant further controlled studies of larger samples of children suffering from PTSD. Expand
Effectiveness of a school-based group psychotherapy program for war-exposed adolescents: a randomized controlled trial.
TLDR
A three-tiered, integrative mental health program composed of schoolwide dissemination of psychoeducation and coping skills, specialized trauma- and grief-focused intervention for severely traumatized and traumatically bereaved youths, and referral of youths at acute risk for community-based mental health services (tier 3) constitutes an effective and efficient method for promoting adolescent recovery in postwar settings. Expand
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