A Systematic Review of Controlled-Trials for PTSD in Maltreated Children and Adolescents

A Systematic Review of Controlled-Trials for PTSD in Maltreated Children and Adolescents

Forfattere
Bennett, R. S. Denne, M. McGuire, R. Hiller, R. M.
Årstall
2020
Tidsskrift
Child Maltreatment
Volum
Sider
1077559520961176
Child maltreatment is associated with elevated risk of post-traumatic stress disorder (PTSD), which can often present alongside comorbidities. While evidence-based treatments for PTSD in young people already exist, there remains ongoing clinical and academic debate about the suitability of these approaches, particularly cognitive-behavioral approaches, for young people who have been exposed to more complex traumatic experiences, such as maltreatment. We conducted an updated systematic review of the evidence-base for psychological treatments for PTSD, specifically for maltreated young people. Fifteen randomized controlled trials and five non-randomized controlled clinical trials satisfied the inclusion criteria. Trials included treatments ranging from trauma-focused CBT to creative-based therapies. Trauma-focused CBT remained the best supported treatment for children and adolescents following child maltreatment, with new evidence that symptom improvements are maintained at longer-term follow up. The evidence for other therapies remained limited, and there were concerns regarding methodological quality. Implications for treatment decision-making are discussed.

Oversett med Google Translate
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Tiltaksnivå

Behandling og hjelpetiltak

Tema

Psykiske vansker og lidelser

Angstproblematikk

Traumatiske belastninger/stress (PTSD)

Foreldreferdigheter

Omsorgssvikt

Vanskjøtsel

Fysiske overgrep

Seksuelle overgrep

Psykologiske overgrep

Tiltak

Psykologiske behandlingsmetoder

Foreldreveiledning/-terapi (feks COS, ICDP)

Kognitiv atferdsterapi, atferdsterapi og kognitiv terapi

Psykoedukative tiltak (inkl. videobasert modellæring)

Alternativ behandling

Musikk/kunst- og uttrykksterapi

Aldersgruppe

Sped- og småbarn (0-2 år)

Barn i førskolealder (3-5 år)

Barn i skolealder (6-12 år)

Ungdom (13-18 år)

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