Kognitiv atferdsterapi i behandling av posttraumatisk stressyndrom hos barn: en oversikt og metaanalyse

Cognitive behavioral therapy for the treatment of pediatric posttraumatic stress disorder: a review and meta-analysis

Authors
Kowalik, J. Weller, J. Venter, J. Drachman, D.
Year
2011
Journal
Journal of Behavior Therapy & Experimental Psychiatry
Volume
42
Pages
405-13
BACKGROUND AND OBJECTIVES: There is no clear gold standard treatment for childhood posttraumatic stress disorder (PTSD). An annotated bibliography and meta-analysis were used to examine the efficacy of cognitive behavioral therapy (CBT) in the treatment of pediatric PTSD as measured by outcome data from the Child Behavior Checklist (CBCL). METHOD: A literature search produced 21 studies; of these, 10 utilized the CBCL but only eight were both 1) randomized; and 2) reported pre- and post-intervention scores. RESULTS: The annotated bibliography revealed efficacy in general of CBT for pediatric PTSD. Using four indices of the CBCL, the meta-analysis identified statistically significant effect sizes for three of the four scales: Total Problems (TP; -.327; p = .003), Internalizing (INT; -.314; p = .001), and Externalizing (EXT; -.192; p = .040). The results for TP and INT were reliable as indicated by the fail-safe N and rank correlation tests. The effect size for the Total Competence (TCOMP; -.054; p = .620) index did not reach statistical significance. LIMITATIONS: Limitations included methodological inconsistencies across studies and lack of a randomized control group design, yielding few studies for meta-analysis. CONCLUSIONS: The efficacy of CBT in the treatment of pediatric PTSD was supported by the annotated bibliography and meta-analysis, contributing to best practices data. CBT addressed internalizing signs and symptoms (as measured by the CBCL) such as anxiety and depression more robustly than it did externalizing symptoms such as aggression and rule-breaking behavior, consistent with its purpose as a therapeutic intervention. Copyright © 2011 Elsevier Ltd. All rights reserved.

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Type of intervention

Treatment and Child Welfare Interventions

Topic

Mental Health Problems and Disorders

Anxiety Problems

Trauma/ Post-traumatic Stress Disorder (PTSD)

Intervention

Psychological Treatments

Cognitive Behavioral Therapy, Behavioral Therapy and Cognitive Therapy

Age group

School Aged Children (6-12 years)

Adolescents (13-18 years)

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