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

Forfatter(e)
Bennett, R. S. Denne, M. McGuire, R. Hiller, R. M.
År
2020
DOI
10.1177/1077559520961176
Tidsskrift
Child Maltreatment
Sider
1077559520961176
Kategori(er)
Traumatiske belastninger/stress (PTSD) Omsorgssvikt og overgrep
Tiltakstype(r)
Foreldreveiledning/-terapiKognitiv atferdsterapi, atferdsterapi og kognitiv terapiPsykoedukative tiltak (inkl. videobasert modellæring)Musikk/kunst- og uttrykksterapi
Abstract

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.