Comparing the Effectiveness of EMDR and TF-CBT for Children and Adolescents: a Meta-Analysis

Forfatter(e)

Lewey, J. H. Smith, C. L. Burcham, B. Saunders, N. L. Elfallal, D. O'Toole, S. K.

År

2018

DOI

10.1007/s40653-018-0212-1

Tidsskrift

Journal of Child and Adolescent Trauma

Sider

457-472

Kategori(er)

Traumatiske belastninger/stress (PTSD)

Tiltakstype(r)

Kognitiv atferdsterapi, atferdsterapi og kognitiv terapi

Abstract

Efficacy of EMDR and TF-CBT for posttraumatic stress symptoms (PTSS) was explored through meta-analysis.

A comprehensive search yielded 494 studies of children and adolescents with PTSS who received treatment with these evidence-based therapeutic modalities. Thirty total studies were included in the meta-analysis.

The overall Cohen's d was small (-0.359) and statistically significant (p < 0.05), indicating EMDR and TF-CBT are effective in treating PTSS.

Major findings posit TF-CBT is marginally more effective than EMDR; those with sub-clinical PTSS responded more favorably in treatment than those with PTSD; and greater reductions in PTSS were observed with presence of comorbidity in diagnosis.

Assessment of publication bias with Classic fail-safe N revealed it would take 457 nonsignificant studies to nullify these findings.