Psychosocial interventions for children and adolescents with adverse childhood experiences: A systematic review and meta-analysis
- Forfatter(e)
- Mao, P., Zou, Y., Hash, J., Long, N., Tan, M., Yang, J., Yuwen, W.
- År
- 2025
- Tidsskrift
- Child Abuse & Neglect
- Volum
- 161
- Sider
- 107244
- Kategori(er)
- Atferdsproblemer, antisosial atferd og atferdsforstyrrelser Depresjon og nedstemthet (inkl. både vansker og lidelse) Angst og engstelighet (inkl. både vansker og lidelse) Traumatiske belastninger/stress (PTSD) Omsorgssvikt og overgrep Selvfølelse og selvtillit Livskvalitet og trivsel
- Tiltakstype(r)
- Kognitiv atferdsterapi, atferdsterapi og kognitiv terapiPsykoedukative tiltak (inkl. videobasert modellæring)Avspenningstiltak (dyreterapi eller avspenning knyttet til medisinske prosedyrer)
- Abstract
BACKGROUNDS
Exposure to adverse childhood experiences (ACEs) is associated with adverse neurobiological, developmental, cognitive, behavioral, psychological, and social consequences among children and adolescents. Psychosocial interventions hold promise for mitigating the negative impacts of ACEs, but there is a lack of updated and comprehensive evidence summarizing their effects qualitatively and quantitatively.
AIMS
We performed a systematic review and meta-analysis of existing evidence on the effectiveness of psychosocial interventions on children's outcomes, including internalizing and externalizing problems.
METHODS
We searched five database sources from inception to April 2024 for studies on the effectiveness of any psychosocial intervention in any outcome among children and adolescents aged 6-18 who experienced ACEs. We qualitatively synthesized the characteristics of the studies, samples, interventions, and outcomes. We quantitatively estimated the pooled effects of psychosocial interventions on a range of outcomes encompassing internalizing problems, externalizing problems, family relationships, coping, and self-esteem using meta-analysis. Additionally, we conducted a series of subgroup meta-analyses to compare the intervention effects based on sample and intervention characteristics.
RESULTS
Forty-four studies were included, with 20 randomized controlled trials, nine controlled trials, and 15 pre-post trials. Significant intervention effects were observed in internalizing problems (standardized mean difference, SMD = -0.36) and externalizing problems (SMD = -0.57), but not in family relationships, coping, or self-esteem. Subgroup analyses have identified various effective interventions for internalizing problems and externalizing problems, respectively.
CONCLUSIONS
The evidence suggests that psychosocial interventions are effective in preventing internalizing and externalizing problems among children and adolescents who have experienced ACEs. Recommendations are provided for designing and evaluating future psychosocial interventions.