Hopp til hovedinnhold
Logo som leder til forsiden

Stability of Treatment Effects and Caregiver-Reported Outcomes: A meta-Analysis of Trauma-Focused Cognitive Behavioral Therapy for Children and Adolescents

Forfatter(e)
Thielemann, J. F. B. Kasparik, B. Konig, J. Unterhitzenberger, J. Rosner, R.
År
2023
DOI
10.1177/10775595231167383
Tidsskrift
Child Maltreatment
Sider
10775595231167383
Kategori(er)
Traumatiske belastninger/stress (PTSD)
Tiltakstype(r)
Kognitiv atferdsterapi, atferdsterapi og kognitiv terapi
Abstract

The efficacy of trauma-focused treatments for children and adolescents is well researched. However, less is known about the long-term and caregiver-reported effects. Searched databases were PsychInfo, MEDLINE, Cochrane Library, PTSDPubs, PubMed, Web of Science, and OpenGrey. Treatment effects of trauma-focused cognitive behavioral therapy (TF-CBT) were computed at 12-month follow-up with posttraumatic stress symptoms (PTSS) as primary outcome and symptoms of depression, anxiety, and grief as secondary outcomes. Concordance between participant and caregiver ratings were investigated. TF-CBT showed large improvements across all outcomes from pre-treatment to 12-month follow-up (PTSS: g = 1.71, CI 1.27-2.15) and favorable results compared to active treatments and treatment as usual at 12-month follow-up (PTSS: g = .35, CI .13-.56). More pronounced effects were found in group settings. No significant differences were detected between participant and caregiver ratings with high reliability across almost all outcomes and assessment points. TF-CBT is a reliable treatment for pediatric PTSS and secondary symptoms with stable results at 12-month follow-up.