Evidence-Based Psychosocial Treatments for Children and Adolescents Exposed to Traumatic Events / Wendy K. SILVERMAN in Journal of Clinical Child & Adolescent Psychology, 37-1 (January-March 2008)  

Public ISBD [article]  inJournal of Clinical Child & Adolescent Psychology > 37-1 (January-March 2008) . - p.156-183 Titre : Evidence-Based Psychosocial Treatments for Children and Adolescents Exposed to Traumatic Events Type de document : Texte imprimé et/ou numérique Auteurs : Wendy K. SILVERMAN, Auteur ; Chockalingam VISWESVARAN, Auteur ; Claudio D. ORTIZ, Auteur ; Barbara J. BURNS, Auteur ; David J. KOLKO, Auteur ; Frank W. PUTNAM, Auteur ; Lisa AMAYA-JACKSON, Auteur Année de publication : 2008 Article en page(s) : p.156-183 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The article reviews the current status (1993-2007) of psychosocial treatments for children and adolescents who have been exposed to traumatic events. Twenty-one treatment studies are evaluated using criteria from Nathan and Gorman (2002) along a continuum of methodological rigor ranging from Type 1 to Type 6. All studies were, at a minimum, robust or fairly rigorous. The treatments in each of these 21 studies also are classified using criteria from Chambless et al. (1996), and Chambless and Hollon (1998). Trauma-Focused Cognitive-Behavioral Therapy met the well-established criteria; School-Based Group Cognitive-Behavioral Treatment met the criteria for probably efficacious. All the other treatments were classified as either possibly efficacious or experimental. Meta-analytic results for four outcomes (i.e., posttraumatic stress, depressive symptoms, anxiety symptoms, and externalizing behavior problems) across all treatments compared to waitlist control and active control conditions combined reveal that, on average, treatments had positive, though modest, effects for all four outcomes. We also cover investigative work on predictors, moderators, and mediators of treatment outcome, as well as the clinical representativeness and generalizability of the studies. The article concludes with a discussion of practice guidelines and future research directions. En ligne : http://dx.doi.org/10.1080/15374410701818293 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=398 [article] Evidence-Based Psychosocial Treatments for Children and Adolescents Exposed to Traumatic Events [Texte imprimé et/ou numérique] / Wendy K. SILVERMAN, Auteur ; Chockalingam VISWESVARAN, Auteur ; Claudio D. ORTIZ, Auteur ; Barbara J. BURNS, Auteur ; David J. KOLKO, Auteur ; Frank W. PUTNAM, Auteur ; Lisa AMAYA-JACKSON, Auteur . - 2008 . - p.156-183. Langues : Anglais (eng) in Journal of Clinical Child & Adolescent Psychology > 37-1 (January-March 2008) . - p.156-183 Index. décimale : PER Périodiques Résumé : The article reviews the current status (1993-2007) of psychosocial treatments for children and adolescents who have been exposed to traumatic events. Twenty-one treatment studies are evaluated using criteria from Nathan and Gorman (2002) along a continuum of methodological rigor ranging from Type 1 to Type 6. All studies were, at a minimum, robust or fairly rigorous. The treatments in each of these 21 studies also are classified using criteria from Chambless et al. (1996), and Chambless and Hollon (1998). Trauma-Focused Cognitive-Behavioral Therapy met the well-established criteria; School-Based Group Cognitive-Behavioral Treatment met the criteria for probably efficacious. All the other treatments were classified as either possibly efficacious or experimental. Meta-analytic results for four outcomes (i.e., posttraumatic stress, depressive symptoms, anxiety symptoms, and externalizing behavior problems) across all treatments compared to waitlist control and active control conditions combined reveal that, on average, treatments had positive, though modest, effects for all four outcomes. We also cover investigative work on predictors, moderators, and mediators of treatment outcome, as well as the clinical representativeness and generalizability of the studies. The article concludes with a discussion of practice guidelines and future research directions. En ligne : http://dx.doi.org/10.1080/15374410701818293 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=398

Trauma-focused cognitive-behavioral therapy for posttraumatic stress disorder in three-through six year-old children: a randomized clinical trial / Michael S. SCHEERINGA in Journal of Child Psychology and Psychiatry, 52-8 (August 2011)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 52-8 (August 2011) . - p.853-860 Titre : Trauma-focused cognitive-behavioral therapy for posttraumatic stress disorder in three-through six year-old children: a randomized clinical trial Type de document : Texte imprimé et/ou numérique Auteurs : Michael S. SCHEERINGA, Auteur ; Carl F. WEEMS, Auteur ; Judith A. COHEN, Auteur ; Lisa AMAYA-JACKSON, Auteur ; Donald GUTHRIE, Auteur Année de publication : 2011 Article en page(s) : p.853-860 Langues : Anglais (eng) Mots-clés : Posttraumatic stress disorder  cognitive behavioral therapy  children Index. décimale : PER Périodiques Résumé : Background:  The evidence base for trauma-focused cognitive behavioral therapy (TF-CBT) to treat posttraumatic stress disorder (PTSD) in youth is compelling, but the number of controlled trials in very young children is few and limited to sexual abuse victims. These considerations plus theoretical limitations have led to doubts about the feasibility of TF-CBT techniques in very young children. This study examined the efficacy and feasibility of TF-CBT for treating PTSD in three- through six-year-old children exposed to heterogeneous types of traumas. Methods:  Procedures and feasibilities of the protocol were refined in Phase 1 with 11 children. Then 64 children were randomly assigned in Phase 2 to either 12-session manualized TF-CBT or 12-weeks wait list. Results:  In the randomized design the intervention group improved significantly more on symptoms of PTSD, but not on depression, separation anxiety, oppositional defiant, or attention deficit/hyperactivity disorders. After the waiting period, all participants were offered treatment. Effect sizes were large for PTSD, depression, separation anxiety, and oppositional defiant disorders, but not attention-deficit/hyperactivity disorder. At six-month follow-up, the effect size increased for PTSD, while remaining fairly constant for the comorbid disorders. The frequencies with which children were able to understand and complete specific techniques documented the feasibility of TF-CBT across this age span. The majority were minority race (Black/African-American) and without a biological father in the home, in contrast to most prior efficacy studies. Conclusions:  These preliminary findings suggest that TF-CBT is feasible and more effective than a wait list condition for PTSD symptoms, and the effect appears lasting. There may also be benefits for reducing symptoms of several comorbid disorders. Multiple factors may explain the unusually high attrition, and future studies ought to oversample on these demographics to better understand this understudied population. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2010.02354.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=132 [article] Trauma-focused cognitive-behavioral therapy for posttraumatic stress disorder in three-through six year-old children: a randomized clinical trial [Texte imprimé et/ou numérique] / Michael S. SCHEERINGA, Auteur ; Carl F. WEEMS, Auteur ; Judith A. COHEN, Auteur ; Lisa AMAYA-JACKSON, Auteur ; Donald GUTHRIE, Auteur . - 2011 . - p.853-860. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 52-8 (August 2011) . - p.853-860 Mots-clés : Posttraumatic stress disorder  cognitive behavioral therapy  children Index. décimale : PER Périodiques Résumé : Background:  The evidence base for trauma-focused cognitive behavioral therapy (TF-CBT) to treat posttraumatic stress disorder (PTSD) in youth is compelling, but the number of controlled trials in very young children is few and limited to sexual abuse victims. These considerations plus theoretical limitations have led to doubts about the feasibility of TF-CBT techniques in very young children. This study examined the efficacy and feasibility of TF-CBT for treating PTSD in three- through six-year-old children exposed to heterogeneous types of traumas. Methods:  Procedures and feasibilities of the protocol were refined in Phase 1 with 11 children. Then 64 children were randomly assigned in Phase 2 to either 12-session manualized TF-CBT or 12-weeks wait list. Results:  In the randomized design the intervention group improved significantly more on symptoms of PTSD, but not on depression, separation anxiety, oppositional defiant, or attention deficit/hyperactivity disorders. After the waiting period, all participants were offered treatment. Effect sizes were large for PTSD, depression, separation anxiety, and oppositional defiant disorders, but not attention-deficit/hyperactivity disorder. At six-month follow-up, the effect size increased for PTSD, while remaining fairly constant for the comorbid disorders. The frequencies with which children were able to understand and complete specific techniques documented the feasibility of TF-CBT across this age span. The majority were minority race (Black/African-American) and without a biological father in the home, in contrast to most prior efficacy studies. Conclusions:  These preliminary findings suggest that TF-CBT is feasible and more effective than a wait list condition for PTSD symptoms, and the effect appears lasting. There may also be benefits for reducing symptoms of several comorbid disorders. Multiple factors may explain the unusually high attrition, and future studies ought to oversample on these demographics to better understand this understudied population. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2010.02354.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=132

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