nach oben

Current Psychiatry Reports

Erschienen in:

01.01.2013 | Child and Adolescent Disorders (TD Benton, Section Editor)

Evidence-Based Treatments for Traumatized Children and Adolescents

verfasst von: Stephanie J. Schneider, Steven F. Grilli, Jennifer R. Schneider

Erschienen in: Current Psychiatry Reports | Ausgabe 1/2013

Einloggen, um Zugang zu erhalten

Abstract

This article reviews recent advances in empirically supported psychotherapeutic treatments for children and adolescents experiencing trauma and provides a brief summary of available interventions, as well as a context for their use. We highlight the American Academy of Child and Adolescent Psychiatry’s recent practice guidelines for trauma treatment and discuss their implications for clinicians, including the benefits of involving caregivers in treatment and the rationale for using practices that are specifically trauma-focused as first-line intervention. Finally, we discuss the status of research on the real-world implementation of these therapies and the need for further research, particularly regarding clinician knowledge and use of empirically supported practices, potential stepped-care approaches to trauma treatment, and the need to reduce attrition in child trauma research and practice.

• Lang JM, Ford JD, Fitzgerald MM. An algorithm for determining use of trauma-focused cognitive-behavioral therapy. Psychother. 2010;47(4):554–69. doi:10.1037/a0021184. Provides a useful, evidence-supported algorithm to aid clinicians in deciding whether their client is appropriate for TF-CBT. Also reviews the evidence base supporting the use of TF-CBT with regard to client age, trauma type, caregiver involvement, and the presence of co-occurring disorders. Discusses the effectiveness of TF-CBT without a trauma narrative and in combination with other trauma-focused therapies. CrossRef

Hamblen J, Barnett E. PTSD in children and adolescents. 2011. http://www.ptsd.va.gov/professional/pages/ptsd_in_children_and_adolescents_overview_for_professionals.asp. Accessed 2 August 2012.

National Child Traumatic Stress Network. Changing the course of children's lives. 2011.

American Psychiatric Association. Proposed draft revisions to DSM disorders and criteria. 2012. http://www.dsm5.org/proposedrevision/Pages/Default.aspx. Accessed 2 August 2012.

•• Cohen JA, Bukstein O, Walter H, et al. Practice parameter for the assessment and treatment of children and adolescents with posttraumatic stress disorder. J Am Acad Child Adolesc Psychiatr. 2010;49(4):414–30. Considerably updates the previous AACAP guideline, published in 1998. Discusses significant advances in the research-base and the strength of the evidence for assessing and treating child and adolescent PTSD. Provides evidence-supported recommendations for routine screening for trauma symptoms and history, formal assessment of PTSD and other disorders that may mimic PTSD, the use of trauma-focused evidence-based treatment, and the potential adjunctive use of psychopharmacologic medications.

Chowdhury U, Pancha A. Post-traumatic stress disorder in children and adolescents. Community Pract. 2011;84(12):33–5.PubMed

Foa EB, Keane TM, Friedman MJ, et al., editors. Effective treatments for PTSD: practice guidelines from the international society for traumatic stress studies. New York: Guildford Press; 2009.

McKay MM, Bannon Jr WM. Engaging families in child mental health services. Child Adolesc Psychiatr Clin N Am. 2004;13(4):905–21. doi:10.1016/j.chc.2004.04.001. vii.PubMedCrossRef

• Bernardon S, Pernice-Duca F. A family systems perspective to recovery from posttraumatic stress in children. Fam J. 2010;18(4):349–57. doi:10.1177/1066480710376618. Especially helpful for family-based clinicians, this article summarizes the research regarding the impact of child PTSD within the family system and how contextual factors such as family functioning, family support, and the presence of PTSD in other family members can mitigate the development and treatment of child PTSD. Also describes the evidence supporting family systems interventions for child PTSD. CrossRef

10.

• Lieberman AF, Chu A, Van Horn P, et al. Trauma in early childhood: empirical evidence and clinical implications. Dev Psychopathol. 2011;23(02):397–410. doi:10.1017/s0954579411000137. An important article, given the potential inclusion of the pre-school PTSD subtype in the DSM-V, that explains the role of risk and protective factors and other diagnostic considerations in early childhood trauma and emphasizes the importance of the parent-child relationship to a child’s ability to recover from traumatic experiences. Additionally assists the clinician in conceptualizing the intergenerational transmission of trauma and advocates for routine assessment of trauma and the use of relationship-based treatments, such as CPP and TF-CBT. CrossRef

11.

Cohen JA, Mannarino A, Deblinger E. Treating trauma and traumatic grief in children and adolescents. New York: Guilford Press; 2006.

12.

Lieberman AF, Van Horn P. Don't hit my mommy: a manual for child-parent psychotherapy with young witnesses of family violence. Washington, DC: Zero to Three Press; 2005.

13.

Runyon MK, Deblinger E, Steer RA. Group cognitive behavioral treatment for parents and children at-risk for physical abuse: an initial study. Child Fam Behav Ther. 2010;32(3):196–218.CrossRef

14.

• Scheeringa MS, Weems CF, Cohen JA, et al. Trauma-focused cognitive-behavioral therapy for posttraumatic stress disorder in three-through six year-old children: a randomized clinical trial. J Child Psychol Psychiatry. 2011;52(8):853–60. doi:10.1111/j.1469-7610.2010.02354.x. Examines the efficacy and feasibility of an important new Preschool PTSD intervention, adapted from TF-CBT, with children ages 3-6, experiencing a variety of traumas. Reports on outcomes, including significant decreases in PTSD symptoms, and high rates of treatment comprehension and completion. Provides clinicians with a helpful guide for using TF-CBT techniques with very young children. PubMedCrossRef

15.

Gilboa-Schechtman E, Foa EB, Shafran N, et al. Prolonged exposure versus dynamic therapy for adolescent PTSD: a pilot randomized controlled trial. J Am Acad Child Adolesc Psychiatr. 2010;49(10):1034–42. doi:10.1016/j.jaac.2010.07.014.CrossRef

16.

Field A, Cottrell D. Eye movement desensitization and reprocessing as a therapeutic intervention for traumatized children and adolescents: a systematic review of the evidence for family therapists. J Fam Ther. 2011;33(4):374–88. doi:10.1111/j.1467-6427.2011.00548.x.CrossRef

17.

Clausen JM, Ruff SC, Wiederhold WV, et al. For as long as it takes: relationship-based play therapy for children in foster care. Psychoanal Soc Work. 2012;19(1–2):43–53. doi:10.1080/15228878.2012.666481.CrossRef

18.

Ford JD, Steinberg KL, Hawke J, et al. Randomized trial comparison of emotion regulation and relational psychotherapies for PTSD with girls involved in delinquency. J Clin Child Adolesc Psychol. 2012;41(1):27–37. doi:10.1080/15374416.2012.632343.PubMedCrossRef

19.

Danielson CK, McCart MR, de Arellano MA, et al. Risk reduction for substance use and trauma-related psychopathology in adolescent sexual assault victims: findings from an open trial. Child Maltreat. 2010;15(3):261–8. doi:10.1177/1077559510367939.CrossRef

20.

Kiser LJ, Donohue A, Hodgkinson S, et al. Strengthening family coping resources: the feasibility of a multifamily group intervention for families exposed to trauma. J Trauma Stress. 2010;23(6):802–6. doi:10.1002/jts.20587.PubMedCrossRef

21.

Ellis BH, Fogler J, Hansen S, et al. Trauma systems therapy: 15-month outcomes and the importance of effecting environmental change. Psychol Trauma Theory Res Pract Policy. 2011. doi:10.1037/a0025192.

22.

Kazak AE, Alderfer MA, Streisand R, et al. Treatment of posttraumatic stress symptoms in adolescent survivors of childhood cancer and their families: a randomized clinical trial. J Fam Psychol. 2004;18(3):493–504. doi:10.1037/0893-3200.18.3.493.PubMedCrossRef

23.

Salloum A, Overstreet S. Grief and trauma intervention for children after disaster: exploring coping skills versus trauma narration. Behav Res Ther. 2012;50(3):169–79. doi:10.1016/j.brat.2012.01.001.PubMedCrossRef

24.

Jaycox LH. Cognitive behavioral interventions for trauma in schools. Longmont: Sopris Educational Press; 2003.

25.

Saltzman WR, Pynoos RS, Layne CM, et al. Trauma- and grief- focused intervention for adolescents exposed to community violence: results of a school-based screening and group treatment protocol. Group Dynamics Theor Res Pract. 2001;5(4):291–303.CrossRef

26.

Dorsey S, Briggs EC, Woods BA. Cognitive-behavioral treatment for posttraumatic stress disorder in children and adolescents. Child Adolesc Psychiatr Clin N Am. 2011;20(2):255–69. doi:10.1016/j.chc.2011.01.006.PubMedCrossRef

27.

Cohen JA, Mannarino AP. Psychotherapeutic options for traumatized children. Curr Opin Pediatr. 2010;22(5):605–9. doi:10.1097/MOP.0b013e32833e14a2.PubMed

28.

Cary CE, McMillen JC. The data behind the dissemination: a systematic review of trauma-focused cognitive behavioral therapy for use with children and youth. Child Youth Serv Rev. 2012;34(4):748–57. doi:10.1016/j.childyouth.2012.01.003.CrossRef

29.

Kowalik J, Weller J, Venter J, et al. Cognitive behavioral therapy for the treatment of pediatric posttraumatic stress disorder: a review and meta-analysis. J Behav Ther Exp Psychiatr. 2011;42(3):405–13. doi:10.1016/j.jbtep.2011.02.002.CrossRef

30.

Mannarino AP, Cohen JA, Runyon MK, et al. Trauma-focused cognitive-behavioral therapy for children sustained impact of treatment 6 and 12 months later. Child Maltreat. 2012. doi:10.1177/1077559512451787.

31.

Deblinger E, Mannarino AP, Cohen JA, et al. A follow-up study of a multisite, randomized controlled trial for children with sexual abuse-related PTSD symptoms. J Am Acad Child Adolesc Psychiatr. 2006;45(12):1474–84. doi:10.1097/10.chi.0000240839.56114.bb.

32.

National Crime Victims Research and Treatment Center. Research support for TF-CBT. In: TF-CBT Web: a web-based learning course for trauma-focused cognitive behavioral therapy. Medical University of South Carolina Charleston. 2005. http://tfcbt.musc.edu/resources.php?p=5. Accessed 3 August 2012.

33.

Hoagwood KE, Radigan M, Rodriguez J et al. Final report on the child and adolescent trauma treatment consortium (CATS) project. SAMHSA. 2006; Unpublished report.

34.

Cohen JA, Mannarino AP, Iyengar S. Community treatment of posttraumatic stress disorder for children exposed to intimate partner violence: a randomized controlled trial. Arch Pediatr Adolesc Med. 2011;165(1):16–21. doi:10.1001/archpediatrics.2010.247.PubMedCrossRef

35.

Puccia E, Redding TM, Brown RS, et al. Using community outreach and evidenced-based treatment to address domestic violence issues. Soc Work Ment Health. 2012;10:104–26. doi:10.1080/15332985.2011.601704.CrossRef

36.

Weiner DA, Schneider A, Lyons JS. Evidence-based treatments for trauma among culturally diverse foster care youth: treatment retention and outcomes. Child Youth Services Rev. 2009;31(11):1199–205. doi:10.1016/j.childyouth.2009.08.013.CrossRef

37.

Cohen JA, Mannarino AP, Staron VR. A pilot study of modified cognitive-behavioral therapy for childhood traumatic grief (CBT-CTG). J Am Acad Child Adolesc Psychiatr. 2006;45(12):1465–73. doi:10.1097/01.chi.0000237705.43260.2c.CrossRef

38.

Cohen JA, Mannarino AP. Trauma-focused CBT for traumatic grief in military children. J Contemp Psychother. 2011;41(4):219–27. doi:10.1007/s10879-011-9178-0.CrossRef

39.

Schottelkorb AA, Doumas DM, Garcia R. Treatment for childhood refugee trauma: a randomized, controlled trial. Int J Play Ther. 2012;21(2):57–73. doi:10.1037/a0027430.CrossRef

40.

Ghosh Ippen C, Harris WW, Van Horn P, et al. Traumatic and stressful events in early childhood: can treatment help those at highest risk? Child Abuse Negl. 2011;35(7):504–13. doi:10.1016/j.chiabu.2011.03.009.PubMedCrossRef

41.

• Runyon MK, Deblinger E, Schroeder CM. Pilot evaluation of outcomes of combined parent-child cogntive-behavioral group therapy for families at risk for child physical abuse. Cogn Behav Pract. 2009;16:101–18. Reports on outcomes from the first trauma-focused multifamily-based intervention specifically designed to be implemented with caregivers who have engaged in an act of physical abuse or excessive physical punishment. Describes the treatment model, which teaches positive parenting strategies, increases positive parent–child interactions, and addresses abuse–related PTSD in children through gradual exposure therapy. CrossRef

42.

Kemp M, Drummond P, McDermott B. A wait-list controlled pilot study of eye movement desensitization and reprocessing (EMDR) for children with post-traumatic stress disorder (PTSD) symptoms from motor vehicle accidents. Clin Child Psychol and Psychiatr. 2010;15(1):5–25.CrossRef

43.

• Berkowitz SJ, Stover CS, Marans SR. The child and family traumatic stress intervention: secondary prevention for youth at risk of developing PTSD. J Child Psychol Psychiatry. 2011;52(6):676–85. doi:10.1111/j.1469-7610.2010.02321.x. Presents promising findings from one of the first large-scale trials of a four-session early intervention protocol for child PTSD. Describes the model, which is designed to be delivered within 30 days of a potentially traumatic event, such as a motor vehicle accident, abuse, witnessing, or being involved in community violence and reports on outcomes with 105 youth, including significant reductions in full or partial PTSD at 3-month follow-up. PubMedCrossRef

44.

Cicchetti D, Rogosch FA, Toth SL, et al. Normalizing the development of cortisol regulation in maltreated infants through preventive interventions. Dev Psychopathol. 2011;23(3):789–800. doi:10.1017/S0954579411000307.PubMedCrossRef

45.

Eyberg SM, Funderburk BW, Hembree-Kigin T, et al. Parent-child interaction therapy with behavior problem children: one- and two-year maintenance of treatment effects in the family. Child Fam Behav Ther. 2001;23(4):1–20.CrossRef

46.

Diamond GS, Wintersteen MB, Brown GK, et al. Attachment-based family therapy for adolescents with suicidal ideation: a randomized controlled trial. J Am Acad Child Adolesc Psychiatr. 2010;49(2):122–31.

47.

DeRosa R, Pelcovitz D. Treating traumatized adolescent mothers: a structured approach. In: Boyd-Webb N, editor. Working with traumatized youth in child welfare. New York: Guilford Press; 2005. p. 219–45.

48.

Allen B, Gharagozloo L, Johnson JC. Clinician knowledge and utilization of empirically-supported treatments for maltreated children. Child Maltreat. 2012;17(1):11–21. doi:10.1177/1077559511426333.PubMedCrossRef

49.

Allen B, Johnson JC. Utilization and implementation of trauma-focused cognitive-behavioral therapy for the treatment of maltreated children. Child Maltreat. 2012;17(1):80–5. doi:10.1177/1077559511418220.PubMedCrossRef

50.

Kolko DJ, Cohen JA, Mannarino AP, et al. Community treatment of child sexual abuse: a survey of practitioners in the National Child Traumatic Stress Network. Adm Policy Ment Health. 2009;36(1):37–49. doi:10.1007/s10488-008-0180-0.PubMedCrossRef

51.

Deblinger E, Mannarino AP, Cohen JA, et al. Trauma-focused cognitive behavioral therapy for children: impact of the trauma narrative and treatment length. Depress Anxiety. 2011;28(1):67–75. doi:10.1002/da.20744.PubMedCrossRef

52.

Nixon RD, Sterk J, Pearce A. A randomized trial of cognitive behaviour therapy and cognitive therapy for children with posttraumatic stress disorder following single-incident trauma. J Abnorm Child Psychol. 2012;40(3):327–37. doi:10.1007/s10802-011-9566-7.PubMedCrossRef

53.

Van der Oord S, Lucassen S, Van Emmerik AA, et al. Treatment of post-traumatic stress disorder in children using cognitive behavioural writing therapy. Clin Psychol Psychother. 2010;17(3):240–9. doi:10.1002/cpp.670.PubMed

54.

Ruf M, Schauer M, Neuner F, et al. Narrative exposure therapy for 7- to 16-year-olds: a randomized controlled trial with traumatized refugee children. J Trauma Stress. 2010;23(4):437–45.PubMedCrossRef

55.

Saxe GN, Ellis BH, Fogler J, et al. Innovations in practice: preliminary evidence for effective family engagement in treatment for child traumatic stress-trauma systems therapy approach to preventing dropout. Child Adolesc Ment Health. 2012;17(1):58–61. doi:10.1111/j.1475-3588.2011.00626.x.CrossRef

56.

• Layne CM, Ippen CG, Strand V, et al. The core curriculum on childhood trauma: a tool for training a trauma-informed workforce. Psychol Traum Theor Res Pract Pol. 2011;3(3):243–52. doi:10.1037/a0025039. Discusses the conceptual framework for an impressive new curriculum-based training program to help clinicians expand their expertise in treating trauma-exposed children and adolescents and its significance in developing a more trauma-informed workforce. Also describes the curriculum’s pilot implementation, using problem-based learning and detailed clinical vignettes to improve the clinical judgment of 43 graduate social work students in field placements working with traumatized children.

57.

Strawn JR, Keeshin BR, DelBello MP, et al. Psychopharmacologic treatment of posttraumatic stress disorder in children and adolescents: a review. J Clin Psychiatr. 2010;71(7):932–41.CrossRef

58.

Berkowitz SJ, Watson PJ, Brymer MJ. Early preventive interventions for adolescents exposed to a potentially traumatic event. Minerva Pediatr. 2011;63(3):201–15.PubMed

Titel: Evidence-Based Treatments for Traumatized Children and Adolescents
verfasst von: Stephanie J. Schneider
Steven F. Grilli
Jennifer R. Schneider
Publikationsdatum: 01.01.2013
Verlag: Current Science Inc.
Erschienen in: Current Psychiatry Reports / Ausgabe 1/2013
Print ISSN: 1523-3812
Elektronische ISSN: 1535-1645
DOI: https://doi.org/10.1007/s11920-012-0332-5

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Evidence-Based Treatments for Traumatized Children and Adolescents

Abstract

Neu im Fachgebiet Psychiatrie

Chirurginnen und Chirurgen sind stark suizidgefährdet

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Demenzkranke durch Antipsychotika vielfach gefährdet

Update Psychiatrie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2013

Components of Emotion Dysregulation in Borderline Personality Disorder: A Review

Gene-Environment Studies and Borderline Personality Disorder: A Review

The Genetics of Autism Spectrum Disorders – A Guide for Clinicians

Violence and School Shootings

Detecting Rare Variants for Psychiatric Disorders Using Next Generation Sequencing: A Methods Primer

Neu im Fachgebiet Psychiatrie

Chirurginnen und Chirurgen sind stark suizidgefährdet

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Demenzkranke durch Antipsychotika vielfach gefährdet

Update Psychiatrie