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A systematic review and meta-analysis of trauma-focused cognitive behavioral therapy for children and adolescents


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Thielemann, Jonathan ; Kasparik, Barbara ; König, Julia ; Unterhitzenberger, Johanna ; Rosner, Rita:
A systematic review and meta-analysis of trauma-focused cognitive behavioral therapy for children and adolescents.
In: Child abuse & neglect. 134 (2022): 105899.
ISSN 0145-2134 ; 1873-7757


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Background: Among minors, posttraumatic stress symptoms (PTSS) are a common consequence of traumatic events requiring trauma-focused treatment.
Objective: This meta-analysis quantified treatment effects of trauma-focused cognitive behavioral therapy (TF-CBT) with PTSS as primary outcome and symptoms of depression, anxiety, and grief as secondary outcomes.
Participants and setting: Inclusion criteria for individual settings: (1) patients aged between 3 and 21, (2) at least one traumatic event, (3) minimum 8 sessions of (4) TF-CBT according to Cohen, Mannarino and Deblinger (2006, 2017), (5) a quantitative PTSS measure at pre- and posttreatment, (6) original research only. Inclusion criteria for group settings: had to involve (1) psychoeducation, (2) coping strategies, (3) exposure, (4) cognitive processing/restructuring, (5) contain some reference to the manual and no minimum session number was required.
Methods: Searched databases were PsychInfo, MEDLINE, Cochrane Library, PTSDPubs, PubMed, Web of Science, and OpenGrey.
Results: 4523 participants from 28 RCTs and 33 uncontrolled studies were included. TF-CBT showed large improvements across all outcomes from pre- to post-treatment (PTSS: g = 1.14, CI 0.97–1.30) and favorable results compared to any control condition including wait-list, treatment as usual, and active treatment at post-treatment (PTSS: g = 0.52, CI 0.31–0.73). Effects were more pronounced for group settings. We give pooled estimates adjusted for risk of bias and publication bias, which initially limited the quality of the analyzed data.
Conclusions: TF-CBT is an effective treatment for pediatric PTSS as well as for depressive, anxiety, and grief symptoms. It is superior to control conditions, supporting international guidelines recommending it as a first-line treatment.

Weitere Angaben

Schlagwörter:TF-CBT; Meta-analysis; Review; Post-traumatic stress; Group; Children
Sprache des Eintrags:Englisch
Institutionen der Universität:Philosophisch-Pädagogische Fakultät > Psychologie > Lehrstuhl für Klinische und Biologische Psychologie
DOI / URN / ID:10.1016/j.chiabu.2022.105899
Open Access: Freie Zugänglichkeit des Volltexts?:Nein
Die Zeitschrift ist nachgewiesen in:
Titel an der KU entstanden:Ja
Eingestellt am: 31. Mai 2023 08:24
Letzte Änderung: 31. Mai 2023 10:10
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