Evidence-Based Psychosocial Treatments for Children and Adolescents Exposed to Traumatic Events

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...

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Veröffentlicht in:Journal of clinical child and adolescent psychology 2008-01, Vol.37 (1), p.156-183
Hauptverfasser: Silverman, Wendy K., Ortiz, Claudio D., Viswesvaran, Chockalingham, Burns, Barbara J., Kolko, David J., Putnam, Frank W., Amaya-Jackson, Lisa
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container_end_page 183
container_issue 1
container_start_page 156
container_title Journal of clinical child and adolescent psychology
container_volume 37
creator Silverman, Wendy K.
Ortiz, Claudio D.
Viswesvaran, Chockalingham
Burns, Barbara J.
Kolko, David J.
Putnam, Frank W.
Amaya-Jackson, Lisa
description 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.
doi_str_mv 10.1080/15374410701818293
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subjects Adolescent
Adolescents
Behavior Modification
Behavior Problems
Child
Child Abuse - psychology
Child Reactive Disorders - diagnosis
Child Reactive Disorders - therapy
Child, Preschool
Children
Children & youth
Clinical outcomes
Cognitive Restructuring
Cognitive therapy
Cognitive Therapy - methods
Counseling Effectiveness
Counseling Techniques
Criteria
Depression (Psychology)
Early Intervention (Education)
Evidence based
Evidence-Based Medicine
Female
Group Therapy
Humans
Male
Meta Analysis
Outcomes of Treatment
Peer Group
Personality Assessment
Posttraumatic Stress Disorder
Predictor Variables
Prognosis
Psychological Studies
Psychosocial therapy
Psychotherapy - methods
School Counseling
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - therapy
Symptoms (Individual Disorders)
Trauma care
Traumatic incidents
Violence
Violence - psychology
Young people
title Evidence-Based Psychosocial Treatments for Children and Adolescents Exposed to Traumatic Events
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