Do psychological treatments for PTSD in children and young people reduce trauma-related appraisals? A systematic review and meta-analysis

IF 4.2 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy Pub Date : 2024-08-26 DOI:10.1016/j.brat.2024.104621

Charlotte Smith , Catherine Ford , George Baldwin , Tine K. Jensen , Thanos Karatzias , Marianne Skogbrott Birkeland , Richard Meiser-Stedman

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引用次数: 0

Abstract

Research is increasingly highlighting the role of negative trauma-related appraisals in child and adolescent post-traumatic stress disorder (PTSD). The cognitive model of PTSD claims that an essential mechanism of treatment is a reduction in these appraisals. The current systematic review with meta-analysis investigated the extent to which psychological treatments for PTSD reduce negative trauma-related appraisals in children and adolescents. Four databases (PsycINFO, Medline Complete, CINAHL Complete and PTSDpubs) were searched on the 11–12th December 2022. The Risk of Bias 2 (ROB-2) tool was used to assess for risk of bias. Thirteen studies were included in this review, comprising 937 child and adolescent participants. Using a random effects model to perform the meta-analysis, a medium pooled effect size for the effect of current treatments on trauma-related appraisals was found (g = −.67, 95% CI [-.86, −.48]). There was only a moderate level of heterogeneity between studies (I² = 44.4%), increasing the confidence with which these findings can be interpreted. These results indicate that psychological treatments for child and adolescent PTSD significantly reduce negative trauma-related appraisals. However, it is important to note that no trial included in the review was categorised as having low risk of bias.

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儿童和青少年创伤后应激障碍的心理治疗能减少与创伤相关的评价吗？系统回顾和荟萃分析

越来越多的研究强调了与创伤相关的负面评价在儿童和青少年创伤后应激障碍（PTSD）中的作用。创伤后应激障碍的认知模式认为，治疗的一个基本机制就是减少这些评价。本系统综述和荟萃分析调查了创伤后应激障碍的心理治疗在多大程度上减少了儿童和青少年与创伤相关的负面评价。研究人员于 2022 年 12 月 11-12 日检索了四个数据库（PsycINFO、Medline Complete、CINAHL Complete 和 PTSDpubs）。偏倚风险2（ROB-2）工具用于评估偏倚风险。本综述共纳入 13 项研究，包括 937 名儿童和青少年参与者。采用随机效应模型进行荟萃分析，发现当前治疗方法对创伤相关评价的影响的汇总效应大小为中等（g = -.67, 95% CI [-.86, -.48]）。研究之间的异质性仅为中等水平（I2 = 44.4%），这增加了解释这些研究结果的可信度。这些结果表明，针对儿童和青少年创伤后应激障碍的心理治疗能显著减少与创伤相关的负面评价。然而，值得注意的是，本综述中没有一项试验被归类为低偏倚风险。

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来源期刊

Behaviour Research and Therapy PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

7.30%

发文量

148

期刊介绍： The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.