Trauma Care: Teaching Recovery Technique (TRT) to Children and Adolescent Refugees: A Systematic Review on Effectiveness.

IF 2.2 Q2 FAMILY STUDIES

Journal of Child & Adolescent Trauma Pub Date : 2026-03-28 eCollection Date: 2026-09-01 DOI:10.1007/s40653-026-00851-0

Claudia Wild, Sabine Kampmüller, Petra Krenn-Maritz, Veronika Dobler

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引用次数: 0

Abstract

Traumatic experiences are a predictor of ill mental health, in particular posttraumatic stress disorder (PTSD), depression and anxiety. The Children and War Foundation has developed a trauma-focused cognitive behavioural programme (TF-CBT) - the Teaching Recovery Techniques (TRT) - a group intervention for children and adolescents exposed to war, violence, and displacement. This article aims to review and synthesise the current evidence on the effectiveness of TRT programmes. A systematic review of published studies (RCTs and case series) was conducted based on a systematic search in three databases (Medline via Pubmed, INAHTA, Cochrane Library). Eleven studies were identified: seven randomised controlled trials (RCTs) and four before-after case series, with 3,149 participants. Across studies, TRT was found to reduce PTSD symptoms, with CRIES-8 or CRIES-13 scores improving between 3- and 14 points post-intervention, and up to 12 points at follow-up (3-6 months). Evidence for reductions in psychological distress and depressive symptoms (measured via SDQ and DSRS) was less consistent. The risk of bias was low to moderate in the studies. The results show consistent effects across studies. The evidence supports the TRT programme as an effective, scalable, and low-cost intervention for reducing trauma symptoms among refugee children and adolescents. Future research should aim to strengthen the evidence base with longer-term outcomes, explore moderators of effect, and enhance inclusion of underrepresented groups such as girls.

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创伤护理：儿童和青少年难民教学康复技术（TRT）：有效性的系统评价。

创伤经历是心理健康不良的一个预测指标，尤其是创伤后应激障碍（PTSD）、抑郁和焦虑。儿童与战争基金会开发了一项以创伤为重点的认知行为项目（TF-CBT）——教学恢复技术（TRT）——一项针对遭受战争、暴力和流离失所的儿童和青少年的群体干预。本文旨在回顾和综合目前关于TRT方案有效性的证据。通过对三个数据库（Medline via Pubmed、INAHTA、Cochrane Library）的系统检索，对已发表的研究（随机对照试验和病例系列）进行了系统综述。11项研究被确定：7项随机对照试验（rct）和4项前后病例系列，共有3149名参与者。在所有研究中，TRT被发现可以减轻PTSD症状，干预后的哭声-8或哭声-13评分提高了3到14分，在随访（3-6个月）时提高了12分。心理困扰和抑郁症状（通过SDQ和DSRS测量）减少的证据不太一致。这些研究的偏倚风险为低至中等。结果显示，在所有研究中都有一致的效果。证据支持TRT方案是减少难民儿童和青少年创伤症状的有效、可扩展和低成本干预措施。未来的研究应着眼于加强具有长期结果的证据基础，探索影响因素，并加强对女孩等代表性不足群体的包容。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Child & Adolescent Trauma Multiple-

CiteScore

3.00

自引率

6.70%

发文量

期刊介绍： Underpinned by a biopsychosocial approach, the Journal of Child & Adolescent Trauma presents original research and prevention and treatment strategies for understanding and dealing with symptoms and disorders related to the psychological effects of trauma experienced by children and adolescents during childhood and where the impact of these experiences continues into adulthood. The journal also examines intervention models directed toward the individual, family, and community, new theoretical models and approaches, and public policy proposals and innovations. In addition, the journal promotes rigorous investigation and debate on the human capacity for agency, resilience and longer-term healing in the face of child and adolescent trauma. With a multidisciplinary approach that draws input from the psychological, medical, social work, sociological, public health, legal and education fields, the journal features research, intervention approaches and evidence-based programs, theoretical articles, specific review articles, brief reports and case studies, and commentaries on current and/or controversial topics. The journal also encourages submissions from less heard voices, for example in terms of geography, minority status or service user perspectives. Among the topics examined in the Journal of Child & Adolescent Trauma: The effects of childhood maltreatment Loss, natural disasters, and political conflict Exposure to or victimization from family or community violence Racial, ethnic, gender, sexual orientation or class discrimination Physical injury, diseases, and painful or debilitating medical treatments The impact of poverty, social deprivation and inequality Barriers and facilitators on pathways to recovery The Journal of Child & Adolescent Trauma is an important resource for practitioners, policymakers, researchers, and academics whose work is centered on children exposed to traumatic events and adults exposed to traumatic events as children.