Psychological Interventions for PTSD Children and Adolescents Within Two Years of Natural Disasters: A Systematic Scoping Review.

IF 2.2 Q2 FAMILY STUDIES

Journal of Child & Adolescent Trauma Pub Date : 2026-03-17 eCollection Date: 2026-09-01 DOI:10.1007/s40653-026-00847-w

Qi Yue Chen, See Heng Yim, Andrea Pickering

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引用次数: 0

Abstract

Natural disasters are becoming more common in response to climate change. There is growing recognition of the traumatic impact on the psychological development of children and young people (CYP), due to their vulnerability. Considering the high prevalence of PTSD among natural disaster survivors, it is crucial to identify and implement effective psychological interventions for CYP, particularly in the early post-traumatic period to mitigate worsening implications for mental health. This systematic scoping review aims to summarize the current types of psychological and psychosocial interventions for CYP's PTSD within two-year post-disaster, settings that they were used in, as well as their effectiveness. This review adhered to PRISMA-ScR and TIDieR checklist to screen, evaluate, extract and synthesise studies. Inclusion criteria included CYP who were suffering from stress-related symptoms post-disaster. A total of 18 papers showing 16 unique studies were included, interventions included CBT, Narrative Exposure Therapy (NET), psychological first aid (PFA), play therapy and integrative programmes. Most were conducted in school contexts. There was a mixture of task-sharing interventions (delivered by non-specialists) and psychologist-delivered interventions. Most studies found significant reduction in PTSD symptoms except for a study on play therapy and another on school-based teacher-delivered psychosocial programme. Psychological interventions were effective in treating CYP's PTSD within two years after a disaster. However, this area is still under-researched and critical evidence is still lacking, such as the comparison of treatments and optimal timing of interventions, longitudinal evaluations, as well as how mitigating factors affect their effectiveness.

Supplementary information: The online version contains supplementary material available at https://doi.org/10.1007/s40653-026-00847-w.

查看原文本刊更多论文

自然灾害两年内创伤后应激障碍儿童和青少年的心理干预：一项系统的范围审查。

为应对气候变化，自然灾害正变得越来越普遍。由于儿童和青少年（CYP）的脆弱性，人们越来越认识到创伤对他们心理发展的影响。考虑到自然灾害幸存者中PTSD的高患病率，确定和实施有效的CYP心理干预措施至关重要，特别是在创伤后早期，以减轻对心理健康的恶化影响。这篇系统的范围综述旨在总结目前针对CYP创伤后应激障碍在灾后两年内的心理和社会心理干预类型，它们所使用的环境，以及它们的有效性。本综述遵循PRISMA-ScR和TIDieR检查表筛选、评价、提取和合成研究。纳入标准包括灾后出现压力相关症状的CYP患者。共有18篇论文显示了16项独特的研究，干预措施包括CBT、叙事暴露疗法（NET）、心理急救（PFA）、游戏疗法和综合项目。大多数是在学校环境中进行的。任务分担干预（由非专业人员提供）和心理学家提供的干预混合在一起。除了一项关于游戏疗法的研究和另一项关于以学校为基础的教师提供的社会心理方案的研究外，大多数研究发现创伤后应激障碍症状有显著减少。心理干预在灾难发生后两年内治疗CYP的PTSD是有效的。然而，这一领域的研究仍然不足，关键证据仍然缺乏，例如治疗方法的比较和干预措施的最佳时机，纵向评估，以及缓解因素如何影响其有效性。补充信息：在线版本包含补充资料，可在https://doi.org/10.1007/s40653-026-00847-w上获得。

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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.