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

Thielemann, Jonathan; Kasparik, Barbara; König, Julia; Unterhitzenberger, Johanna; Rosner, Rita

doi:10.1016/j.chiabu.2022.105899

Cited by 34 publications

(22 citation statements)

References 39 publications

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“…Our previous analysis confirmed the ability of specific TF-CBT to reduce PTSS and comorbid symptoms, as well as its superiority to other treatment approaches (Thielemann et al, 2022). These results were in line with earlier findings on specific TF-CBT (Cary & McMillen, 2012;Gutermann et al, 2016) and the broader TF-CBT literature (Lenz & Hollenbaugh, 2015;Mavranezouli et al, 2020;Morina et al, 2016).…”

Section: Current Studysupporting

confidence: 90%

“…In terms of effect sizes, caregiver-reports paralleled the effects found in the pre-post and pre-FU III analyses of participants for all outcomes and were also concordant with participant outcomes in our previous analysis (Thielemann et al, 2022). The controlled post-treatment effect sizes against any control groups were also comparable to our previous results.…”

Section: Caregiver-reported Outcomessupporting

confidence: 87%

“…This provides further support for TF-CBT's large-scale use and endorsement by international guidelines (Forbes et al, 2020;National Institute for Health and Care Excellence, 2018;Phoenix Australia Centre for Posttraumatic Mental Health, 2013). Besides, caregiverreports mirrored the findings of our previous analysis (Thielemann et al, 2022) and showed high concordance with self-reported outcomes. No significant difference between raters was detected for any outcome.…”

Section: Conclusion and Clinical Implicationssupporting

confidence: 83%

“…Additionally, contrary to earlier results (Gutermann et al, 2016), we observed a greater effect size in group settings than individual settings. We discussed this phenomenon in detail in our previous meta-analysis (see Thielemann et al, 2022). In short, specific TF-CBT efficacy trials have so far mostly included studies conducted in an individual setting while effectiveness trials more often included studies conducted in group settings.…”

Section: Ptssmentioning

confidence: 99%

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Stability of Treatment Effects and Caregiver-Reported Outcomes: A Meta-Analysis of Trauma-Focused Cognitive Behavioral Therapy for Children and Adolescents

et al. 2023

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The efficacy of trauma-focused treatments for children and adolescents is well researched. However, less is known about the long-term and caregiver-reported effects. Searched databases were PsychInfo, MEDLINE, Cochrane Library, PTSDPubs, PubMed, Web of Science, and OpenGrey. Treatment effects of trauma-focused cognitive behavioral therapy (TF-CBT) were computed at 12-month follow-up with posttraumatic stress symptoms (PTSS) as primary outcome and symptoms of depression, anxiety, and grief as secondary outcomes. Concordance between participant and caregiver ratings were investigated. TF-CBT showed large improvements across all outcomes from pre-treatment to 12-month follow-up (PTSS: g = 1.71, CI 1.27–2.15) and favorable results compared to active treatments and treatment as usual at 12-month follow-up (PTSS: g = .35, CI .13–.56). More pronounced effects were found in group settings. No significant differences were detected between participant and caregiver ratings with high reliability across almost all outcomes and assessment points. TF-CBT is a reliable treatment for pediatric PTSS and secondary symptoms with stable results at 12-month follow-up.

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Section: Current Studysupporting

confidence: 90%

Section: Caregiver-reported Outcomessupporting

confidence: 87%

Section: Conclusion and Clinical Implicationssupporting

confidence: 83%

Section: Ptssmentioning

confidence: 99%

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Stability of Treatment Effects and Caregiver-Reported Outcomes: A Meta-Analysis of Trauma-Focused Cognitive Behavioral Therapy for Children and Adolescents

et al. 2023

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“…Trauma-focused cognitive behavioral therapy (TF-CBT) is an evidence-based treatment modality for children who have experienced trauma and have developed significant emotional symptoms and/or behavioral problems (Thielemann et al, 2022). TF-CBT is a structured, components-based treatment modality that includes both parent/caregiver and child.…”

Section: Treatmentmentioning

confidence: 99%

Problematic Sexualized Behavior in Children

Hornor

2024

Journal of Forensic Nursing

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Problematic sexual behavior (PSB) in children and adolescents is a significant public health problem. PSB is defined as harmful or developmentally inappropriate behaviors involving sexual organs or regions of the body exhibited by children or adolescents. PSB may be harmful to self or others or be abusive toward another child, adolescent, or adult. Adolescents, typically defined as children 12 years old or older, engaging in PSB can be vulnerable to formal court adjudication as their behaviors may be considered a sexual offense. PSB can result in significant negative consequences for all children and adolescents involved as well as their families. This article will describe sexual behavior in children, normative and problematic, and explore implications for forensic nursing practice.

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Posttraumatic Stress Disorder and Domestic Violence

Nikulina,

Brumbaugh

2024

Encyclopedia of Domestic Violence

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

Cited by 34 publications

References 39 publications

Stability of Treatment Effects and Caregiver-Reported Outcomes: A Meta-Analysis of Trauma-Focused Cognitive Behavioral Therapy for Children and Adolescents

Stability of Treatment Effects and Caregiver-Reported Outcomes: A Meta-Analysis of Trauma-Focused Cognitive Behavioral Therapy for Children and Adolescents

Problematic Sexualized Behavior in Children

Posttraumatic Stress Disorder and Domestic Violence

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