Comparative Effectiveness of Interventions for Children Exposed to Nonrelational Traumatic Events

Forman‐Hoffman, Valerie L.; Zolotor, Adam J.; McKeeman, Joni; Blanco, Roberto; Knauer, Stefanie R.; Lloyd, Stacey; Fraser, Jenifer Goldman; Viswanathan, Meera

doi:10.1542/peds.2012-3846

Cited by 32 publications

(18 citation statements)

References 32 publications

(113 reference statements)

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“…Recent reviews about the effectiveness of PTSD therapies for children and adolescents include research projects that did not usually take into account emotion regulation difficulties [34][35][36]. Despite some interventions incorporating emotion regulation skills in the therapies tested, the papers reviewed do not measure it as a treatment target or moderator [37][38][39].…”

Section: Emotion Regulation Difficulties and Ptsd Treatmentmentioning

confidence: 99%

Emotion regulation difficulties in traumatized youth: a meta-analysis and conceptual review

Villalta

Smith

Hickin

et al. 2018

Eur Child Adolesc Psychiatry

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This article provides a quantitative and conceptual review of emotion regulation difficulties in trauma-exposed young people, and informs future directions in the field. Despite long-standing interest in the influence of emotion regulation difficulties on different internalizing and externalizing psychiatric disorders in childhood, several questions remain unresolved with respect to children and adolescents with PTSD (post-traumatic stress disorder). Meta-analytic data from adult victims suggest that emotion regulation problems are associated with PTSD, but this has never been studied in children and young people. We therefore provide a conceptual review of features related to the phenomenology, assessment, severity and treatment of emotion regulation difficulties in trauma-exposed children and young people. We combine this with a meta-analysis of published literature. We searched studies in Medline, PsychINFO, and Embase databases based on pre-selected criteria. Eight hundred and eighty-six papers were identified and 41 were included. We found that children and adolescents with a diagnosis of PTSD reported more emotion regulation difficulties than those who did not develop PTSD, and that the overall association between the two symptom dimensions was moderately strong. We identify a number of research priorities: the development of instruments to assess emotion regulation difficulties in children, the design of studies that describe its prevalence in young epidemiological traumatized samples, its predictive role in the onset, severity and persistence of post-traumatic symptoms, and its relevance as a moderator, outcome or treatment target for young survivors.

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Section: Emotion Regulation Difficulties and Ptsd Treatmentmentioning

confidence: 99%

Emotion regulation difficulties in traumatized youth: a meta-analysis and conceptual review

Villalta

Smith

Hickin

et al. 2018

Eur Child Adolesc Psychiatry

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“…Notably, cognitive behavioral therapy (CBT) has proven effective in the treatment of childhood PTSD. 54 Recent systematic reviews reported by the Cochrane Collaborative, 55 Silverman et al, 56 Dorsey et al, 57 and a federally funded evidence synthesis on interventions for nonrelational trauma 58 Other CBT trials focusing on physically abused youth demonstrated significant improvements. 64,65 The TFCBT modality incorporates individual CBT and family therapy to reduce not only trauma symptoms but also the use of physical punishment and coercion.…”

Section: Evidence-based Treatment Of Childhood Trauma Overviewmentioning

confidence: 99%

“…79 In addition, the National Child Traumatic Stress Network has created a Resource Parenting Curriculum, cofacilitated by a mental health master trainer and foster parent, to groups of foster/adoptive/kinship caregivers, to educate how trauma affects children's behavior, feelings, and attitudes and to enhance caregiver skills and techniques. 58 …”

Section: Evidence-based Treatments and Trauma-informed Practices For mentioning

confidence: 99%

Clinical Considerations Related to the Behavioral Manifestations of Child Maltreatment

Sege

Amaya-Jackson

Flaherty³

et al. 2017

Pediatrics

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Children who have suffered early abuse or neglect may later present with significant health and behavior problems that may persist long after the abusive or neglectful environment has been remediated. Neurobiological research suggests that early maltreatment may result in an altered psychological and physiologic response to stressful stimuli, a response that deleteriously affects the child’s subsequent development. Pediatricians can assist caregivers by helping them recognize the abused or neglected child’s emotional and behavioral responses associated with child maltreatment and guide them in the use of positive parenting strategies, referring the children and families to evidence-based therapeutic treatment and mobilizing available community resources.

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“… 4 - 8 Few studies, however, have focused specifically on disasters and terrorism. 9 - 11 This systematic review summarizes the techniques used in child disaster and terrorism interventions, identifies the symptoms and conditions addressed by these interventions, presents a preliminary qualitative evaluation of the evidence base for interventions, and suggests directions for future research.…”

Section: Introductionmentioning

confidence: 99%

Child disaster mental health interventions, part I

et al. 2014

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This review of child disaster mental health intervention studies describes the techniques used in the interventions and the outcomes addressed, and it provides a preliminary evaluation of the field. The interventions reviewed here used a variety of strategies such as cognitive behavioral approaches, exposure and narrative techniques, relaxation, coping skill development, social support, psychoeducation, eye movement desensitization and reprocessing, and debriefing. A diagnosis of posttraumatic stress disorder (PTSD) and/or posttraumatic stress reactions were the most commonly addressed outcomes although other reactions such as depression, anxiety, behavior problems, fear, and/or traumatic grief also were examined. Recommendations for future research are outlined.

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Comparative Effectiveness of Interventions for Children Exposed to Nonrelational Traumatic Events

Cited by 32 publications

References 32 publications

Emotion regulation difficulties in traumatized youth: a meta-analysis and conceptual review

Emotion regulation difficulties in traumatized youth: a meta-analysis and conceptual review

Clinical Considerations Related to the Behavioral Manifestations of Child Maltreatment

Child disaster mental health interventions, part I

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