Citation

Bennett RS, Denne M, McGuire R, Hiller RM. Child Maltreat. 2020; ePub(ePub): ePub.

Copyright

(Copyright © 2020, American Professional Society on the Abuse of Children, Publisher SAGE Publishing)

DOI

10.1177/1077559520961176

PMID

33016112

Abstract

Child maltreatment is associated with elevated risk of post-traumatic stress disorder (PTSD), which can often present alongside comorbidities. While evidence-based treatments for PTSD in young people already exist, there remains ongoing clinical and academic debate about the suitability of these approaches, particularly cognitive-behavioral approaches, for young people who have been exposed to more complex traumatic experiences, such as maltreatment. We conducted an updated systematic review of the evidence-base for psychological treatments for PTSD, specifically for maltreated young people. Fifteen randomized controlled trials and five non-randomized controlled clinical trials satisfied the inclusion criteria. Trials included treatments ranging from trauma-focused CBT to creative-based therapies. Trauma-focused CBT remained the best supported treatment for children and adolescents following child maltreatment, with new evidence that symptom improvements are maintained at longer-term follow up. The evidence for other therapies remained limited, and there were concerns regarding methodological quality. Implications for treatment decision-making are discussed.

Language: en

Keywords

systematic review; youth; child maltreatment; PTSD treatment