@article{ref1,
title="Research review: Psychological and psychosocial treatments for children and young people with post-traumatic stress disorder: a network meta-analysis",
journal="Journal of child psychology and psychiatry",
year="2020",
author="Mavranezouli, Ifigeneia and Megnin‐Viggars, Odette and Daly, Caitlin and Dias, Sofia and Stockton, Sarah and Meiser‐Stedman, Richard and Trickey, David and Pilling, Stephen",
volume="61",
number="1",
pages="18-29",
abstract="Background Post-traumatic stress disorder (PTSD) is a potentially chronic and disabling disorder that affects a significant minority of youth exposed to trauma. Previous studies have concluded that trauma-focused cognitive behavioural therapy (TF-CBT) is an effective treatment for PTSD in youth, but the relative strengths of different psychological therapies are poorly understood. <br><br>METHODS We undertook a systematic review and network meta-analyses of psychological and psychosocial interventions for children and young people with PTSD. Outcomes included PTSD symptom change scores post-treatment and at 1-4-month follow-up, and remission post-treatment. <br><br>RESULTS We included 32 trials of 17 interventions and 2,260 participants. Overall, the evidence was of moderate-to-low quality. No inconsistency was detected between direct and indirect evidence. Individual forms of TF-CBT showed consistently large effects in reducing PTSD symptoms post-treatment compared with waitlist. The order of interventions by descending magnitude of effect versus waitlist was as follows: cognitive therapy for PTSD (SMD −2.94, 95%CrI −3.94 to −1.95), combined somatic/cognitive therapies, child-parent psychotherapy, combined TF-CBT/parent training, meditation, narrative exposure, exposure/prolonged exposure, play therapy, Cohen TF-CBT/cognitive processing therapy (CPT), eye movement desensitisation and reprocessing (EMDR), parent training, group TF-CBT, supportive counselling and family therapy (SMD −0.37, 95%CrI −1.60 to 0.84). <br><br>RESULTS for parent training, supportive counselling and family therapy were inconclusive. Cohen TF-CBT/CPT, group TF-CBT and supportive counselling had the largest evidence base. <br><br>RESULTS regarding changes in PTSD symptoms at follow-up and remission post-treatment were uncertain due to limited evidence. <br><br>CONCLUSIONS Trauma-focused cognitive behavioural therapy, in particular individual forms, appears to be most effective in the management of PTSD in youth. EMDR is effective but to a lesser extent. Supportive counselling does not appear to be effective. <br><br>RESULTS suggest a large positive effect for emotional freedom technique, child-parent psychotherapy, combined TF-CBT/parent training, and meditation, but further research is needed to confirm these findings as they were based on very limited evidence.<p /> <p>Language: en</p>",
language="en",
issn="0021-9630",
doi="10.1111/jcpp.13094",
url="http://dx.doi.org/10.1111/jcpp.13094"
}