Comparing the Effectiveness of EMDR and TF-CBT for Children and Adolescents: a Meta-Analysis.

Autor: Lewey JH; 1Clinical Psychology Department, California School of Professional Psychology at Alliant International University, 5130 E. Clinton Way, Fresno, CA 93727 USA.; 2Direct Care and Treatment - Forensic Services (DCT-FS), Minnesota Department of Human Services (DHS), St. Peter, MN USA., Smith CL; 3Clinical Psychology Department, California School of Professional Psychology at Alliant International University, San Francisco, CA USA.; Youth Opportunities Upheld, Inc. (YOU, Inc.), Worchester, MA USA., Burcham B; 1Clinical Psychology Department, California School of Professional Psychology at Alliant International University, 5130 E. Clinton Way, Fresno, CA 93727 USA., Saunders NL; 1Clinical Psychology Department, California School of Professional Psychology at Alliant International University, 5130 E. Clinton Way, Fresno, CA 93727 USA., Elfallal D; 1Clinical Psychology Department, California School of Professional Psychology at Alliant International University, 5130 E. Clinton Way, Fresno, CA 93727 USA., O'Toole SK; 1Clinical Psychology Department, California School of Professional Psychology at Alliant International University, 5130 E. Clinton Way, Fresno, CA 93727 USA.
Jazyk: angličtina
Zdroj: Journal of child & adolescent trauma [J Child Adolesc Trauma] 2018 Jun 11; Vol. 11 (4), pp. 457-472. Date of Electronic Publication: 2018 Jun 11 (Print Publication: 2018).
DOI: 10.1007/s40653-018-0212-1
Abstrakt: Efficacy of EMDR and TF-CBT for posttraumatic stress symptoms (PTSS) was explored through meta-analysis. A comprehensive search yielded 494 studies of children and adolescents with PTSS who received treatment with these evidence-based therapeutic modalities. Thirty total studies were included in the meta-analysis. The overall Cohen's d was small (-0.359) and statistically significant ( p  < 0.05), indicating EMDR and TF-CBT are effective in treating PTSS. Major findings posit TF-CBT is marginally more effective than EMDR; those with sub-clinical PTSS responded more favorably in treatment than those with PTSD; and greater reductions in PTSS were observed with presence of comorbidity in diagnosis. Assessment of publication bias with Classic fail-safe N revealed it would take 457 nonsignificant studies to nullify these findings.
Competing Interests: Disclosure of InterestOn behalf of all authors, the corresponding author states that there is no conflict of interest.
(© Springer International Publishing AG, part of Springer Nature 2018.)
Databáze: MEDLINE
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