Cognitive behavioral therapy for the treatment of pediatric posttraumatic stress disorder: A review and meta-analysis
| Autor: | Jennifer Weller, David Drachman, Joanna Kowalik, Jacob Venter |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Adolescent medicine.medical_treatment Poison control Experimental and Cognitive Psychology CBCL behavioral disciplines and activities Stress Disorders Post-Traumatic Arts and Humanities (miscellaneous) Statistical significance mental disorders medicine Humans Child Child Behavior Checklist Psychiatry Psychiatric Status Rating Scales Clinical Trials as Topic Cognitive Behavioral Therapy Aggression Cognitive behavioral therapy Psychiatry and Mental health Clinical Psychology Child Preschool Meta-analysis Anxiety medicine.symptom Psychology Publication Bias Clinical psychology |
| Zdroj: | Journal of Behavior Therapy and Experimental Psychiatry. 42:405-413 |
| ISSN: | 0005-7916 |
| DOI: | 10.1016/j.jbtep.2011.02.002 |
| Popis: | Background and objectives There is no clear gold standard treatment for childhood posttraumatic stress disorder (PTSD). An annotated bibliography and meta-analysis were used to examine the efficacy of cognitive behavioral therapy (CBT) in the treatment of pediatric PTSD as measured by outcome data from the Child Behavior Checklist (CBCL). Method A literature search produced 21 studies; of these, 10 utilized the CBCL but only eight were both 1) randomized; and 2) reported pre- and post-intervention scores. Results The annotated bibliography revealed efficacy in general of CBT for pediatric PTSD. Using four indices of the CBCL, the meta-analysis identified statistically significant effect sizes for three of the four scales: Total Problems (TP; −.327; p = .003), Internalizing (INT; −.314; p = .001), and Externalizing (EXT; −.192; p = .040). The results for TP and INT were reliable as indicated by the fail-safe N and rank correlation tests. The effect size for the Total Competence (TCOMP; −.054; p = .620) index did not reach statistical significance. Limitations Limitations included methodological inconsistencies across studies and lack of a randomized control group design, yielding few studies for meta-analysis. Conclusions The efficacy of CBT in the treatment of pediatric PTSD was supported by the annotated bibliography and meta-analysis, contributing to best practices data. CBT addressed internalizing signs and symptoms (as measured by the CBCL) such as anxiety and depression more robustly than it did externalizing symptoms such as aggression and rule-breaking behavior, consistent with its purpose as a therapeutic intervention. |
| Databáze: | OpenAIRE |
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