Evidence base update for psychosocial treatments for children and adolescents exposed to traumatic events
Abstract
Child and adolescent trauma exposure is prevalent, with trauma exposure-related symptoms, including posttraumatic stress, depressive, and anxiety symptoms often causing substantial impairment. This article updates the evidence base on psychosocial treatments for child and adolescent trauma exposure completed for this journal by Silverman et al. (2008). For this review, we focus on 37 studies conducted during the seven years since the last review. Treatments are grouped by overall treatment family (e.g., cognitive behavioral therapy), treatment modality (e.g., individual vs. group), and treatment participants (e.g., child only vs. child and parent). All studies were evaluated for methodological rigor according to Journal of Clinical Child & Adolescent Psychology evidence-based treatment evaluation criteria (Southam-Gerow & Prinstein, 2014), with cumulative designations for level of support for each treatment family. Individual CBT with parent involvement, individual CBT, and group CBT were deemed well-established; group CBT with parent involvement and eye movement desensitization and reprocessing (EMDR) were deemed probably efficacious; individual integrated therapy for complex trauma and group mind–body skills were deemed possibly efficacious; individual client-centered play therapy, individual mind–body skills, and individual psychoanalysis were deemed experimental; and group creative expressive + CBT was deemed questionable efficacy. Advances in the evidence base, with comparisons to the state of the science at the time of the Silverman et al. (2008) review, are discussed. Finally, we present dissemination and implementation challenges and areas for future research.
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Shared characteristics of practical approaches include psycho-education, emotion regulation, problem-solving, exposure, and cognitive processing.
“A study [25] identifies several shared characteristics among the practical approaches that were identified: psycho-education on the frequency, effects, and management of trauma; instruction in regulating emotions and employing problem-solving techniques; exposure to simulated or real-life situations; and cognitive processing.”
From Clinical Efficacy of Psychotherapeutic Interventions for Post-Traumatic Stress Disorder in Children and Adolescents: A Systematic Review and Analysis. (2024) · cites this paper as [25]
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Squires, J. E., Suh, K. N., Linklater, S., Bruce, N., Gartke, K., Graham, I. D., Karovitch, A. J., Read, J. L., Roth, V. R., Stockton, K., et al. (2013) · Implementation Science · doi:10.1186/1748-5908-8-16 · Cited by 54 · see citing works
Fraser, J. G., Lloyd, S., Murphy, R., Crowson, M. M., Zolotor, A., Coker-Schwimmer, E. J. L., & Viswanathan, M. (2013) · Journal of Developmental and Behavioral Pediatrics · doi:10.1097/dbp.0b013e31828a7dfc · Cited by 50 · see citing works
Kmett Danielson, C., McCart, M. R., de Arellano, M. A., Macdonald, A., Doherty, L. S., & Resnick, H. S. (2010) · Child Maltreatment · doi:10.1177/1077559510367939 · Cited by 50 · see citing works
Treatment of post‐traumatic stress disorder in children using cognitive behavioural writing therapy
der Oord, S. V., Lucassen, S., van Emmerik, A., & Emmelkamp, P. M. G. (2009) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.670 · Cited by 48 · see citing works
Shirk, S. R., DePrince, A. P., Crisostomo, P. S., & Labus, J. S. (2013) · Psychotherapy · doi:10.1037/a0034845 · Cited by 47 · see citing works
Ready, C. B., Hayes, A. M., Yasinski, C. W., Webb, C. P. M., Gallop, R., Deblinger, E., & Laurenceau, J. (2015) · Behavior Therapy · doi:10.1016/j.beth.2015.03.004 · Cited by 45 · see citing works
Salloum, A., Robst, J. M., Scheeringa, M. S., Cohen, J. A., Wang, W., Murphy, T. K., Tolin, D. F., & Storch, E. A. (2013) · Child Psychiatry & Human Development · doi:10.1007/s10578-013-0378-6 · Cited by 39 · see citing works
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Effectiveness of MASTR EMDR Therapy for Traumatized Adolescents
Farkas, L., Cyr, M., Lebeau, T. M., & Lemay, J. (2010) · Journal of Child & Adolescent Trauma · doi:10.1080/19361521003761325 · Cited by 36 · see citing works
Comparative Effectiveness of Interventions for Children Exposed to Nonrelational Traumatic Events
Forman‐Hoffman, V. L., Zolotor, A. J., McKeeman, J. L., Blanco, R., Knauer, S., Lloyd, S., Fraser, J. G., & Viswanathan, M. (2013) · PEDIATRICS · doi:10.1542/peds.2012-3846 · Cited by 36 · see citing works
Early Treatment Response in Children and Adolescents Receiving CBT for Trauma
Wamser‐Nanney, R. A., Scheeringa, M. S., & Weems, C. F. (2014) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsu096 · Cited by 33 · see citing works
Weems, C. F., & Scheeringa, M. S. (2012) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2012.11.003 · Cited by 31 · see citing works
Morsette, A., van den Pol, R. A., Schuldberg, D., Swaney, G. I., & Stolle, D. (2012) · Advances in School Mental Health Promotion · doi:10.1080/1754730x.2012.664865 · Cited by 30 · see citing works
Evaluation of Real Life Heroes treatment for children with complex PTSD.
Kagan, R. M., Henry, J., Richardson, M., Trinkle, J., & LaFrenier, A. (2014) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/a0035879 · Cited by 17 · see citing works
Misurell, J. R., Springer, C. I., Acosta, L., Liotta, L., & Kranzler, A. (2013) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/a0033411 · Cited by 15 · see citing works
Nilsson, D. K., & Wadsby, M. (2010) · Journal of Trauma & Dissociation · doi:10.1080/15299731003781075 · Cited by 11 · see citing works
Psychological treatment of PTSD in children: an evidence-based review
Dowd, H., & McGuire, B. (2011) · The Irish Journal of Psychology · doi:10.1080/03033910.2011.611612 · Cited by 10 · see citing works
Anxiety in medically ill children/adolescents.
Pao (2011) · Depression and Anxiety · doi:10.1002/da.v28.1 · Cited by 7 · see citing works
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Child trauma exposure and psychopathology: Mechanisms of risk and resilience
McLaughlin, K. A., & Lambert, H. K. (2017) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2016.10.004 · Cited by 441 · see citing works
“Cognitive behavioral therapy (CBT) is currently the most wellestablished treatment for child trauma-related psychopathology [49] and targets many of the threat processing mechanisms reviewed here.”
BackgroundFamily therapy and systemic interventions for child‐focused problems: the current evidence base
Carr, A. (2018) · Journal of Family Therapy · doi:10.1111/1467-6427.12226 · Cited by 276 · see citing works
“Meta-analyses and narrative reviews show that family-based, traumafocused cognitive behaviour therapy is the systemic intervention for PTSD in young people with the strongest evidence base (Dorsey et al., 2017; Kowalik et al., 2011; Lenz and Hollenbaugh, 2015).”
BackgroundLambert, H. K., King, K. M., Monahan, K. C., & McLaughlin, K. A. (2017) · Development and Psychopathology · doi:10.1017/s0954579416000584 · Cited by 267 · see citing works
Forkey, H. C., Szilagyi, M. A., Kelly, E. T., Duffee, J. H., Springer, S. H., Fortin, K., Jones, V. F., Greiner, M. B. V., Ochs, T. J., Partap, A. N., et al. (2021) · PEDIATRICS · doi:10.1542/peds.2021-052580 · Cited by 247 · see citing works
Mechanisms linking childhood adversity with psychopathology: Learning as an intervention target
McLaughlin, K. A., DeCross, S. N., Jovanović, T., & Tottenham, N. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.04.008 · Cited by 198 · see citing works
“focused cognitive behavior therapy (TF-CBT)—an empirically-supported treatment for children exposed to trauma (Dorsey et al., 2017)—includes modules focused on relaxation, identifying and labeling emotions, and developing effective skills for modulating emotions (Cohen, Mannarino, & Deblinger, 2006).”
BackgroundWeisz, J. R., Kuppens, S., Ng, M. Y., Vaughn-Coaxum, R. A., Ugueto, A. M., Eckshtain, D., & Corteselli, K. A. (2019) · Perspectives on Psychological Science · doi:10.1177/1745691618805436 · Cited by 180 · see citing works
“…level of empirical support—“well-established”—have been identified for youth anxiety (Higa-McMillan, Francis, Rith-Najarian, & Chorpita, 2016; see also related reviews on treatments for youth posttraumatic stress (Dorsey et al., 2016), youth obsessive-compulsive disorder (Freeman et al., 2014).”
BackgroundGee, D. G. (2021) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2021.21090944 · Cited by 148 · see citing works
Implementing evidence-based treatment protocols: flexibility within fidelity
Kendall, P. C., & Frank, H. E. (2018) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12271 · Cited by 132 · see citing works
Wergeland, G. J., Riise, E. N., & Öst, L. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101918 · Cited by 136 · see citing works
Dorsey, S., Lucid, L., Martin, P., King, K. M., O’Donnell, K., Murray, L. K., Wasonga, A. I., Itemba, D., Cohen, J. A., Manongi, R. N., et al. (2020) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2019.4475 · Cited by 126 · see citing works
Addressing Childhood Trauma in School Settings: A Framework for Evidence-Based Practice
Chafouleas, S. M., Koriakin, T. A., Roundfield, K. D., & Overstreet, S. (2018) · School Mental Health · doi:10.1007/s12310-018-9256-5 · Cited by 113 · see citing works
“We identified three key reviews in the last 10 years (2006 to 2016) focused on treating child trauma (Dorsey et al., 2017; Jaycox, Morse, Tanielian, & Stein, 2006; and Rolfsnes & Idsoe, 2011).”
BackgroundKhadr, S. N., Clarke, V., Wellings, K., Villalta, L., Goddard, A., Welch, J. M., Bewley, S., Kramer, T., & Viner, R. (2018) · The Lancet Child & Adolescent Health · doi:10.1016/s2352-4642(18)30202-5 · Cited by 101 · see citing works
van Der Kolk, B., Ford, J. D., & Spinazzola, J. (2019) · European Journal of Psychotraumatology · doi:10.1080/20008198.2018.1562841 · Cited by 108 · see citing works
Rith‐Najarian, L., Mesri, B., Park, A. L., Sun, M. M. C., Chavira, D. A., & Chorpita, B. F. (2018) · Behavior Therapy · doi:10.1016/j.beth.2018.05.006 · Cited by 96 · see citing works
Freeman, J. B., Benito, K., Herren, J. A., Kemp, J. J., Sung, J. Y., Georgiadis, C., Arora, A., Walther, M. R., & Garcia, A. M. (2018) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2018.1496443 · Cited by 90 · see citing works
“Of additional note (and important to our thinking about the current update) is the fact that in all of these meta analyses, similar forms of CBT are treated as what has been considered in other areas as a single “treatment family” or “overarching treatment class” with shared “practice elements” (Dorsey et al., 2017; H…”
BackgroundFinch, J., Ford, C. E. L., Grainger, L., & Meiser‐Stedman, R. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.11.143 · Cited by 88 · see citing works
Christian‐Brandt, A. S., Santacrose, D. E., Farnsworth, H. R., & MacDougall, K. (2019) · American Journal of Community Psychology · doi:10.1002/ajcp.12392 · Cited by 72 · see citing works
Clinical Considerations Related to the Behavioral Manifestations of Child Maltreatment
Violence (2017) · Pediatric Clinical Practice Guidelines & Policies · doi:10.1542/peds.2017-0100 · Cited by 29 · see citing works
Dorsey, S., Gray, C. L., Wasonga, A. I., Amanya, C., Weiner, B. J., Belden, C. M., Martin, P., Meza, R. D., Weinhold, A., Soi, C., et al. (2020) · BMC Psychiatry · doi:10.1186/s12888-019-2364-4 · Cited by 68 · see citing works
“, posttraumatic stress [PTS], depressive symptoms, anxiety), as it has the strongest empirical base [36, 37].”
BackgroundHeleniak, C. M., & McLaughlin, K. A. (2019) · Development and Psychopathology · doi:10.1017/s0954579419000725 · Cited by 67 · see citing works
Jensen, T. K., Holt, T., & Ormhaug, S. M. (2017) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-017-0270-0 · Cited by 63 · see citing works
Pedersen, G. A., Lakshmin, P., Schafer, A., Watts, S., Carswell, K., Willhoite, A., Ottman, K. E., Hof, E. V., & Kohrt, B. A. (2020) · Journal of Behavioral and Cognitive Therapy · doi:10.1016/j.jbct.2020.06.001 · Cited by 62 · see citing works
Impaired hippocampus-dependent associative learning as a mechanism underlying PTSD: A meta-analysis
Lambert, H. K., & McLaughlin, K. A. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.09.024 · Cited by 63 · see citing works
Powell, B. J., Patel, S. V., Haley, A. D., Haines, E. R., Knocke, K., Chandler, S., Katz, C. C., Seifert, H. T. P., Ake, G. S., Amaya-Jackson, L. M., et al. (2019) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-019-01003-3 · Cited by 63 · see citing works
“2016), the availability of evidence-based interventions to address trauma-related symptoms (Dorsey et al. 2017) and the scope of efforts to disseminate and implement trauma-focused interventions nationally (Amaya-Jackson et al.”
BackgroundAune, T. K., Lysfjord, E. M., Beidel, D. C., Nordahl, H. M., & Dvorak, R. D. (2020) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-020-01529-0 · Cited by 55 · see citing works
“Trauma exposure is highly prevalent among both adults and adolescents [1, 2], with both groups showing exposurerelated symptoms including withdrawal, sleeping difficulties [3], posttraumatic stress disorder (PTSD) [4], and depression and anxiety symptoms [5], often causing substantial impairment [6].”
BackgroundMethodNeurobiological Markers of Resilience to Early-Life Adversity During Adolescence
Leal, A. S. M., & Silvers, J. A. (2020) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2020.08.004 · Cited by 54 · see citing works
Pathophysiology and Treatment of Prediabetes and Type 2 Diabetes in Youth
Bacha, F. F., Hannon, T. S., Tosur, M., Pike, J. M., Butler, A. M., Tommerdahl, K. L., & Zeitler, P. S. (2024) · Diabetes Care · doi:10.2337/dci24-0029 · Cited by 59 · see citing works
Powell, B. J., Haley, A. D., Patel, S. V., Amaya-Jackson, L. M., Glienke, B., Blythe, M., Lengnick‐Hall, R., McCrary, S., Beidas, R. S., Lewis, C. C., et al. (2020) · Implementation Science Communications · doi:10.1186/s43058-020-00009-5 · Cited by 50 · see citing works
“TF-CBT [45] is an EBP [50–52] for those who experience trauma-related emotional or behavioral difficulties.”
Simmons, C., Meiser-Stedman, R., Baily, H., & Beazley, P. I. (2021) · European Journal of Psychotraumatology · doi:10.1080/20008198.2021.1947570 · Cited by 46 · see citing works
“Rates of young people dropping out from treatment for PTSD are significant (Dorsey et al., 2017).”
BackgroundAdverse Childhood Experiences, Brain Development, and Mental Health: A Call for Neurocounseling
Navalta, C. P., McGee, L., & Underwood, J. (2018) · Journal of Mental Health Counseling · doi:10.17744/mehc.40.3.07 · Cited by 46 · see citing works
Kangaslampi, S., & Peltonen, K. (2022) · Current Psychology · doi:10.1007/s12144-019-00478-5 · Cited by 45 · see citing works
“Mindfulness Psychological interventions are able to alleviate posttraumatic stress symptoms (PTSS) among adults (Cusack et al. 2016) as well as children and adolescents (Dorsey et al. 2017; Gillies et al. 2016).”
BackgroundȘtefan, C. A., Dănilă, I., & Cristescu, D. (2022) · Educational Psychology Review · doi:10.1007/s10648-022-09680-7 · Cited by 63 · see citing works
“, reviews about the program) were not included; (5) the study reported findings on pre- to post-intervention/follow-up outcomes; if the studies reported data from the same sample (duplicate) or focused only on follow-up outcomes of previously reported effectiveness outcomes, they were excluded; (6) the study was publi…”
MethodWoods-Jaeger, B. A., Kava, C. M., Akiba, C. F., Lucid, L., & Dorsey, S. (2017) · Psychological Trauma: Theory, Research, Practice, and Policy · doi:10.1037/tra0000170 · Cited by 44 · see citing works
Beidas, R. S., Skriner, L. C., Adams, D. R., Wolk, C. B., Stewart, R. E., Becker‐Haimes, E. M., Williams, N. J., Maddox, B. B., Rubin, R. M., Weaver, S., et al. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.08.011 · Cited by 43 · see citing works
Jensen, T. K., Holt, T., Ormhaug, S. M., Fjermestad, K. W., & Wentzel‐Larsen, T. (2018) · Journal of Counseling Psychology · doi:10.1037/cou0000258 · Cited by 44 · see citing works
“Trauma-focused cognitive–behavioral therapy (TF-CBT) is currently one of the more studied trauma treatments for youth (Dorsey et al., 2017; Morina, Koerssen, & Pollet, 2016).”
BackgroundWar and conflict: addressing the psychosocial needs of child refugees
Murray, J. S. (2019) · Journal of Early Childhood Teacher Education · doi:10.1080/10901027.2019.1569184 · Cited by 42 · see citing works
Beidas, R. S., Becker‐Haimes, E. M., Adams, D. R., Skriner, L. C., Stewart, R. E., Wolk, C. B., Buttenheim, A. M., Williams, N. J., Inacker, P., Richey, E., et al. (2017) · Implementation Science · doi:10.1186/s13012-017-0684-7 · Cited by 41 · see citing works
Ross, S. L., Sharma-Patel, K., Brown, E. J., Huntt, J. S., & Chaplin, W. F. (2020) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2020.104734 · Cited by 40 · see citing works
Reyes, A. D. L. (2017) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2016.1266649 · Cited by 38 · see citing works
Lower implicit self-esteem as a pathway linking childhood abuse to depression and suicidal ideation
Reid-Russell, A., Miller, A. B., Dario Cvencek, A., Meltzoff, A. N., & McLaughlin, K. A. (2021) · Development and Psychopathology · doi:10.1017/s0954579420002217 · Cited by 38 · see citing works
“Incorporating such techniques into existing evidence-based approaches, like trauma-focused cognitive behavioral therapy (Cohen, Mannarino, Berliner, & Deblinger, 2000; Dorsey et al., 2017), could potentially bolster the impact of such treatments on depression and suicidal ideation.”
MethodTrauma-Informed Interventions for At-Risk and Justice-Involved Youth: A Meta-Analysis
Olaghere, A., Wilson, D. B., & Kimbrell, C. S. (2021) · Criminal Justice and Behavior · doi:10.1177/00938548211003117 · Cited by 38 · see citing works
“These reviews found cognitive-behavioral therapy (CBT) and trauma-focused CBT (TF-CBT) are effective at reducing various outcomes (Dorsey et al., 2017; Leenarts et al., 2013; Macdonald et al., 2006; Roberts et al., 2010; Silverman et al., 2008).”
BackgroundResultInfluentialHylton, E., Malley, A., & Ironson, G. H. (2019) · The Arts in Psychotherapy · doi:10.1016/j.aip.2019.101586 · Cited by 49 · see citing works
Reyes, A. D. L., & Langer, D. A. (2018) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2018.1458314 · Cited by 36 · see citing works
“…the field in terms of techniques for concerns as diverse as anxiety (Higa-McMillan, Francis, Rith-Najarian, & Chorpita, 2016), exposure to trauma (Dorsey et al., 2017), neurodevelopmental conditions (Evans, Owens, Wymbs, & Ray, 2018; Evans, Sarno Owens, & Bunford, 2014; Smith & Iadarola, 2015),…”
BackgroundGkintoni, E., Kourkoutas, E., Yotsidi, V., Stavrou, P. D., & Prinianaki, D. (2024) · Children · doi:10.3390/children11050579 · Cited by 37 · see citing works
“A study [25] identifies several shared characteristics among the practical approaches that were identified: psycho-education on the frequency, effects, and management of trauma; instruction in regulating emotions and employing problem-solving techniques; exposure to simulated or real-life…”
BackgroundAas, E., Iversen, T., Holt, T., Ormhaug, S. M., & Jensen, T. K. (2018) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2018.1463535 · Cited by 35 · see citing works
“TF-CBT has been shown to be effective in reducing trauma-related symptoms among children and adolescents at different ages in several randomized controlled trials (RCT; De Arellano et al., 2014; Dorsey et al., 2017).”
Danzi, B. A., & La Greca, A. M. (2021) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2020.1823849 · Cited by 30 · see citing works
Fitzpatrick, O. M., Cho, E., Venturo‐Conerly, K. E., Ugueto, A. M., Ng, M. Y., & Weisz, J. R. (2022) · Clinical Psychological Science · doi:10.1177/21677026221120230 · Cited by 32 · see citing works
“Our literature search included peer-reviewed RCTs testing psychological therapies for youth psychopathology encompassing four broad domains that account for most mental health referrals (Weisz, 2004; Weisz & Kazdin, 2010)—depression (e.g., Mufson et al., 1999), anxiety (e.g., Kendall et al., 1997; including obsessive-…”
MethodInfluentialBecker‐Haimes, E. M., Marcus, S. C., Klein, M. R., Schoenwald, S. K., Fugo, P. B., McLeod, B. D., Dorsey, S., Williams, N. J., Mandell, D. S., & Beidas, R. S. (2022) · Behavior Therapy · doi:10.1016/j.beth.2022.06.001 · Cited by 32 · see citing works
Metacognitive Therapy for Posttraumatic Stress Disorder in Youth: A Feasibility Study
Simons, M., & Kursawe, A.-L. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00264 · Cited by 32 · see citing works
Dorsey, S., Meza, R. D., Martin, P., Gray, C. L., Triplett, N. S., Soi, C., Woodard, G. S., Lucid, L., Amanya, C., Wasonga, A. I., et al. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00860 · Cited by 29 · see citing works
Allen, B., Shenk, C. E., Dreschel, N. A., Wang, M., Bucher, A. M., Desir, M. P., Chen, M. J., & Grabowski, S. R. (2021) · Child Maltreatment · doi:10.1177/1077559520988790 · Cited by 29 · see citing works
Kolko, D., Herschell, A., Baumann, B. L., Hart, J., & Wisniewski, S. (2018) · Child Maltreatment · doi:10.1177/1077559518781068 · Cited by 23 · see citing works
“Although many studies have been conducted to understand the impact of programs to prevent CPA, few efficacy or effectiveness trials have been conducted to understand the impact of treatment in families who are at risk of or have experienced physical abuse (Chen & Chan, 2016; Dorsey et al., 2017; Kennedy, Kim, Tripodi,…”
BackgroundInfluentialRoux, I. H. L., & Cobham, V. E. (2021) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-021-00373-1 · Cited by 32 · see citing works
“The emotional well-being of caregivers in the aftermath of a disaster can impact their availability and emotional responsiveness, influence a child’s appraisal and interpretation of the event, and affect the way in which a child responds, adapts and copes with the trauma (Dorsey et al., 2017; NHMRC, 2020).”
BackgroundMartin, C. G., Everett, Y., Skowron, E. A., & Zalewski, M. (2019) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-019-00290-4 · Cited by 26 · see citing works
Nilsson, D. K., Dävelid, I., Ledin, S., & Svedin, C. G. (2020) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2020.1840628 · Cited by 26 · see citing works
Lee, A. H., & Brown, E. J. (2022) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2022.105516 · Cited by 27 · see citing works
Finch, J., Ford, C. E. L., Lombardo, C., & Meiser‐Stedman, R. (2020) · European Journal of Psychotraumatology · doi:10.1080/20008198.2020.1815281 · Cited by 24 · see citing works
“Increasing recognition of the importance of treating PTSD in children has led to the development of interventions aimed at addressing this issue (Dorsey et al., 2017).”
BackgroundLyon, A. R., Pullmann, M. D., Dorsey, S., Levin, C., Gaias, L. M., Brewer, S. K., Larson, M. F., Corbin, C. M., Davis, C. J., Muse, I., et al. (2021) · Implementation Science · doi:10.1186/s13012-020-01064-1 · Cited by 26 · see citing works
“Trauma-focused cognitive-behavioral therapy (TFCBT) has the strongest evidence base of any child trauma treatment, with over 16 randomized trials demonstrating a range of positive outcomes across sex, age range, and ethnic and cultural groups for reduced symptoms of PTSD, anxiety, depression, and trauma-related behavi…”
BackgroundLatzman, N. E., Casanueva, C. E., Brinton, J., & Forman‐Hoffman, V. L. (2019) · Campbell Systematic Reviews · doi:10.1002/cl2.1049 · Cited by 25 · see citing works
Davidson, T. M., Bunnell, B. E., Saunders, B. E., Hanson, R. F., Danielson, C. K., Cook, D. L., Chu, B. C., Dorsey, S., Adams, Z. W., Andrews, A. R., et al. (2018) · Behavior Therapy · doi:10.1016/j.beth.2018.07.005 · Cited by 24 · see citing works
“, posttraumatic stress disorder, depression, disruptive behavior), thereby potentially enhancing applicability of our findings to a broad range of child mental health treatments (Cary & McMillen, 2012; Cohen et al., 2017; de Arellano et al., 2014; Deblinger, Mannarino, Cohen, Runyon, & Steer, 2011; Dorsey et al., 2017…”
Barnett, M. L., Lau, A. S., Lind, T., Wright, B., Stadnick, N. A., Innes-Gomberg, D., Pesanti, K., & Brookman-Frazee, L. I. (2019) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2019.1683851 · Cited by 24 · see citing works
“In contrast to systematic reviews for externalizing disorders, there is less research on the impact of caregiver involvement for children with internalizing disorders and trauma exposure (Buchanan-Pascall, Gray, Gordon, & Melvin, 2018; Dorsey et al., 2017).”
Supervision in Community Mental Health: Understanding Intensity of EBT Focus
Lucid, L., Meza, R. D., Pullmann, M. D., Jungbluth, N. J., Deblinger, E., & Dorsey, S. (2017) · Behavior Therapy · doi:10.1016/j.beth.2017.12.007 · Cited by 23 · see citing works
Becker‐Haimes, E. M., Williams, N. J., Okamura, K. H., & Beidas, R. S. (2019) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-019-00959-6 · Cited by 23 · see citing works
Steinberg, A. M., Layne, C. M., Briggs, E. C., Liang, L.-J. F., Brymer, M. J., Belin, T. R., Fairbank, J. A., & Pynoos, R. S. (2019) · Psychiatry · doi:10.1080/00332747.2018.1560584 · Cited by 22 · see citing works
Arnold, K. T., Porter, K. M. P., Frattaroli, S., Durham, R. E., Clary, L. K., & Mendelson, T. (2021) · School Mental Health · doi:10.1007/s12310-020-09402-w · Cited by 25 · see citing works
Knutsen, M., & Jensen, T. K. (2017) · Psychotherapy Research · doi:10.1080/10503307.2017.1303208 · Cited by 22 · see citing works
“However, our understanding of how trauma narratives change during therapy and whether these changes are related to symptom reduction is not clear and research is scarce (Deblinger et al., 2011; Dorsey et al., 2016; Salloum & Overstreet, 2012).”
BackgroundCramm, H. A., Godfrey, C. M., Murphy, S., McKeown, S., & Dekel, R. (2021) · JBI Evidence Synthesis · doi:10.11124/jbies-20-00229 · Cited by 24 · see citing works
Allen, B. (2022) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-022-00412-5 · Cited by 21 · see citing works
“Nonetheless, TF-CBT currently represents the “gold standard” treatment for children with PTSD (Dorsey et al., 2017) and is the only known intervention with demonstrated benefit for sexual behavior-related outcomes among children experiencing PTSD subsequent to CSA.”
BackgroundZhang, Y., Zhou, X., Yang, L., Hetrick, S. E., Weisz, J. R., Cuijpers, P., Barth, J., Del Giovane, C., Yuan, S., Cohen, D., et al. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-020198 · Cited by 20 · see citing works
“5 PTSD is correlated with various adverse consequences for children and adolescents in cognitive, emotional, social, academic and other functional domains.(6) In addition, PTSD commonly co-occurs with other psychiatric conditions, such as major depressive disorder,(7) anxiety disorder,(7) substance abuse(8) and attent…”
BackgroundPullmann, M. D., Lucid, L., Harrison, J. P., Martin, P., Deblinger, E., Benjamin, K. S., & Dorsey, S. (2018) · Frontiers in Public Health · doi:10.3389/fpubh.2018.00280 · Cited by 20 · see citing works
“TF-CBT is an evidencebased treatment for mental health sequelae subsequent to trauma exposure (26).”
BackgroundGálvez‐Lara, M., Corpas, J., Moreno, E. M., Martínez, J. F. V., Sánchez-Raya, A., & Moriana, J. A. (2018) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-018-0257-6 · Cited by 20 · see citing works
“Therefore, a new special issue focusing on evidence-based treatments was published in 2014 (Southam-Gerow and Prinstein 2014) and D53 aimed to publish more updates on evidence-based treatments for various child and adolescent problems more regularly.”
BackgroundInfluentialDopp, A. R., Gilbert, M., Silovsky, J. F., Ringel, J. S., Schmidt, S. R., Funderburk, B. W., Jorgensen, A. G., Powell, B. J., Luke, D. A., Mandell, D. S., et al. (2022) · Implementation Science Communications · doi:10.1186/s43058-021-00234-6 · Cited by 20 · see citing works
“Abbreviations EBT: Evidence-based treatment; PCIT: Parent-child interaction therapy; StaRI: Standards for Reporting Implementation Studies; TF-CBT: Trauma-focused cognitive-behavioral therapy; TIDieR: Template for Intervention Description and Replication.”
BackgroundInfluentialExamining the incidence of acute stress in pediatric trauma patients
Schauss, E., Hawes, K., Roberts, S., Clayton, J. M., Li, C., Littlejohn, A., Bartelli, D., & Williams, R. F. (2022) · Trauma Surgery & Acute Care Open · doi:10.1136/tsaco-2022-000946 · Cited by 19 · see citing works
Attrition from pediatric trauma‐focused cognitive behavioral therapy: A meta‐analysis
Wamser‐Nanney, R. A., & Walker, H. E. (2022) · Journal of Traumatic Stress · doi:10.1002/jts.22890 · Cited by 19 · see citing works
Becker‐Haimes, E. M., Klein, M. R., McLeod, B. D., Schoenwald, S. K., Dorsey, S., Hogue, A., Fugo, P. B., Phan, M. L., Hoffacker, C. P., & Beidas, R. S. (2021) · Implementation Research and Practice · doi:10.1177/2633489521992553 · Cited by 19 · see citing works
“We use the exemplar of CBT for youth mental health as it has strong empirical support (Dorsey et al., 2017; Higa-McMillan et al., 2016; Hofmann et al., 2012; McCart & Sheidow, 2016) and because there have been nationwide implementation efforts designed to increase CBT use for youth (e.”
MethodDumornay, N. M., Finegold, K. E., Chablani‐Medley, A., Elkins, L., Krouch, S., Baldwin, M., Youn, S. J., Marques, L. M., Ressler, K. J., & Moreland-Capuia, A. R. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.951429 · Cited by 18 · see citing works
Berthelot, N., Garon‐Bissonnette, J., Jomphe, V., Doucet-Beaupré, H., Bureau, A., & Maziade, M. (2022) · Schizophrenia Bulletin Open · doi:10.1093/schizbullopen/sgac017 · Cited by 17 · see citing works
“73 Whereas evidence-based treatments for trauma-exposed children and adolescents are available 74 and widely disseminated, 75 the efficacy of such interventions in genetically high-risk youths has to be better investigated.”
Childhood Posttraumatic Stress Disorder
Danzi, B. A., Knowles, E. A., & Thomas, J. L. (2024) · Springer eBooks · doi:10.1007/978-3-031-40858-8_201-1 · Cited by 17 · see citing works
Espeleta, H. C., Peer, S. O., Are, F. G., & Hanson, R. F. (2021) · Child Maltreatment · doi:10.1177/10775595211003673 · Cited by 16 · see citing works
“While several mental health treatments have been developed to ameliorate these trauma-related symptoms (e.g., Carr, 2019; Dorsey et al., 2020; Dorsey et al., 2017; Gutermann et al., 2016; Leenarts et al., 2013), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT; Cohen et al.”
BackgroundMethodInfluentialWislocki, K. E., Kratz, H. E., Martin, G. J., & Becker‐Haimes, E. M. (2022) · Child Psychiatry & Human Development · doi:10.1007/s10578-022-01352-5 · Cited by 16 · see citing works
“Most notably, the current literature surrounding the treatment of youth experiencing post-traumatic stress symptoms following trauma exposure is relatively distinct from that focused on treating OCS/OCD in youth [21, 22].”
Future Directions in Youth Irritability Research
Evans, S. C., Shaughnessy, S., & Karlovich, A. R. (2023) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2023.2209180 · Cited by 16 · see citing works
“, 2016) and traumatic stress (Dorsey et al., 2017), dialectical behavior therapy (DBT) for self-injurious thoughts and behaviors in adolescents (Glenn et al.”
Family Life Education for Families Facing Acute Stress: Best Practices and Recommendations
Myers‐Walls, J. A. (2020) · Family Relations · doi:10.1111/fare.12452 · Cited by 16 · see citing works
Childhood Trauma as a Public Health Issue
Lambert, H. K., Meza, R. D., Martin, P., Fearey, E., & McLaughlin, K. A. (2017) · Springer eBooks · doi:10.1007/978-3-319-46138-0_3 · Cited by 17 · see citing works
Gkintoni, E., Κουρκούτας, Η., Prinianaki, D., Yotsidi, V., & Stavrou, P. D. (2024) · Preprints.org · doi:10.20944/preprints202401.0893.v1 · Cited by 16 · see citing works
Systemic interventions for traumatic event exposure: A 2010–2019 decade review
McWey, L. M. (2021) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12547 · Cited by 16 · see citing works
Lange, B. C. L., Nelson, A. M., Lang, J. M., & Stirman, S. W. (2022) · Implementation Science Communications · doi:10.1186/s43058-022-00348-5 · Cited by 14 · see citing works
Giani, L., Caputi, M., Forresi, B., Michelini, G., & Scaini, S. (2021) · International Journal of Cognitive Therapy · doi:10.1007/s41811-021-00129-3 · Cited by 15 · see citing works
Höfel, L., Eppler, B., Storf, M., Schnöbel-Müller, E., Haas, J., & Hügle, B. (2018) · Pediatric Rheumatology · doi:10.1186/s12969-018-0228-y · Cited by 14 · see citing works
Patterns of Child Mental Health Service Utilization Within a Multiple EBP System of Care
Lui, J. H. L., Brookman-Frazee, L. I., Vázquez, A. L., Cox, J. R., Innes-Gomberg, D., Taguchi, K., Pesanti, K., & Lau, A. S. (2021) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-021-01179-7 · Cited by 14 · see citing works
Hinckley, J. D., Adams, Z. W., Dellucci, T. V., & Berkowitz, S. J. (2024) · Medical Research Archives · doi:10.18103/mra.v12i8.5688 · Cited by 13 · see citing works
“Other empirically supported treatments that have been found effective in addressing traumatic stress symptoms include eye movement desensitization and reprocessing (EMDR), cognitive processing therapy (CPT), and prolonged exposure (PE) adapted for adolescents 79,80 .”
Family-Based Prevention of Child Traumatic Stress
Goodrum, N. M., & Prinz, R. (2022) · The Pediatric clinics of North America · doi:10.1016/j.pcl.2022.04.011 · Cited by 12 · see citing works
“TF-CBT has a strong evidence base and is considered a gold standard treatment for child traumatic stress including PTSD. 38 At least 13 randomized controlled trials have shown the program’s efficacy in reducing children’s symptoms of PTSD, depression, and behavior problems, compared to attention or waitlist controls o…”
InfluentialYohannan, J., Carlson, J. S., & Volker, M. A. (2021) · Journal of Traumatic Stress · doi:10.1002/jts.22755 · Cited by 13 · see citing works
Shenk, C. E., Keeshin, B., Bensman, H. E., Olson, A. E., & Allen, B. (2021) · Pharmacology, Biochemistry and Behavior · doi:10.1016/j.pbb.2021.173298 · Cited by 8 · see citing works
Valladares-Garrido, M. J., León‐Figueroa, D. A., Dawson, F. M., Burga-Cachay, S. C., Fernandez-Canani, M. A., Failoc‐Rojas, V. E., Pereira-Victorio, C. J., Valladares-Garrido, D., & Inga-Berrospi, F. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1169247 · Cited by 16 · see citing works
Hahn, A. M., Adams, Z. W., Chapman, J., McCart, M. R., Sheidow, A. J., de Arellano, M. A., & Danielson, C. K. (2020) · Contemporary Clinical Trials · doi:10.1016/j.cct.2020.106012 · Cited by 12 · see citing works
Shenk, C. E., Allen, B., Dreschel, N. A., Wang, M., Felt, J. M., Brown, M. P., Bucher, A. M., Chen, M. J., & Olson, A. E. (2022) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-022-00946-w · Cited by 12 · see citing works
“Given the use of exposure as a hallmark feature of behavioral interventions for PTSD (Dorsey et al., 2017), greater RSA withdrawal during TF-CBT was not unexpected.”
BackgroundInfluentialThe promise of compassion-based therapy as a novel intervention for adolescent PTSD
Brinckman, B., Alfaro, E. L., Wooten, W., & Herringa, R. (2023) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2023.100694 · Cited by 12 · see citing works
“…Prolonged Exposure (PE), Cognitive Processing Therapy (CPT) and Eye Movement Desensitization and Reprocessing Therapy (EMDR; John-Baptiste Bastien et al., 2020; Mavranezouli et al., 2020; Smith et al., 2019; Dorsey et al., 2017; Morina et al., 2016; Haller et al., 2016; Watts et al., 2013).”
BackgroundInfluentialLee, P., Lang, J. M., Vanderploeg, J. J., & Marshall, T. M. (2021) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-021-00877-y · Cited by 11 · see citing works
Heltne, U. M., Sarkadi, A., Lien, L., & Dybdahl, R. (2023) · International Journal for Equity in Health · doi:10.1186/s12939-023-01999-z · Cited by 11 · see citing works
“Even if there is evidence for the positive effects of psychoeducation, exposure and the use of the trauma narrative, there is still a need for further research to identify the components that are effective and that create changes both in TRT and in other similar programmes [48–52].”
BackgroundWoodard, G. S., Triplett, N. S., Frank, H. E., Harrison, J. P., Robinson, S., & Dorsey, S. (2021) · Implementation Research and Practice · doi:10.1177/26334895211057883 · Cited by 11 · see citing works
“There is strong evidence for the efficacy of exposure in treating anxiety disorders and PTSD (Dorsey et al., 2017; Higa-McMillan et al., 2016).”
BackgroundInfluential
- Authors
- Dorsey, S., McLaughlin, K. A., Kerns, S. E. U., Harrison, J. P., Lambert, H. K., Briggs, E. C., Revillion Cox, J., & Amaya-Jackson, L.
- Affiliations
- University of Washington (US)
- Duke University (US)
- Corresponding author
- Dorsey, Shannon
- ORCID
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2016-10-19
- Volume
- 46
- Issue
- 3
- Pages
- 303-330
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- OpenAlex
- W4252106176
- Cited by
- 296
- References
- 118
- Citations by year
- 2026: 21 · 2025: 18 · 2024: 28 · 2023: 23 · 2022: 39 · 2021: 49 · 2020: 50 · 2019: 30 · 2018: 24 · 2017: 11 · 2016: 3
- FWCI
- 30.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- Digital Commons - DU (University of Denver) (submittedVersion)
- Funders
- National Institutes of Health (K01 MH092526, R01 MH095749, R01 MH096633, R01 MH103291, R25 MH080916)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- psychosocial interventions, post-traumatic stress, cognitive behavioral therapy, parental involvement, group therapy, EMDR, complex trauma, play therapy, psychoanalysis, treatment efficacy, dissemination and implementation
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