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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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“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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Child trauma exposure and psychopathology: Mechanisms of risk and resilience
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“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.”
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“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).”
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“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).”
Background
Metadata
- 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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