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Systematic review and meta-analysis: Do best-evidenced trauma-focused interventions for children and young people with PTSD lead to changes in social and interpersonal domains? (European Journal of Psychotraumatology)

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Home / Resources / PTSD / Systematic review and meta-analysis: Do best-evidenced trauma-focused interventions for children and young people with PTSD lead to changes in social and interpersonal domains? (European Journal of Psychotraumatology)

Systematic review and meta-analysis: Do best-evidenced trauma-focused interventions for children and young people with PTSD lead to changes in social and interpersonal domains?

This study examined whether PTSD treatments of TF-CBT and EMDR therapy for children and young people aged 5–25 improve social or interpersonal factors in RCTs.


Article Abstract

“Objective: Young people with post-traumatic stress disorder experience difficulties in social and interpersonal domains. We examined whether the best-evidenced treatments of PTSD for children and young people (Trauma-focused Cognitive Behavioural Therapy or Eye Movement Desensitisation and Reprocessing; aged 5–25) improve social or interpersonal factors in randomised controlled trials, compared to a comparator condition.

Method: The review was preregistered on PROSPERO (CRD42023455615; 18th August 2023). Web of Science Core Collection, EMBASE, CINAHL, Pubmed, PsycINFO, Cochrane Central Register of Controlled Trials and PTSDPubs were searched, and data were extracted for social and interpersonal outcomes post treatment. A random effect meta-analysis was conducted to obtain between-group pooled effect size estimates.

Results: The search resulted in 792 studies, of which 17 met our inclusion criteria (N = 2498). Our meta-analysis included 13 studies which investigated social skills and functioning, revealing a small but non-significant effect favouring the evidence-based treatment versus comparison (g = .20, 95% CI [−0.03, 0.44], p = .09). We narratively synthesised six studies which reported other social-related outcomes (e.g. perceptions of social support), and four out of six reported improved social domain outcomes for the evidence-based PTSD treatment condition. There was a large amount of heterogeneity, with no evidence that this could be explained by moderators.

Conclusion: Few trials report on social and interpersonal outcomes, and where they are reported the evidence is mixed. It may be that trauma-focused therapies for PTSD need to be adapted in some circumstances, so that they address social and interpersonal deficits often seen in children and young people with PTSD.“

—Description from publisher

Article Access

Open Access

Phillips, A. R., Halligan, S. L., Bailey, M. Birkeland, M. S., Lavi, I., Meiser-Stedman, R., Oram, H., Robinson, S., Sharp, T. H., & Hiller, R. M. (2024). Systematic review and meta-analysis: Do best-evidenced trauma-focused interventions for children and young people with PTSD lead to changes in social and interpersonal domains? European Journal of Psychotraumatology, 15(1): 2415267. Open access: https://doi.org/10.1080/20008066.2024.2415267

 

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Basic Info Collapse

Date
October 25, 2024

Creator(s)
Alice R. Phillips, Sarah L. Halligan, Megan Bailey

Contributor(s)
Marianne Skogbrott Birkeland, Iris Lavi, Richard Meiser-Stedman, Hannah Oram, Susan Robinson, Tamsin H. Sharp, Rachel M. Hiller

Topics
PTSD

Client Population
Adolescents, Children

Practice & Methods
Comparative Studies

More Info Collapse

Extent
16 pages

Publisher
Informa UK Limited trading as Taylor & Francis Group

Rights
© 2024 The Author(s).

APA Citation
Phillips, A. R., Halligan, S. L., Bailey, M. Birkeland, M. S., Lavi, I., Meiser-Stedman, R., Oram, H., Robinson, S., Sharp, T. H., & Hiller, R. M. (2024). Systematic review and meta-analysis: Do best-evidenced trauma-focused interventions for children and young people with PTSD lead to changes in social and interpersonal domains? European Journal of Psychotraumatology, 15(1): 2415267. Open access: https://doi.org/10.1080/20008066.2024.2415267

Audience
EMDR Therapists, Other Mental Health Professionals

Language
English

Content Type
Article, Meta-analyses/Systematic Reviews, Peer-Reviewed

Access Type
External Resource, Open Access

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