Do psychological treatments for PTSD in children and young people reduce trauma-related appraisals? A systematic review and meta-analysis

Smith, Charlotte, Ford, Catherine ORCID: https://orcid.org/0000-0002-8646-9402, Baldwin, George, Jensen, Tine K., Karatzias, Thanos, Birkeland, Marianne Skogbrott and Meiser-Stedman, Richard ORCID: https://orcid.org/0000-0002-0262-623X (2024) Do psychological treatments for PTSD in children and young people reduce trauma-related appraisals? A systematic review and meta-analysis. Behaviour Research and Therapy, 182. ISSN 0005-7967

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Abstract

Research is increasingly highlighting the role of negative trauma-related appraisals in child and adolescent post-traumatic stress disorder (PTSD). The cognitive model of PTSD claims that an essential mechanism of treatment is a reduction in these appraisals. The current systematic review with meta-analysis investigated the extent to which psychological treatments for PTSD reduce negative trauma-related appraisals in children and adolescents. Four databases (PsycINFO, Medline Complete, CINAHL Complete and PTSDpubs) were searched on the 11-12th December 2022. The Risk of Bias 2 (ROB-2) tool was used to assess for risk of bias. Thirteen studies were included in this review, comprising 937 child and adolescent participants. Using a random effects model to perform the meta-analysis, a medium pooled effect size for the effect of current treatments on trauma-related appraisals was found (g = -.67, 95% CI [-.86, -.48]). There was only a moderate level of heterogeneity between studies (I2= 44.4%), increasing the confidence with which these findings can be interpreted. These results indicate that psychological treatments for child and adolescent PTSD significantly reduce negative trauma-related appraisals. However, it is important to note that no trial included in the review was categorised as having low risk of bias.

Item Type:	Article
Additional Information:	Data availability statement: The data is available on request.
Uncontrolled Keywords:	ptsd,child,appraisals,trauma,meta-analysis,systematic review
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health Faculty of Medicine and Health Sciences > Research Groups > Mental Health
Depositing User:	LivePure Connector
Date Deposited:	27 Aug 2024 12:30
Last Modified:	29 Nov 2024 01:51
URI:	https://ueaeprints.uea.ac.uk/id/eprint/96351
DOI:	10.1016/j.brat.2024.104621

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