Psychotherapeutic interventions for childhood posttraumatic stress disorder: An update

Jaco Rossouw; Tamsin Sharp; Sarah Halligan; Soraya Seedat

doi:10.1097/YCO.0000000000000821

Psychotherapeutic interventions for childhood posttraumatic stress disorder: An update

Jaco Rossouw, Tamsin Sharp, Sarah Halligan, Soraya Seedat

Stellenbosch University

Research output: Contribution to journal › Review article › peer-review

3 Citations (SciVal)

150 Downloads (Pure)

Abstract

Purpose of the review. We review treatment outcome studies and systematic reviews for childhood and adolescent posttraumatic stress disorder (PTSD) between January 2020 and August 2022, including studies involving younger children and different treatment delivery methods and models. We address predictors, moderators, treatment engagement, and attrition.

Recent findings. Recent randomised controlled trials corroborate earlier trials documenting trauma-focused cognitive behaviour therapy (TF-CBT) as a highly efficacious treatment for PTSD. Evidence for treatment effects in complex PTSD in youth is still sparse. Research on moderators and predictors of treatment continues to be hampered by multiple factors, including a lack of sufficiently large homogeneous trauma samples.

Summary. TF-CBT is a very effective treatment for children and adolescents with PTSD. Further work is needed to (i) demonstrate that task-shifting models utilising lay community health counsellors and peer counsellors can effectively and cost-effectively close the mental health treatment gap that exists world-wide in children and adolescents diagnosed with PTSD, but particularly within low- and middle income countries, and (ii) better understand moderators and predictors of treatment which remains a priority.

Original language	English
Pages (from-to)	417-424
Number of pages	8
Journal	Current Opinion in Psychiatry
Volume	35
Issue number	6
DOIs	https://doi.org/10.1097/YCO.0000000000000821
Publication status	Published - 30 Nov 2022

Bibliographical note

Funding Information:
Further support was provided by ESRC grant ES/V002643/1 (Sarah Halligan).

Funding Information:
This work is supported and funded by the South African Research Chair in PTSD funded by the Department of Science and Innovation (DSI) and administered by NRF (National Research Foundation (NRF) and the South African Medical Research Council Genomics of Brain Disorders Unit awarded to S Seedat and hosted by Stellenbosch University.

Keywords

children and adolescents
posttraumatic stress disorder
psychotherapeutic treatment
trauma

ASJC Scopus subject areas

Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1097/YCO.0000000000000821

Manuscript - Updates PTSD Treatment accepted versionAccepted author manuscript, 114 KBLicence: CC BY

Cite this

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title = "Psychotherapeutic interventions for childhood posttraumatic stress disorder: An update",

abstract = "Purpose of the review. We review treatment outcome studies and systematic reviews for childhood and adolescent posttraumatic stress disorder (PTSD) between January 2020 and August 2022, including studies involving younger children and different treatment delivery methods and models. We address predictors, moderators, treatment engagement, and attrition.Recent findings. Recent randomised controlled trials corroborate earlier trials documenting trauma-focused cognitive behaviour therapy (TF-CBT) as a highly efficacious treatment for PTSD. Evidence for treatment effects in complex PTSD in youth is still sparse. Research on moderators and predictors of treatment continues to be hampered by multiple factors, including a lack of sufficiently large homogeneous trauma samples.Summary. TF-CBT is a very effective treatment for children and adolescents with PTSD. Further work is needed to (i) demonstrate that task-shifting models utilising lay community health counsellors and peer counsellors can effectively and cost-effectively close the mental health treatment gap that exists world-wide in children and adolescents diagnosed with PTSD, but particularly within low- and middle income countries, and (ii) better understand moderators and predictors of treatment which remains a priority.",

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note = "Funding Information: Further support was provided by ESRC grant ES/V002643/1 (Sarah Halligan). Funding Information: This work is supported and funded by the South African Research Chair in PTSD funded by the Department of Science and Innovation (DSI) and administered by NRF (National Research Foundation (NRF) and the South African Medical Research Council Genomics of Brain Disorders Unit awarded to S Seedat and hosted by Stellenbosch University. ",

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T2 - An update

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AU - Sharp, Tamsin

AU - Halligan, Sarah

AU - Seedat, Soraya

N1 - Funding Information: Further support was provided by ESRC grant ES/V002643/1 (Sarah Halligan). Funding Information: This work is supported and funded by the South African Research Chair in PTSD funded by the Department of Science and Innovation (DSI) and administered by NRF (National Research Foundation (NRF) and the South African Medical Research Council Genomics of Brain Disorders Unit awarded to S Seedat and hosted by Stellenbosch University.

PY - 2022/11/30

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N2 - Purpose of the review. We review treatment outcome studies and systematic reviews for childhood and adolescent posttraumatic stress disorder (PTSD) between January 2020 and August 2022, including studies involving younger children and different treatment delivery methods and models. We address predictors, moderators, treatment engagement, and attrition.Recent findings. Recent randomised controlled trials corroborate earlier trials documenting trauma-focused cognitive behaviour therapy (TF-CBT) as a highly efficacious treatment for PTSD. Evidence for treatment effects in complex PTSD in youth is still sparse. Research on moderators and predictors of treatment continues to be hampered by multiple factors, including a lack of sufficiently large homogeneous trauma samples.Summary. TF-CBT is a very effective treatment for children and adolescents with PTSD. Further work is needed to (i) demonstrate that task-shifting models utilising lay community health counsellors and peer counsellors can effectively and cost-effectively close the mental health treatment gap that exists world-wide in children and adolescents diagnosed with PTSD, but particularly within low- and middle income countries, and (ii) better understand moderators and predictors of treatment which remains a priority.

AB - Purpose of the review. We review treatment outcome studies and systematic reviews for childhood and adolescent posttraumatic stress disorder (PTSD) between January 2020 and August 2022, including studies involving younger children and different treatment delivery methods and models. We address predictors, moderators, treatment engagement, and attrition.Recent findings. Recent randomised controlled trials corroborate earlier trials documenting trauma-focused cognitive behaviour therapy (TF-CBT) as a highly efficacious treatment for PTSD. Evidence for treatment effects in complex PTSD in youth is still sparse. Research on moderators and predictors of treatment continues to be hampered by multiple factors, including a lack of sufficiently large homogeneous trauma samples.Summary. TF-CBT is a very effective treatment for children and adolescents with PTSD. Further work is needed to (i) demonstrate that task-shifting models utilising lay community health counsellors and peer counsellors can effectively and cost-effectively close the mental health treatment gap that exists world-wide in children and adolescents diagnosed with PTSD, but particularly within low- and middle income countries, and (ii) better understand moderators and predictors of treatment which remains a priority.

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Psychotherapeutic interventions for childhood posttraumatic stress disorder: An update

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Caregiver influences on child psychological adjustment following trauma; a longitudinal study of a high adversity population

Cite this

Psychotherapeutic interventions for childhood posttraumatic stress disorder: An update

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Projects

Caregiver influences on child psychological adjustment following trauma; a longitudinal study of a high adversity population

Cite this