The efficacy and acceptability of group trauma-focused cognitive behavior therapy for the treatment of post-traumatic stress disorder in children and adolescents: A systematic review and meta-analysis

作者全名："Xie, Siyu; Cheng, Qisheng; Tan, Shiyu; Li, Haomiao; Huang, Tengyue; Xiang, Yajie; Zhou, Xinyu"

作者地址："[Xie, Siyu; Cheng, Qisheng; Zhou, Xinyu] Chongqing Med Univ, Affiliated Hosp 1, Dept Psychiat, 1 Youyi Rd, Chongqing, Peoples R China; [Xie, Siyu; Tan, Shiyu; Li, Haomiao] Chongqing Med Univ, Coll Pediat, Chongqing, Peoples R China; [Xie, Siyu; Cheng, Qisheng; Xiang, Yajie] Chongqing Med Univ, Affiliated Hosp 1, Dept Neurol, 1 Youyi Rd, Chongqing, Peoples R China; [Cheng, Qisheng; Huang, Tengyue] Chongqing Med Univ, Clin Coll 1, Chongqing, Peoples R China"

通信作者："Zhou, XY (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Psychiat, 1 Youyi Rd, Chongqing, Peoples R China.; Xiang, YJ (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Dept Neurol, 1 Youyi Rd, Chongqing, Peoples R China."

来源：GENERAL HOSPITAL PSYCHIATRY

ESI学科分类：PSYCHIATRY/PSYCHOLOGY

WOS号：WOS:001163237000001

JCR分区：Q1

影响因子：7

年份：2024

卷号：86

期号：　

开始页：127

结束页：134

文献类型：Review

关键词：Acceptability; Children and adolescents; Efficacy; Group trauma-focused cognitive behavior; therapy; Meta-analysis; Post-traumatic stress disorder

摘要："Background: Group trauma-focused cognitive behavior therapy (TF-CBT) is widely used to treat post-traumatic stress disorder (PTSD) in children and adolescents. However, the available evidence remains unclear. Method: PubMed, EMBASE, Cochrane, Web of Science, PsycINFO, CINAHL, ProQuest Dissertations, LILACS, and international trial registers were searched from database inception to April 30, 2022. We included randomized controlled trials (RCTs) that compared TF-CBT with any control condition for treating children and adolescents with PTSD. Analyses were performed using Review Manager version 5.3 and Stata 16.0. The risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool. This study was registered with PROSPERO (CRD42020206096). Results: Eleven RCTs involving 1942 patients were included. Group TF-CBT was significantly more effective than other treatments at post-treatment (standardized mean difference [SMD]: -0.43, 95% confidence interval [CI]: -0.65 to -0.22), follow-up (SMD: -0.33, 95% CI: -0.52 to -0.13), and in relieving depressive symptoms (SMD: -0.29, 95% CI: -0.49 to -0.09), but not in terms of acceptability. Subgroup analyses showed that group TF-CBT was superior to other treatments in studies including children with post-traumatic stress symptoms (PTSS) (SMD: -0.54, 95% CI: -0.79 to -0.28) and psychiatric comorbidities (SMD: -0.48, 95% CI: -0.72 to -0.23). Limitations: The small sample sizes of identified studies limited some findings. Conclusion: When considering effectiveness at post-treatment and follow-up or the reduction of depressive symptoms, group TF-CBT could be a good choice for children and adolescents with PTSD. Among these patients, those with PTSS or psychiatric comorbidities may benefit the most."

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