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Donna Gillies, Fiona Taylor, Carl Grey, Louise O’Brien and Natalie D’Abrew
Evidence Based Child Health, Wiley, 2013, Volume 8 (3): 1004–16
Background: Post-traumatic stress disorder (PTSD) is highly prevalent in children and adolescents who have experienced trauma and has high personal and health costs. Although a wide range of psychological therapies have been used in the treatment of PTSD there are no systematic reviews of these therapies in children and adolescents.
Objectives: To examine the effectiveness of psychological therapies in treating children and adolescents who have been diagnosed with PTSD.
Search methods: We searched the Cochrane Depression, Anxiety and Neurosis Review Group’s Specialised Register (CCDANCTR) to December 2011. The CCDANCTR includes relevant randomised controlled trials from the following bibliographic databases: CENTRAL (the Cochrane Central Register of Controlled Trials) (all years), EMBASE (1974–), MEDLINE (1950–) and PsycINFO (1967–). We also checked reference lists of relevant studies and reviews. We applied no date or language restrictions.
Selection criteria: All randomised controlled trials of psychological therapies compared to a control, pharmacological therapy or other treatments in children or adolescents exposed to a traumatic event or diagnosed with PTSD.
Data collection and analysis: Two members of the review group independently extracted data. If differences were identified, they were resolved by consensus, or referral to the review team. We calculated the odds ratio (OR) for binary outcomes, the standardised mean difference (SMD) for continuous outcomes and 95% confidence intervals (CI) for both, using a fixed-effect model. If heterogeneity was found we used a random-effects model.
Main results: Fourteen studies including 758 participants were included in this review. The types of trauma participants had been expos