Navigation Links
Review: Few effective, evidence-based interventions for children exposed to traumatic events
Date:2/10/2013

RESEARCH TRIANGLE PARK, N.C. About two of every three children will experience at least one traumatic event before they turn 18. Despite this high rate of exposure, little is known about the effectiveness of treatments aimed at preventing and relieving traumatic stress symptoms that children may experience after such events, according to researchers at RTI International, the University of North Carolina School of Medicine, the RTI-UNC Evidence-based Practice Center, and Boston Medical Center.

The article, published today in the journal Pediatrics, summarizes the results of a systematic review of clinical interventions for children under age 18 exposed to at least one traumatic event such as an accident, natural disaster, community violence, war, or political instability. Child abuse and neglect were not included in this research; a separate review covers interventions for these types of traumas. The U.S. Agency for Healthcare Research and Quality funded the review.

After reviewing 6,647 abstracts, the investigators found 21 trials and 1 cohort study that met the criteria for inclusion in the review. Only a few psychotherapeutic treatments showed possible benefits for children exposed to trauma. The most promising interventions were school-based psychotherapy interventions that included cognitive behavior therapy. These interventions were associated with changes in symptoms of post-traumatic stress, anxiety, depression, and anger. The review did not find evidence of effectiveness for any of the pharmacologic interventions.

"The current body of evidence provides only a little insight into best practices in treating children exposed to trauma, some of whom already have symptoms," said Valerie Forman-Hoffman, Ph.D., a research epidemiologist at RTI International and lead author of the study. "This is particularly discouraging given recent shootings at schools and other places where children have been victims. We simply don't have much of an evidence-base to be able to recommend best treatment practices."

Adam Zolotor, M.D., a family physician at the University of North Carolina and a co-author of the review, agrees, "These findings serve as a call to action: psychotherapeutic intervention can provide some benefit to children exposed to traumatic events, but far more research is needed to make definitive conclusions. Because trauma is a common and costly source of childhood psychological distress, it is critical to understand effective forms of treatment."

The authors recommend immediate attention from funding agencies, clinicians, researchers, policymakers, and other public health authorities to support further, well-designed research that can broaden the evidence base. They suggest that future studies expand their examination of the impact of trauma interventions to a wider range of outcomes such as risk-taking behaviors and suicidality and focus on longer-term indicators of development and functioning.


'/>"/>

Contact: Tom Hughes
tahughes@unch.unc.edu
919-966-6047
University of North Carolina Health Care

Lisa Bistreich-Wolfe
lbistreich@tri.org
919-316-3596
RTI International
Source:Eurekalert  


Related medicine news :

1. Science preview: October 2012 meetings of agronomy, crop, and soil science societies
2. Review: Altruisms influence on parental decision to vaccinate children is unclear
3. Herbal remedy used to treat hepatitis C proves ineffective, Penn study finds
4. New Pill Appears Effective, Safe for Ulcerative Colitis: Study
5. Combination peptide therapies might offer more effective, less toxic cancer treatment
6. Chemo Pills Effective, But Patients May Skip Doses
7. Nurse leader resistance perceived as a barrier to high-quality, evidence-based patient care
8. Merck and Regenstrief Institute establish evidence-based care collaboration
9. Doctors call for evidence-based appropriateness criteria for elective procedures
10. Health interventions for clergy must counteract need to put others first
11. Meta-analysis: Interventions improve depression in cancer patients
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Review: Few effective, evidence-based interventions for children exposed to traumatic events
(Date:3/28/2017)... ... March 28, 2017 , ... City trips ... (IBT World Travel Trends Report). As travelers visit both urban destinations, they are ... and prolonged sun exposure. In response, the outdoor industry has blurred the lines ...
(Date:3/28/2017)... ... March 28, 2017 , ... Z-Medica, LLC, ... of Pittsburgh Medical Center (UPMC) will acquire QuikClot® Bleeding Control Kits® (BCK) to ... developed in association with efforts by the American College of Surgeons, U.S. Department ...
(Date:3/28/2017)... Calif. (PRWEB) , ... March 28, 2017 , ... ... its leading physicians, Paul Yost, will begin serving as new board chair for ... this month. Yost will serve the remainder of soon-to-be former chair Mark Refowitz’s ...
(Date:3/28/2017)... ... March 28, 2017 , ... In ... Self-Funding Success website has recently developed and published an informational resource that addresses ... created based on common inquiries the site’s team of third party administrator (TPA) ...
(Date:3/28/2017)... ... March 28, 2017 , ... Prominant bariatric surgeon and well-known ... to offer the recently FDA-approved Obalon Balloon System to his patients. The Obalon ... Surgical’s already comprehensive list of weight-loss services. Dr. Liu is proud to ...
Breaking Medicine News(10 mins):
(Date:3/28/2017)... 2017  Akcea Therapeutics, a subsidiary of Ionis Pharmaceuticals, Inc. ... of directors: Christopher Gabrieli ... serve as chairman of the board of Akcea Therapeutics. ... of Forest Laboratories. Sandford D. Smith ... "We are excited to announce this expansion to ...
(Date:3/28/2017)... , March 28, 2017 ... expected to reach a value of USD 4.5 billion ... View Research, Inc. Proper closure of injured tissues post ... and function. Postoperative leakages occur in 3% to 15% ... They are responsible for one third of postoperative deaths ...
(Date:3/27/2017)... , March 27, 2017 The National ... health and data analytics company, signed a Memorandum ... improving healthcare delivery in the region. ... Global Health Research and Technology (BIGHEART) at NUS ... several topics related to healthcare IT and medical ...
Breaking Medicine Technology: