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:12/9/2016)... (PRWEB) , ... December 09, 2016 , ... ... Ball at The Pierre Hotel in New York, NY, on December 3rd, to ... dignitaries and physicians attended the annual event, which raised over $1 million - ...
(Date:12/8/2016)... WV (PRWEB) , ... December 08, 2016 , ... ... it will become Quality Insights beginning January 1, 2017. The name change ... its commitment to measuring and improving health care quality. , “We are very ...
(Date:12/8/2016)... ... 08, 2016 , ... ZyDoc , a New York-based ... Data Capture Methods for Input to Electronic Health Records: A Comparative Usability Study” ... comparative usability study demonstrate that a dictation-based method (“NLP Entry”) using ZyDoc’s MediSapien™ ...
(Date:12/8/2016)... ... 2016 , ... With the increasing demand for dental implants, the National Association ... to inform dentists and patients about the safety issues related to dental restorations. According ... the U.S. is projected to reach $6.4 billion in 2018 with more than 30 ...
(Date:12/8/2016)... ... December 08, 2016 , ... ... continuity to its innovative Unified Instance Manager architecture, meeting the needs of ... new version optimizes the unattended auto-dialing system without agents, Presence Robodialer, provides ...
Breaking Medicine News(10 mins):
(Date:12/8/2016)... VIEW, Calif. , Dec. 8, 2016 IRIDEX ... intends to offer newly issued shares of common stock, $0.01 ... pursuant to an underwritten public offering.  The final terms of ... the time of pricing, and there can be no assurance ... IRIDEX expects to use the net proceeds it ...
(Date:12/8/2016)... Australia Glaucoma Surgery Devices Market Outlook ... "Australia Glaucoma Surgery Devices Market Outlook to 2022", ... Surgery Devices market. The report provides value, in ... average prices (USD) within market segement - Glaucoma ... shares and distribution shares data for each of ...
(Date:12/8/2016)... -- The global biosurgery market is expected to grow at ... 2016 to 2021. The market is poised to reach ... in 2016. The market is primarily driven by rising ... and spinal problems, increasing clearance of biosurgery products by ... management. In this report, the biosurgery market ...
Breaking Medicine Technology: