We evaluated the effectiveness of trauma-focused cognitive behavioral therapy (TF-CBT) for treating posttraumatic stress disorder and co-occurring depression symptoms across 21 between-group studies representing the data of 1,860 children and adolescents (1,106 girls and 754 boys). Separate meta-analytic procedures were conducted for studies that implemented wait-list/no treatment and alternative treatment comparisons to estimate aggregated treatment effect of TF-CBT and moderators of effect size magnitude. Limitations of our findings and implications for counselors are discussed.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.
3.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
4.
BergerR.Pat-HorenczykR.GelkopfM. (2007). School-based intervention for prevention and treatment of elementary-students’ terror-related distress in Israel: A quasi-randomized controlled trial. Journal of Traumatic Stress, 20, 541–551. doi:10.1002/jts.20225
5.
BorensteinM.HedgesL. V.HigginsJ. P. T.RothsteinH. R. (2009). Introduction to meta-analysis. West Sussex, England: John Wiley & Sons, Inc.
6.
Briggs-GowanM. J.FordJ. D.FraleighL.McCarthyK.CarterA. S. (2010). Prevalence of exposure to potentially traumatic events in a healthy birth cohort of very young children in the northeastern United States. Journal of Traumatic Stress, 23, 725–733. doi:10.1002/jts.20593
7.
CaryC. E.McMillenJ. (2012). The data behind the dissemination: A systematic review of trauma-focused cognitive behavioral therapy for use with children and youth. Children and Youth Services Review, 34, 748–757. doi:10.1016/j.childyouth.2012.01.003
8.
CohenJ. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
9.
CohenJ. A.DeblingerE.MannarinoA. P.SteerR. (2004). A multi-site, randomized controlled trial for children with abuse-related PTSD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 393–342. doi:10.1097/00004583-200404000-00005
10.
CohenJ. A.MannarinoA. P. (2008). Trauma-focused cognitive behavioural therapy for children and parents. Children and Adolescent Mental Health, 13, 158–162. doi:10.111/j.1475-3588.2008.00502.x
11.
CohenJ. A.MannarinoA. P.DeblingerE. (2006). Treating rauma and traumatic grief in children and adolescents. New York, NY: The Guilford Press.
12.
CohenJ. A.MannarinoA. P.IyengarS. (2011). Community treatment of posttraumatic stress disorder for children exposed to intimate partner violence: A randomized controlled trial. Archives of Adolescent and Pediatric Medicine, 165, 16–21. doi:10.1001/archpediatrics.2010.247
13.
CohenJ. A.MannarinoA. P.KliethermesM.MurrayL. (2012). Trauma-focused CBT for youth with complex trauma. Child Abuse and Neglect, 36, 528–541. doi:10.1016/j.chiabu.2012.03.007
14.
CohenJ. A.MannarinoA. P.KnudsonK. (2005). Treating sexually abused children: 1 year follow-up of a randomized controlled trial. Child Abuse and Neglect, 29, 135–145. doi:10.1016/j.chiabu.2004.12.005
15.
CooperH.HedgesL. V.ValentineJ. C. (2009). The handbook of research synthesis and meta-analysis (2nd ed.). New York, NY: Russell Sage Foundation.
16.
DeblingerE.MannarinoA. P.CohenJ. A.RunyonM.SteerR. (2011). Trauma-focused cognitive behavioral therapy for children: Impact of the trauma narrative and treatment length. Depression and Anxiety, 28, 67–75. doi:10.1002/da.20744
17.
DeblingerE.StaufferL. B.SteerR. A. (2001). Comparative efficacies of supportive and cognitive behavioral group therapies for young children who have been sexually abused and their nonoffending parents. Child Maltreatment, 6, 332–343. doi:10.1177/1077559501006004006
18.
DiehleJ.OpmeerB.BoerF.MannarinoA. P.LindauerR. (2014). Trauma-focused cognitive behavioral therapy or eye movement desensitization and reprocessing: What works in children with posttraumatic stress symptoms? A randomized controlled trial. European Child and Adolescent Psychiatry, 24, 227–236. doi:10.1007/s00787-014-0572-5
19.
de ArellanoM.LymanD.Jobe-ShieldsL.GeorgeP.DoughertyR. H.DanielsA. S.…Delphin-RittmonM. E. (2014). Trauma-focused cognitive-behavioral therapy for children and adolescents: Assessing the evidence. Psychiatric Services, 65, 591–602. doi:10.1176/appi.ps.201300255
20.
ErfordB. T.Savin-MurphyJ.ButlerC. (2010). Conducting a meta-analysis of counseling outcome research: Twelve steps and practical procedures. Counseling Outcome Research and Evaluation, 1, 19–43. doi:10.1177/2150137809356682
21.
FinkelhorD.TurnerH. A.ShattuckA.HambyS. L. (2013). Violence, crime, and abuse exposure in a national sample of children and youth. Journal of American Medical Association Pediatrics, 42, E1–E8. doi:10.1001/jamapediatrics.2013.42
22.
HoweD. (2005). Child abuse and neglect: Attachment, development, and intervention. New York, NY: Palgrave.
23.
JaycoxL. H.CohenJ. A.MannarinoA. P.WalkerD. W.LangleyA.GegenheimerK.…SchonlauM. (2010). Children's mental health care following Hurricane Katrina: A field trial of trauma-focused psychotherapies. Journal of Traumatic Stress, 23, 223–231.
24.
JensenT.HoltT.OrmhaugSEgeleandK.GranlyL.HoassL.…Wentzel-LarsenT. (2014). A randomized effectiveness study comparing trauma-focused cognitive behavioral therapy with therapy as usual for youth. Journal of Clinical Child & Adolescent Psychology, 43, 356–369. doi:10.1080/15374416.2013.822307
25.
KarN.BastiaB. K. (2006). Post-traumatic stress disorder, depression and generalised anxiety disorder in adolescents after a natural disaster: A study of comorbidity. Clinical Practice and Epidemiology in Mental Health, 2, 17. doi:10.1186/1745-0179-2-17
26.
KataokaS. H.SteinB.JaycoxL.WongM.EscuderoP.TuW.…FinkA. (2003). A school-based mental health program for traumatized Latino immigrant children. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 311–318. doi:10.1097/00004583-200303000-00011
27.
KendallP. C. (2000). Cognitive-behavioral therapy for anxious children (2nd ed.). Ardmore, PA: Workbook Publishing, Inc.
28.
KilpatrickD. G.ResnickH. S.MilanakM. E.MillerM. W.KeyesK. M.FriedmanM. J. (2013). National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria. Journal of Traumatic Stress, 26, 537–547. doi:10.1002/jts.21848
29.
KingN.TongeB. J.MullenP.MyersonN.HeyneD.RollingsS.…OllendickT. H. (2000). Treating sexually abused children with posttraumatic stress symptoms: A randomized clinical trial. Journal for the American Academy of Child and Adolescent Psychiatry, 39, 1347–1355. doi:10.1097/00004583-200011000-00008
30.
LiebermanA. F.Van HornP.IppenC. G. (2005).Toward evidence-based treatment: Child-parent psychotherapy with preschoolers exposed to marital violence. Journal of the American Academy of Child and Adolescent Psychiatry, 44, 1241–1248. doi:10.1097/01.chi.0000181047.59702.58
31.
LittleS.LittleA. (2013). Trauma in children: A call to action in school psychology. Journal of Applied School Psychology, 29, 375–388. doi:10.1080/15377903.2012.695769
Lyshak-StelzerF.SingerP.St. JohnP.ChemtobC. M. (2007). Art therapy for adolescents with posttraumatic stress disorder symptoms: A pilot study. Art Therapy, 24, 163–169. doi:10.1080/07421656.2007.10129474
34.
MaschiT.BaerJ.MorrisseyM.MorenoC. (2013). The aftermath of childhood trauma on late life mental and physical health: A review of the literature. Traumatology, 19, 49–64. doi:10.1177/1534765612437377
35.
McLeanC. P.MorrisS. H.ConklinP.JayawickremeN.FoaE. B. (2014). Trauma characteristics and posttraumatic stress disorder among adolescent survivors of childhood sexual abuse. Journal of Family Violence, 29, 559–566. doi:10.1007/s10896-014-9613-6
36.
McMullenJ.O’CallaghanP.ShannonC.BlackA.EakinJ. (2013). Group trauma-focused cognitive-behavioural therapy with former child soldiers and other war-affected boys in the DR Congo: A randomised controlled trial. Journal of Child Psychology and Psychiatry, 54, 1231–1241. doi:10.1111/jcpp.12094
37.
MerikangasK. R.HeJ.BursteinM.SwansonS. A.AbeneboliS.CuiL.…SwendsenJ. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the national comorbidity study-Adolescent supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49, 980–989. doi:10.1016/j.jaac.2010.05.017
38.
NajavitsL. M.GallopR. J.WeissR. D. (2006). Seeking safety therapy for adolescent girls with PTSD and substance use disorder: A randomized controlled trial. Journal of Behavioral Health Services and Research, 33, 453–463. doi:10.1007/s11414-006-9034-2
39.
NixonR.SterkJ.PearceA. (2012). A randomized trial of cognitive behaviour therapy and cognitive therapy for children with posttraumatic stress disorder following single-incident trauma. Journal of Abnormal Child Psychology, 40, 327–337.
40.
O’CallaghanP.McMullenJ.ShannonC.RaffertyH.BlackA. (2013). A randomized controlled trial of trauma-focused cognitive behavioral therapy for sexually exploited, war-affected Congolese girls. Journal of the American Academy of Child and Adolescent Psychiatry, 52, 359–369. doi:10.1016/j.jaac.2013.01.013
41.
OrmhaugS.JensenT.Wentzel-LarsenT.ShirkS. (2014). The therapeutic alliance in treatment of traumatized youths: Relation to outcome in a randomized clinical trial. Journal of Consulting and Clinical Psychology, 82, 52–64. doi:10.1037/a0033884
42.
PorcheM.FortunaL.LinJ.AlegriaM. (2011). Childhood trauma and psychiatric disorders as correlates of school dropout in a national sample of young adults. Child Development, 82, 982–998. doi:10.1111/j.1467-8624.2010.01534.x
43.
RunyonM. K.DeblingerE.SteerR. (2010). Cognitive behavioral treatment for parents and children at-risk for physical abuse: An initial study. Child and Family Behavior Therapy, 32, 196–218. doi:10.1080/07317107.2010.500515
44.
SansoneR. A.LeungJ. S.WiedermanM. W. (2013). Self-reported bullying in childhood: Relationships with employment in adulthood. Internatinal Journal of Psychiatry in Clinical Practice, 17, 64–68. doi:10.3109/13651501.2012.709867
45.
ScheeringaM.WeemsC.CohneJ. A.Amaya-JacksonL.GuthrieD. (2011). Trauma-focused cognitive-behavioral therapy for posttraumatic stress disorder in three through six year-old children: A randomized clinical trial. Journal of Child and Adolescent Psychiatry, 52, 853–860. doi:10.1111/j.1469-7610.2010.02354.x
46.
SchoedlA. F.CostaM. C.MariJ. J.MelloM. F.TyrkaM. F.CarpenterL. L.PriceL. H. (2010). The clinical correlates of reported childhood sexual abuse: An association between age at trauma onset and severity of depression and PTSD in adults. Journal of Child Sexual Abuse, 19,156–170. doi:10.1080/10538711003615038
47.
SchottelkorbA. A.DoumasD. M.GarciaR. (2012). Treatment for childhood refugee trauma: A randomized, controlled trial. International Journal of Play Therapy, 21, 57–73. doi:10.1037/a0027430
48.
SmithP.YuleW.PerrinS.TranahT.DalgleishT.ClarkD. M. (2007). Cognitive-behavioral therapy for PTSD in children and adolescents: A preliminary randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1051–1061. doi:10.1097/CHI.0b013e318067e288
49.
Substance Abuse and Mental Health Services Administration. (2011). Helping children and youth who have experienced traumatic events: National children’s mental health awareness day- May 3, 2011[Short Report]. Retrieved fromhttp://rems.ed.gov/docs/repository/00000357.pdf
50.
WampoldB. E.LichtenbergJ. W.WaehlerC. A. (2002). Principles of empirically supported interventions in counseling psychology, The Counseling Psychologist, 30, 197–217. doi:10.1177/0011000002302001
