Trauma‐focused cognitive behavioral therapy for children and youth in low and middle‐income countries: A systematic review.

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Bibliographic Details
Title: Trauma‐focused cognitive behavioral therapy for children and youth in low and middle‐income countries: A systematic review.
Authors: Thomas, Fiona C., Puente‐Duran, Sofia, Mutschler, Christina, Monson, Candice M.
Source: Child & Adolescent Mental Health. May2022, Vol. 27 Issue 2, p146-160. 15p.
Subjects: Treatment of post-traumatic stress disorder, Conflict (Psychology) in adolescence, Psychology information storage & retrieval systems, Online information services, Middle-income countries, War, Systematic reviews, Treatment effectiveness, Low-income countries, MEDLINE, Wounds & injuries, Conflict (Psychology) in children, Cognitive therapy, Evaluation, Developing countries
Abstract: Background: Trauma‐focused cognitive behavioral therapy (TF‐CBT) has been identified as a gold standard treatment for childhood posttraumatic stress disorder (PTSD) in Western countries. More recently, TF‐CBT has emerged in the literature as an area of interest for children and youth affected by conflict and war in low‐ and middle‐income countries (LMIC). Methods: The present systematic review assesses the current evidence base of TF‐CBT for children and youth in LMIC, with a focus on conflict‐affected countries. A total of 143 articles were identified, of which 11 articles, representing 1,354 participants, met the proposed inclusion criteria. Results: Results showed that the majority of the studies identified were conducted in low‐resource community settings in East or Central Africa (n = 8). It was also found that cultural considerations were taken into account in TF‐CBT delivery to meet the needs of local populations. Additionally, measures were translated and validated for local use. Conclusions: Findings of outcome data indicated that TF‐CBT was effective in treating trauma‐related symptoms and improving psychosocial functioning in children and adolescents in LMICs. Given the limited number of published literature available in this area, further studies are needed to conclude when and for whom trauma‐focused interventions are most relevant. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
Description
Abstract:Background: Trauma‐focused cognitive behavioral therapy (TF‐CBT) has been identified as a gold standard treatment for childhood posttraumatic stress disorder (PTSD) in Western countries. More recently, TF‐CBT has emerged in the literature as an area of interest for children and youth affected by conflict and war in low‐ and middle‐income countries (LMIC). Methods: The present systematic review assesses the current evidence base of TF‐CBT for children and youth in LMIC, with a focus on conflict‐affected countries. A total of 143 articles were identified, of which 11 articles, representing 1,354 participants, met the proposed inclusion criteria. Results: Results showed that the majority of the studies identified were conducted in low‐resource community settings in East or Central Africa (n = 8). It was also found that cultural considerations were taken into account in TF‐CBT delivery to meet the needs of local populations. Additionally, measures were translated and validated for local use. Conclusions: Findings of outcome data indicated that TF‐CBT was effective in treating trauma‐related symptoms and improving psychosocial functioning in children and adolescents in LMICs. Given the limited number of published literature available in this area, further studies are needed to conclude when and for whom trauma‐focused interventions are most relevant. [ABSTRACT FROM AUTHOR]
ISSN:1475357X
DOI:10.1111/camh.12435