Article

Treatment practices for childhood posttraumatic stress disorder.

Department of Psychiatry, Allegheny General Hospital, MCP Hahnemann University School of Medicine, Four Allegheny Center, Pittsburgh, PA 15212, USA.
Child Abuse & Neglect (Impact Factor: 2.47). 02/2001; 25(1):123-35. DOI: 10.1016/S0145-2134(00)00226-X
Source: PubMed

ABSTRACT This study surveyed practices in treating childhood PTSD among child psychiatrists and non-M.D. therapists with self-identified interest in treating traumatized children.
An anonymous survey was mailed to 207 child psychiatrists ("medical") and 460 nonphysician ("non-medical") therapists inquiring about current interventions used to treat children with PTSD.
Two hundred and forty-seven responses were received: of 77 medical and 82 nonmedical respondents who currently treat children with PTSD, a wide variety of modalities are used. Most preferred modalities among medical responders were pharmacotherapy, psychodynamic, and cognitive-behavioral therapy. Most preferred modalities among nonmedical respondents were cognitive-behavioral, family, and nondirective play therapy. Ninety-five percent of medical respondents used pharmacotherapy for this disorder; most preferred medications to treat childhood PTSD were selective serotonin reuptake inhibitors and alpha-adrenergic agonists. Several significant differences between medical and nonmedical practices were identified.
There is little clinical consensus regarding the effectiveness of the many modalities used to treat traumatized children who have PTSD symptoms; empirical research is particularly needed to evaluate the efficacy of pharmacotherapy and EMDR.

0 Followers
 · 
99 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: This paper describes a study performed to investigate the impact of the conflict in Syria on Syrian refugee children. The Zaatari refugee camp in Jordan was chosen for this task. Two control (comparison) groups of children were selected: one from the Jordanian Ramtha district, which is just across the border from Syria, and that indirectly feel the consequences of the Syrian conflict, and the other from Amman, the capital of Jordan, which is far away from the border. The study compared the Zaatari, Ramtha and Amman groups in terms of expressed anxiety and depression symptoms. They were also compared with respect to their gender and age. The Zaatari children were more distressed than the others, and the symptom ‘thoughts of ending your life’ was expressed only by this group. The Ramtha group also expressed some distress. The fact that this group indirectly experiences the consequences of violence emphasises the dire circumstances of children inside Syria who are trapped between fighting groups.
    Early Child Development and Care 10/2014; 184. DOI:10.1080/03004430.2014.916074
  • [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this study was to explore large-scale initiatives and dissemination models in the United States to promote Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), an evidence-based practice (EBP) for childhood Post-Traumatic Stress Disorder (PTSD). Individuals from 17 statewide TF-CBT dissemination projects across the nation were interviewed about their projects. Data were collected and analyzed on dissemination model used, facilitating factors, approximate overall cost, and approximate number of therapists trained. Approximate total costs, approximate number of therapists trained, and duration of training and consultation ranged considerably across projects. Differences between two dissemination models in duration of training and approximate number of trained therapists were noted; however, approximate funding per year, and approximate total costs did not differ between the two models. Results are discussed in light of recent efforts to engage states in the development of trauma-focused interventions and future directions for research. (PsycINFO Database Record (c) 2013 APA, all rights reserved)
    Psychological Trauma Theory Research Practice and Policy 07/2013; 5(4):323. DOI:10.1037/a0029095 · 0.89 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The use of trauma-informed practices in the child welfare system is critically important to prevent system-induced trauma and encourage timely assessment, triage and referral for care when indicated. Ultimately, such measures have the potential over time to decrease the risk for mental health problems in children exposed to a trauma. This study evaluates an initiative in Arkansas to train child welfare front-line staff members in trauma-informed care practices. We evaluated the impact of the training on knowledge and use of trauma-informed care practices among three types of child welfare staff (Caseworkers, Program Assistants and Other front-line staff). Results suggest that this training process was highly successful in improving knowledge of trauma-informed care practices, especially among staff with the least formal education and training. We also found a significant increase in staff use of trauma-informed care practices at the three-month follow-up with little difference observed across staff groups. Barriers that may prevent staff from full implementation of training concepts are described and strategies to address barriers are proposed.
    Children and Youth Services Review 11/2013; 35(11):1830-1835. DOI:10.1016/j.childyouth.2013.08.013 · 1.27 Impact Factor

Preview (2 Sources)

Download
2 Downloads