Treatment practices for childhood posttraumatic stress disorder. Child Abuse and Neglect, 25, 123-135

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


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.

Download full-text

Full-text preview

Available from:
  • Source
    • "Nationally, the percentage of youth exposed to some form of trauma is high, ranging from 8% to 53%, depending on the type of trauma and population studied (e.g., Copeland, Keeler, Angold, and Costello, 2007; Finkelhor, Ormrod, Turner, and Hamby, 2005; U.S. Department of Health and Human Services, 2011). Despite high rates of subsequent related post-traumatic stress disorder (PTSD), and other symptomatologies , many children who have experienced trauma either do not receive treatment or receive treatment that has not proven to be effective (Burns et al., 2004; Cohen, Mannarino, and Rogal, 2001; Kolko, Cohen, Mannarino, Baumann, and Knudsen, 2009; Ringeisen, Casanueva, Urato, and Stambaugh, 2009). Without adequate and appropriate treatment, trauma symptoms may linger or exacerbate over time, developing into other mental health problems such as internalizing or externalizing disorders (Hamblen, 1999; Hernandez, Lodico, and DiClemente, 1993; Hoven et al., 2005; Siegel and Williams, 2003). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Despite evidence linking childhood trauma to subsequent social, emotional, psychological, and cognitive problems, many children who have experienced trauma do not receive mental health treatment that has been proven to be effective. Large-scale dissemination of evidence-based practices (EBPs) is one possible solution to enhance the current negative state of mental health treatment for these children. This article describes a dissemination effort of an EBP (i.e., Trauma-Focused Cognitive-Behavioral Therapy [TF-CBT]) for childhood symptoms of post-traumatic stress disorder throughout Arkansas. The effort targeted mental health professionals within child advocacy centers and community mental health centers across the state. The article describes the process of dissemination and implementation. Lessons learned and recommendations for future dissemination efforts are highlighted.
    Children and Youth Services Review 06/2013; 35(6):1023–1029. DOI:10.1016/j.childyouth.2013.03.012 · 1.27 Impact Factor
  • Source
    • "A avaliação e acompanhamento psicológico são fundamentais , uma vez que crianças e adolescentes vítimas de abuso sexual podem apresentar alterações cognitivas, afetivas e comportamentais significativas. Além disso, a literatura tem apontado a presença de transtornos de humor, de ansiedade, e disruptivos em crianças e adolescentes vítimas dessa forma de violência (Briere & Elliott, 2003; Cohen,2001; Duarte & Arboleda, 2004; Habigzang & Caminha, 2004; Maniglio, 2009; Muthi & Espelage, 2005; Runyon & Kenny, 2002). O tempo de espera por atendimento psicológico também foi avaliado, uma vez que a maioria das participantes estava em filas de espera aguardando atendimento em serviços da rede pública quando foram convidadas a participar do estudo. "
    [Show abstract] [Hide abstract]
    ABSTRACT: This study aimed to identify the measures adopted by the social and emotional support network of children and adolescents after disclosure of sexual abuse. Forty victims of sexual abuse, eight to sixteen years old girls, responded to an interview that mapped the measures adopted by the network. Disclosure to the parents took place in 42.5% of the cases, and 92.5% of the parents believed it to be true. 35% of the girls went to a shelter home and the rest remained with the family after exclusion of the aggressor. The trustworthiness of the family in disclosure and reporting of violence was a protective factor. However, the high shelter rate and absence of effective monitoring of the aggressor removal were risk factors.
    Psicologia Teoria e Pesquisa 12/2011; 27(4):467-473. DOI:10.1590/S0102-37722011000400010
  • Source
    • "O abuso sexual também pode ocasionar sintomas físicos, tais como hematomas e traumas nas regiões oral, genital e retal, coceira, inflamação e infecção nas áreas genital e retal, doenças sexualmente transmissíveis, gravidez, doenças psicossomáticas e desconforto em relação ao corpo (Sanderson, 2005). Crianças ou adolescentes podem desenvolver transtornos de humor, de ansiedade, alimentares, dissociativos, hiperatividade e déficit de atenção, assim como enurese e encoprese (Briere & Elliott, 2003; Cohen, Mannarino, & Rogal, 2001; Runyon & Kenny, 2002). Entretanto, o transtorno do estresse pós-traumático (TEPT) é a psicopatologia mais citada como decorrente do abuso sexual. "
    [Show abstract] [Hide abstract]
    ABSTRACT: The sexual abuse against children and adolescents is an actual public health concern. The complexity of phenomenon requires special training of professionals who work in the clinic evaluation of victims and intervention. This study aims to provide theoretical and practical information about the clinic interview with victims of child sexual abuse, aiming at the attainment of the abusive experience report. An interview protocol is presented and the aspects discussed include: sexual abuse potential outcomes, the interview setting, the professional attitude, and children's disclosure.
    Estudos de Psicologia (Natal) 12/2008; 13(3):285-292.
Show more