Treating Trauma-Related Symptoms in Children and Adolescents

Author(s):  
Elisabeth Pollio ◽  
Felicia Neubauer ◽  
Esther Deblinger

The significant impact of trauma on children is well documented. This chapter focuses on trauma-specific treatments for children and adolescents that have at least two randomized controlled trials in which one or more standardized outcome measures were used. These treatments address varying traumas, including sexual abuse, physical abuse, exposure to violence or loss, and disasters. The efficacy of one such treatment, trauma-focused cognitive behavioral therapy (TF-CBT), has been documented in over 50 scientific studies, including 22 randomized trials. A more detailed description of TF-CBT is presented in the chapter. Also discussed are future research directions, including specific scientific questions, to advance our knowledge about trauma treatment for children and adolescents.

Author(s):  
Esther Deblinger ◽  
Elisabeth Pollio ◽  
Felicia Neubauer

The significant impact of trauma on children is well documented. This chapter focuses on trauma-specific treatments for children and adolescents that have at least one randomized controlled trial in which one or more standardized outcome measures of trauma symptoms were used. These treatments address varying traumas, including sexual abuse, physical abuse, exposure to violence or loss, medical trauma, and disasters. Many of the treatments demonstrate promising results, but the research is often hampered by methodological limitations. The efficacy of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) has been documented in over 17 scientific studies, including 10 randomized trials. A more detailed description of TF-CBT is presented in the chapter. Also discussed are future research directions, including specific scientific questions, to advance our knowledge about trauma treatment for children and adolescents.


2010 ◽  
Vol 15 (4) ◽  
pp. 238-244 ◽  
Author(s):  
Bruce D Dick ◽  
Rebecca Pillai Riddell

Cognitive function is a critical factor related to a child’s overall developmental trajectory. There is increasing evidence that chronic pain disrupts cognitive function in adults. Little is known about the nature or impact of cognitive disruption in children and adolescents with chronic pain. The present review examines the current literature related to cognitive function in children and adolescents with chronic pain, implications of these findings and future research directions. Nine studies on this topic were found, with a relatively recent increase in publications related to school attendance and subjective studies of school performance. The studies that were found on this topic suggested that chronic pain affects cognitive function in children but the scope of these effects on children’s function and developmental trajectories is not yet clear. While methodological issues surely make it difficult to study cognitive function in children with chronic pain, the potential gains from such research warrant a pursuit of such work. Much remains to be studied on this important topic.


Depression ◽  
2019 ◽  
pp. 399-417
Author(s):  
Andrew Diederich ◽  
Jessica M. Jones ◽  
Graham J. Emslie

Early onset depression is prevalent and causes significant morbidity, mortality, and psychosocial impairment. Evidence-based psychosocial and psychopharmacological treatments are available for depressed youth, but many children and adolescents do not receive sufficient treatment. Pediatric and adult depressive disorders involve essentially the same symptoms, with the exception of irritability, as depressed youth may present with irritable mood in the absence of explicit sadness. This chapter examines aspects of depression that are unique to children and adolescents. It focuses on diagnosis and symptomatology, epidemiology, and pharmacological, psychotherapeutic, and other treatments. The chapter also addresses barriers to treatment of early onset depression and future research directions.


Author(s):  
Amy Wenzel ◽  
Scott Stuart ◽  
Hristina Koleva

Psychotherapy is often the treatment of choice for perinatal women who wish to limit their fetus’s or infant’s medication exposure. The vast majority of empirical research that has examined psychotherapy for perinatal women has focused on depression. Interpersonal psychotherapy (IPT) and cognitive behavioral therapy (CBT) have been examined in several studies to determine their efficacy in perinatal depression and anxiety. Recent research has begun to examine the manner in which psychotherapies can be delivered in alternative formats (e.g., teletherapy) in order to overcome problems with treatment retention and compliance. Suggestions for future research include large-scale randomized controlled trials that compare two active approaches to psychotherapy, mediation studies to uncover the mechanisms of change associated with the successful treatment of perinatal women, and randomized controlled trials evaluating the efficacy of psychotherapy for mental health disorders other than depression.


2018 ◽  
Vol 36 (31) ◽  
pp. 3162-3171 ◽  
Author(s):  
Caroline Diorio ◽  
Paula D. Robinson ◽  
Roland A. Ammann ◽  
Elio Castagnola ◽  
Kelley Erickson ◽  
...  

Purpose The aim of this work was to develop a clinical practice guideline for the prevention and treatment of Clostridium difficile infection (CDI) in children and adolescents with cancer and pediatric hematopoietic stem-cell transplantation (HSCT) patients. Methods An international multidisciplinary panel of experts in pediatric oncology and infectious diseases with patient advocate representation was convened. We performed systematic reviews of randomized controlled trials for the prevention or treatment of CDI in any population and considered the directness of the evidence to children with cancer and pediatric HSCT patients. We used the Grading of Recommendations Assessment, Development, and Evaluation approach to generate recommendations. Results The panel made strong recommendations to administer either oral metronidazole or oral vancomycin for the initial treatment of nonsevere CDI and oral vancomycin for the initial treatment of severe CDI. Fidaxomicin may be considered in the setting of recurrent CDI. The panel suggested that probiotics not be routinely used for the prevention of CDI, and that monoclonal antibodies and probiotics not be routinely used for the treatment of CDI. A strong recommendation to not use fecal microbiota transplantation was made in this population. We identified key knowledge gaps and suggested directions for future research. Conclusion We present a guideline for the prevention and treatment of CDI in children and adolescents with cancer and pediatric HSCT patients. Future research should include randomized controlled trials that involve children with cancer and pediatric HSCT patients to improve the management of CDI in this population.


2016 ◽  
Vol 33 (2) ◽  
pp. 118-130 ◽  
Author(s):  
René T Proyer ◽  
Fabian Gander ◽  
Nancy Tandler

Positive psychology has revived psychology’s abandoned interest in the study of morally positively valued traits (the so-called character strengths) and virtues. We review literature generated on strength-based approaches and focus on applications in the so-called positive psychology interventions. There seems to be great potential in this approach for research in the field of giftedness and, of course, also when practically working with gifted children and adolescents. We highlight some ideas for future research directions.


2010 ◽  
Vol 16 (6) ◽  
pp. 953-960 ◽  
Author(s):  
KEITH OWEN YEATES

AbstractThe vast majority of traumatic brain injuries (TBI) in children are of mild severity. Even if only a small proportion of children with mild TBI suffer negative outcomes, then mild TBI is a serious public health problem. This review summarizes the literature regarding the neurobehavioral outcomes associated with mild TBI in children and adolescents, focusing on the longstanding debate regarding postconcussive symptoms and attendant conceptual and methodological issues. The review also discusses future research directions, the long-term goal of which is to develop a comprehensive and integrated biopsychosocial model of outcomes that helps guide clinical management. (JINS, 2010,16, 953–960.)


2021 ◽  
Vol 11 (10) ◽  
pp. 1361
Author(s):  
Craig B. H. Surman ◽  
Daniel M. Walsh

Background: Sleep disorders and sleep problems commonly occur in adults with ADHD and add to functional impairment. Evidence-based treatments for sleep could improve function in the adult ADHD population. Methods: A literature review was conducted to present the clinical science informing treatment of sleep in adults with ADHD. Results: Six systematic prospective studies of sleep intervention in adults with ADHD were identified. Three of these, all including well-characterized ADHD patients, offered evidence for a significant effect of morning light therapy. Across the studies, preliminary evidence for melatonin, behavioral therapy, and weighted blankets were also found. Implication: Low-risk interventions such as light therapy may improve sleep in adults with ADHD, but many sleep interventions currently in use remain unstudied in the ADHD population. Considerations for evidence-informed practice and future research directions are discussed.


2022 ◽  
pp. 1-24
Author(s):  
Leila Goosen

The purpose of this chapter is to provide readers with an overview of the latest research on assistive technologies, especially as related to children and adolescents with autism spectrum disorders (ASDs). While introducing and describing the general perspective of the chapter as specifically focusing on objectives in terms of children and adolescents with ASDs, background that summarizes the content of this chapter as also consisting of significant results with regard to young and older adults as well as references to other connected conditions will be included. Issues, problems, and challenges in this regard are presented, together with possible solutions and recommendations, future research directions, and concluding remarks.


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