Systematic Review on the Application of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for Preschool-Aged Children
- PMID: 33428071
- DOI: 10.1007/s10567-020-00334-0
Systematic Review on the Application of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for Preschool-Aged Children
Abstract
Trauma-focused cognitive behavioral therapy (TF-CBT) is one of the most widely studied and disseminated treatments for posttraumatic stress disorder (PTSD) and other comorbid conditions, and has been identified as a "level one" or "well-established" intervention for school-aged children and adolescents. The present systematic review examined the literature on the application of TF-CBT within a preschool-aged population (i.e., children ages three to six), as well as the developmental literature that could increase the efficacy of TF-CBT for preschool-aged children. Information on the use of TF-CBT with preschool-aged children was extracted from randomized controlled trials, case studies, meta-analyses, and other forms of empirical evidence, as part of the evidence-based practice in psychology framework. In comparison to research with school-aged children and adolescents, fewer studies have directly assessed the efficacy of TF-CBT for preschool-aged children who have been exposed to trauma. Given the few studies published to date and difference in treatment protocols for TF-CBT used with preschool-age children, TF-CBT appears to meet criteria as a "level two" or "probably efficacious" intervention for preschool-aged children specifically. According to the available literature, language and cognitive abilities, family context, culture, and clinician expertise are considered as potential variables to address when contemplating the use of TF-CBT for preschool-aged children with symptoms of post-traumatic stress.
Keywords: Evidence-based therapy; Intervention; Preschool-age children; Systematic review; TF-CBT; Trauma.
Similar articles
-
Present-centered therapy (PCT) for post-traumatic stress disorder (PTSD) in adults.Cochrane Database Syst Rev. 2019 Nov 18;2019(11):CD012898. doi: 10.1002/14651858.CD012898.pub2. Cochrane Database Syst Rev. 2019. PMID: 31742672 Free PMC article.
-
Effectiveness of abbreviated trauma-focused cognitive behavioural therapy for South African adolescents: a randomized controlled trial.Eur J Psychotraumatol. 2023;14(1):2181602. doi: 10.1080/20008066.2023.2181602. Eur J Psychotraumatol. 2023. PMID: 37052081 Free PMC article. Clinical Trial.
-
Trauma-focused cognitive-behavioral therapy for children and adolescents: assessing the evidence.Psychiatr Serv. 2014 May 1;65(5):591-602. doi: 10.1176/appi.ps.201300255. Psychiatr Serv. 2014. PMID: 24638076 Free PMC article. Review.
-
Psychological interventions for post-traumatic stress disorder (PTSD) in people with severe mental illness.Cochrane Database Syst Rev. 2017 Jan 24;1(1):CD011464. doi: 10.1002/14651858.CD011464.pub2. Cochrane Database Syst Rev. 2017. PMID: 28116752 Free PMC article. Review.
-
Trauma-focused cognitive-behavioral therapy for posttraumatic stress disorder in three-through six year-old children: a randomized clinical trial.J Child Psychol Psychiatry. 2011 Aug;52(8):853-60. doi: 10.1111/j.1469-7610.2010.02354.x. Epub 2010 Dec 14. J Child Psychol Psychiatry. 2011. PMID: 21155776 Free PMC article. Clinical Trial.
Cited by
-
Effectiveness of Cognitive Behavioral Therapy (CBT) on Psychological Distress among Mothers of Children with Autism Spectrum Disorder: The Role of Problem-Solving Appraisal.Behav Sci (Basel). 2024 Jan 10;14(1):46. doi: 10.3390/bs14010046. Behav Sci (Basel). 2024. PMID: 38247698 Free PMC article.
-
Behavior Management in Young Children Exposed to Trauma: A Case Study of Three Evidence-Based Treatments.J Child Adolesc Trauma. 2023 Sep 21;16(4):839-852. doi: 10.1007/s40653-023-00573-7. eCollection 2023 Dec. J Child Adolesc Trauma. 2023. PMID: 38045836
-
Interventions for Young Children's Mental Health: A Review of Reviews.Clin Child Fam Psychol Rev. 2023 Sep;26(3):593-641. doi: 10.1007/s10567-023-00443-6. Epub 2023 Jul 24. Clin Child Fam Psychol Rev. 2023. PMID: 37488453 Free PMC article. Review.
-
A Scoping Review of Trauma-Informed Pediatric Interventions in Response to Natural and Biologic Disasters.Children (Basel). 2023 Jun 5;10(6):1017. doi: 10.3390/children10061017. Children (Basel). 2023. PMID: 37371249 Free PMC article. Review.
-
Cognitive Behavior Therapy by Nurses in Reducing Symptoms of Post-Traumatic Stress Disorder on Children as Victims of Violence: A Scoping Review.Healthcare (Basel). 2023 Jan 31;11(3):407. doi: 10.3390/healthcare11030407. Healthcare (Basel). 2023. Retraction in: Healthcare (Basel). 2023 Oct 30;11(21):2858. doi: 10.3390/healthcare11212858. PMID: 36766982 Free PMC article. Retracted. Review.
References
-
- Allen, B., & Hoskowitz, N. A. (2017). Structured trauma-focused CBT and unstructured play/experiential techniques in the treatment of sexually abused children: A field study with practicing clinicians. Child Maltreatment, 22, 112–120. https://doi.org/10.1177/1077559516681866 . - DOI - PubMed
-
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Association. - DOI
-
- American Psychological Association Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. The American Psychologist, 61, 271–285. https://doi.org/10.1037/0003-066X.61.4.271 . - DOI
-
- Bigfoot, D. S., & Schmidt, S. R. (2010). Honoring children, mending the circle: Cultural adaptation of trauma-focused cognitive-behavioral therapy for American Indian and Alaska Native children. Journal of Clinical Psychology, 66, 847–856. https://doi.org/10.1002/jclp.20707 . - DOI - PubMed
-
- Briggs-Gowan, M., Ford, J. D., Fraleigh, L., McCarthy, K., & Carter, A. 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. https://doi.org/10.1002/jts.20593 . - DOI - PubMed - PMC
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous