Table 1.
Summary of randomized controlled trials on interventions for maltreatment exposed youth
Citation | Age group | Special populations | Intervention | Condition | Outcomes |
---|---|---|---|---|---|
Ahmad et al., (2007) | 6–16 years | Norway, Sweden | EMDR | Waitlist control | ↓ Scores PTSS-C: PTSD symptom subscale, re-experiencing and avoidance subscales |
Ahrens & Rexford (2002) | Adolescents | Incarcerated and/or conduct disorders | CPT | Waitlist control | ↓ Anxiety, depression, intrusions, avoidance, numbing |
Auslander et al., (2017) | 12–18 years | Girls in child welfare | GAIN-CBITS | Treatment as usual | ↓ Number of girls with PTSD and depression ↑ Social problem-solving skills |
Cohen & Mannarino, (1998b) | 3–7 years | Sexually abuse | SAS-CBT | Non-directive supportive therapy | ↓ Sexually inappropriate and externalizing behavior, PTSD symptoms |
Cohen et al., (2004) | 8–14 years | Sexual abuse | TF-CBT | Child-centered therapy | ↓ Behavioral problems, shame-related attributions ↑ PTSD and depression symptom reduction |
Crooks et al., (2011) | 14–15 years | Violent delinquency | Fourth R | Health class | ↓ Delinquency |
Damra et al., (2014) | Not specified; children | Jordan: children with abuse histories | TF-CBT | Waitlist control | ↓ PTSD, depression symptoms |
Deblinger et al., (2011) | 4–11 years | Sexual abuse | TF-CBT ± trauma narrative | 8 or 16 weeks of TF-CBT; with or without trauma narrative component | ↓ Abuse-related fear and anxiety ↑ Personal safety skills; effective regardless of trauma narrative |
Deblinger et al., (2001) | 2–8 years | Sexually abused children + non-offending mother | CBT | Supportive therapy | ↑ Knowledge of body safety |
Fantuzzo et al., (1996) | 3–5 years | Project Head Start; socially withdrawn children with physical abuse and neglect histories | RPT | Waitlist control | ↓ Solitary play ↑ Positive peer interactions |
Farkas et al., (2010) | Not specified; adolescents | – | EMDR | Treatment as usual | ↓ PTSD symptoms, behavioral problems |
Foa et al., (2013) | Not specified; adolescents | Sexual abuse | PE | Supportive counseling | ↓ PTSD symptom severity, depression ↑ Global functioning |
Ford et al., (2012) | 13–17 years | Girls involved in delinquency | TARGET | Enhanced treatment as usual | ↓ Re-experiencing, avoidance, anxiety, posttraumatic cognitions ↑ Emotion regulation |
Jee et al., (2015) | 14–21 years | – | Mindfulness | Treatment as usual | ↑ Stress management skills, self-awareness |
Jensen et al., (2014) | 10–18 years | – | TF-CBT | Treatment as usual | ↓ Posttraumatic stress, functional impairment ↑ General mental health |
Kim & Leve (2011) | 12–17 years | Substance use and delinquency in girls in foster care | Middle school success | Treatment as usual | ↓ Substance use, internalizing and externalizing behaviors ↑ Prosocial skills |
King et al.,(2000) | 5–17 years | Sexual abuse | CBT (individual or family) | Waitlist control | ↓ PTSD, anxiety, fear ↑ Global functioning = Parent or individual CBT |
McMullen et al., (2013) | 13–17 years | Democratic Republic of Congo: child soldiers and other war-affected youth | TF-CBT | Waitlist control | ↓ Posttraumatic stress symptoms, overall distress, depression, anxiety, conduct problems ↑ Prosocial behavior |
Murray et al., (2015) | 5–18 years | Zambia: orphans | TF-CBT | Treatment as usual | ↓ Trauma symptom score, overall functioning |
O’Callaghan et al., (2015) | 13–17 years | Democratic Republic of Congo: child soldiers and other war-affected youth | TF-CBT | Child friendly spaces (non-trauma-focused intervention) or waitlist control | Both: ↓ Posttraumatic stress, internalizing symptoms, conduct problems, prosocial behavior |
O’Callaghan et al., (2013) | 12–17 years | Democratic Republic of Congo: sexually exploited girls | TF-CBT | Waitlist control | ↓ Posttraumatic stress symptoms, psychosocial difficulties |
Poulton et al.,(2014) | 13–17 years | Delinquent girls in foster care | TFCO | Group care | ↓ Symptoms of psychosis |
Rahman et al., (2018) | 11–12 years | Pakistan | Forgiveness therapy | Treatment as usual | ↓ Anger ↑ Levels of hope and forgiveness |
Scheeringa et al., (2011) | 3–6 years | Heterogeneous maltreatment histories | TF-CBT | Waitlist Control | ↓ PTSD, depression, social anxiety disorder symptoms |
Smith et al., (2010) | 12–17 years | Chronic delinquency | TFCO | Group care | ↓ Drug and substance use |
Swart & Apsche, (2014) | 14–17 years | Conduct and personality disorders | MDT | CBT | ↓ Anger, internalizing and externalizing behaviors |
Swenson et al., (2010) | 10–17 years | – | MST-CAN | Enhanced outpatient treatment | ↓ Psychopathology (anxiety, depression, anger, dissociation, posttraumatic stress), parent emotional distress, negative parenting behavior, changes in youth placement ↑ Social support for parents |
Taussig & Culhane, (2010) | 9–11 years | Foster care | Fostering healthy futures | Treatment as usual | ↓ Dissociative symptoms ↑ Quality of life, positive coping skills, social acceptance, self-worth |
Thomas & Zimmer-Gembeck, (2012) | 3–9 years | – | PCIT | Waitlist control | ↓ Internalizing and externalizing behaviors, stress ↑ Positive parenting verbalizations |
CBT, cognitive behavioral therapy; CPT, cognitive processing therapy; EMDR, eyemovement desensitization and reprocessing; GAIN–CBITS, Girls Aspiring towards independence–Cognitive Behavioral Intervention for Trauma in Schools; MDT, mode deactivation therapy; MST-CAN, multisystemic therapy for child abuse and neglect; PCIT, parent–child interaction therapy; PE, prolonged exposure therapy; RPT, resilient peer treatment; SAS-CBT, sexual-abuse-specific cognitive behavioral therapy; STAIR, Skills Training in Affective and Interpersonal Regulation; TARGET, Trauma Affective Regulation: Guide for Education and Therapy; TF-CBT, trauma-focused cognitive behavioral therapy; TFCO, Treatment Foster Care Oregon