A new study published in the current issue of Psychotherapy and Psychosomatics indicates the long-term positive effects of cognitive-behavioral therapy for trauma in children and adolescents. Trauma-focused cognitive-behavioral therapy is an evidence-based treatment for pediatric posttraumatic stress disorder. Trauma-focused-CBT is not only associated with a significant reduction of posttraumatic stress symptoms, depressive and anxiety symptoms, behavioral problems, and dysfunctional trauma-related cognitions, but also with improvement of psychosocial functioning. So far, only one study has demonstrated the long-term effectiveness of Trauma-focused -CBT in real-world clinical settings, with youth who had been exposed to different traumatic events.
Results showed significant continuous improvements after the treatment across a broad range of relevant clinical outcomes. This finding is consistent with previous studies reporting a reduction of both posttraumatic stress symptoms and anxiety, as well as an additional improvement in psychological adjustment, up to 1 year after completion of Trauma-focused -CBT. The ongoing trend towards improvement may be due to the strategy of Trauma-focused -CBT to furnish patients with skills to further reduce the impact of their traumatic memories. These skills might result in greater self-confidence and thus further recovery. Moreover, the reduction of trauma-related cognitions may contribute to the maintenance of treatment gains.
Future studies should consider longer observational periods, even up to adulthood, and investigate potential long-term treatment effects, such as resilience towards new traumatic events and further achievements in life.
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Dunja Tutus et al. Sustainability of Treatment Effects of Trauma-Focused Cognitive-Behavioral Therapy for Children and Adolescents: Findings from 6- and 12-Month Follow-Ups, Psychotherapy and Psychosomatics (2017). DOI: 10.1159/000481198