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Cognitive Therapy for PTSD in Children and Adolescents

Perrin, Sean LU orcid ; Leigh, Eleanor ; Smith, Patrick ; Yule, William ; Ehlers, Anke and Clark, David M (2024) p.187-207
Abstract
Children and adolescents exposed to traumatic events are at high risk of developing posttraumatic stress disorder (PTSD). With the rare exception of very young children, their PTSD presentations at the symptom level are similar to those of trauma-exposed adults, as are their patterns of psychiatric comorbidity, particularly for adolescents. Untreated, at least a significant proportion will carry on with symptoms at or above the diagnostic threshold or at sub-threshold levels that are still clinically impairing. The presence of untreated or poorly treated PTSD symptoms leaves the young person at significantly increased risk of developing other psychiatric disorders, a worsening of any pre-existing conditions, and with greater long-term... (More)
Children and adolescents exposed to traumatic events are at high risk of developing posttraumatic stress disorder (PTSD). With the rare exception of very young children, their PTSD presentations at the symptom level are similar to those of trauma-exposed adults, as are their patterns of psychiatric comorbidity, particularly for adolescents. Untreated, at least a significant proportion will carry on with symptoms at or above the diagnostic threshold or at sub-threshold levels that are still clinically impairing. The presence of untreated or poorly treated PTSD symptoms leaves the young person at significantly increased risk of developing other psychiatric disorders, a worsening of any pre-existing conditions, and with greater long-term impairments in educational, family, and peer functioning. Fortunately, evidence-based treatments exist with the first-line recommendation being trauma-focused cognitive behavioral therapies, with a growing body of evidence for the efficacy of eye movement desensitization and reprocessing therapy (EMDR). This chapter provides an update on the state of the literature with respect to the evidence base for trauma-focused CBT, and in particular for an explicitly cognitive approach, originally developed for use with adults and successfully adapted for use with children and adolescents across the age range. The chapter describes the theoretical underpinning for this approach, guidance on reliving (a form of exposure to update the trauma memory) and the modification of trauma-related beliefs (two primary target in treatment), (Less)
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author
; ; ; ; and
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
in press
subject
keywords
PTSD, Cognitive therapy, children and adolescents
host publication
Evidence-Based Treatments for Trauma-Related Disorders in Children and Adolescents
editor
Landolt, Markus A. ; Cloitre, Marylène and Schnyder, Ulrich
pages
187 - 207
publisher
Springer
ISBN
978-3-319-46136-6
978-3-319-46138-0
language
English
LU publication?
yes
id
b1874828-39cf-47fd-bd77-6ef03fe81272
date added to LUP
2024-03-15 11:35:32
date last changed
2024-03-18 10:51:31
@inbook{b1874828-39cf-47fd-bd77-6ef03fe81272,
  abstract     = {{Children and adolescents exposed to traumatic events are at high risk of developing posttraumatic stress disorder (PTSD). With the rare exception of very young children, their PTSD presentations at the symptom level are similar to those of trauma-exposed adults, as are their patterns of psychiatric comorbidity, particularly for adolescents. Untreated, at least a significant proportion will carry on with symptoms at or above the diagnostic threshold or at sub-threshold levels that are still clinically impairing. The presence of untreated or poorly treated PTSD symptoms leaves the young person at significantly increased risk of developing other psychiatric disorders, a worsening of any pre-existing conditions, and with greater long-term impairments in educational, family, and peer functioning. Fortunately, evidence-based treatments exist with the first-line recommendation being trauma-focused cognitive behavioral therapies, with a growing body of evidence for the efficacy of eye movement desensitization and reprocessing therapy (EMDR). This chapter provides an update on the state of the literature with respect to the evidence base for trauma-focused CBT, and in particular for an explicitly cognitive approach, originally developed for use with adults and successfully adapted for use with children and adolescents across the age range. The chapter describes the theoretical underpinning for this approach, guidance on reliving (a form of exposure to update the trauma memory) and the modification of trauma-related beliefs (two primary target in treatment),}},
  author       = {{Perrin, Sean and Leigh, Eleanor and Smith, Patrick and Yule, William and Ehlers, Anke and Clark, David M}},
  booktitle    = {{Evidence-Based Treatments for Trauma-Related Disorders in Children and Adolescents}},
  editor       = {{Landolt, Markus A. and Cloitre, Marylène and Schnyder, Ulrich}},
  isbn         = {{978-3-319-46136-6}},
  keywords     = {{PTSD; Cognitive therapy; children and adolescents}},
  language     = {{eng}},
  month        = {{02}},
  pages        = {{187--207}},
  publisher    = {{Springer}},
  title        = {{Cognitive Therapy for PTSD in Children and Adolescents}},
  year         = {{2024}},
}