J Clin Child Adolesc Psychol. 2008

[Наталья П.]

J Clin Child Adolesc Psychol. 2008 Jan;37(1):156-83.

Evidence-based psychosocial treatments for children and adolescents exposed to traumatic events.

Silverman WK, Ortiz CD, Viswesvaran C, Burns BJ, Kolko DJ, Putnam FW,
Amaya-Jackson L.
Florida International University.

The article reviews the current status (1993-2007) of psychosocial treatments for children and adolescents who have been exposed to traumatic events. Twenty-one treatment studies are evaluated using criteria from Nathan and Gorman (2002) along a continuum of methodological rigor ranging from Type 1 to Type 6. All studies were, at a minimum, robust or fairly rigorous. The treatments in each of these 21 studies also are classified using criteria from Chambless et al. (1996), and Chambless and Hollon (1998). Trauma-Focused Cognitive-Behavioral Therapy met the well-established criteria; School-Based Group Cognitive-Behavioral Treatment met the criteria for probably efficacious. All the other treatments were classified as either possibly efficacious or experimental. Meta-analytic results for four outcomes (i.e., posttraumatic stress, depressive symptoms, anxiety symptoms, and externalizing behavior problems) across all treatments compared to waitlist control and active control conditions combined reveal that, on average, treatments had positive, though modest, effects for all four outcomes. We also cover investigative work on predictors, moderators, and mediators of treatment outcome, as well as the clinical representativeness and generalizability of the studies. The article concludes with a discussion of practice guidelines and future research directions.




J Clin Child Adolesc Psychol. 2008 Jan;37(1):62-104.

Evidence-based psychosocial treatments for child and adolescent depression.

David-Ferdon C, Kaslow NJ.
Emory University School of Medicine, USA. [Ссылки доступны только зарегистрированным пользователям ]

The evidence-base of psychosocial treatment outcome studies for depressed youth conducted since 1998 is examined. All studies for depressed children meet Nathan and Gorman's (2002) criteria for Type 2 studies whereas the adolescent protocols meet criteria for both Type 1 and Type 2 studies. Based on the Task Force on the Promotion and Dissemination of Psychological Procedures guidelines, the cognitive-behavioral therapy (CBT) based specific programs of Penn Prevention Program, Self-Control Therapy, and Coping with Depression-Adolescent are probably efficacious. Interpersonal Therapy-Adolescent, which falls under the theoretical category of interpersonal therapy (IPT), also is a probably efficacious treatment. CBT provided through the modalities of child group only and child group plus parent components are well-established intervention approaches for depressed children. For adolescents, two modalities are well-established (CBT adolescent only group, IPT individual), and three are probably efficacious (CBT adolescent group plus parent component, CBT individual, CBT individual plus parent/family component). From the broad theoretical level, CBT has well-established efficacy and behavior therapy meets criteria for a probably efficacious intervention for childhood depression. For adolescent depression, both CBT and IPT have well-established efficacy. Future research directions and best practices are offered.




J Clin Child Adolesc Psychol. 2008 Jan;37(1):39-61.

Evidence-based psychosocial treatments for eating problems and eating disorders.
Keel PK, Haedt A.
Department of Psychology, University of Iowa, Iowa, City, IA 52242, USA.
[Ссылки доступны только зарегистрированным пользователям ]

Eating disorders represent a significant source of psychological impairment among adolescents. However, most controlled treatment studies have focused on adult populations. This review provides a synthesis of existing data concerning the efficacy of various psychosocial interventions for eating disorders in adolescent samples. Modes of therapy examined in adolescent samples include family therapy, cognitive therapy, behavioral therapy, and cognitive behavioral therapy mostly in patients with anorexia nervosa. At this time, the evidence base is strongest for the Maudsley model of family therapy for anorexia nervosa. Evidence of efficacy for other treatments and other conditions is limited by several methodological factors including the small number of studies, failure to use appropriate control conditions or randomization procedures, and small sample sizes (i.e., fewer than 10 participants per treatment arm). Potential moderators and mediators of treatment effect are reviewed. Finally, results from adolescent studies are contrasted with those from adult studies of eating disorders treatment. Many studies of adult populations comprise late adolescent/young adult participants, suggesting that findings regarding the efficacy of cognitive behavioral therapy for bulimia nervosa in adults likely extend to older adolescent populations.



J Clin Child Adolesc Psychol. 2008 Jan;37(1):1-7.

The second special issue on evidence-based psychosocial treatments for children and adolescents: a 10-year update.

Silverman WK, Hinshaw SP.
Department of Psychology, Florida International University, USA.

This introduction to the Second Special Issue on Evidence-Based Psychosocial Treatments for Children and Adolescents provides background information on the development of this 10-year update and explains how this issue expands on the initial special issue on "empirically supported psychosocial treatments" published in 1998. The introduction also provides a summary of the contents of the present issue and the information covered in the articles contained herein.
Also summarized are the criteria used to evaluate the level of evidence for each treatment, as well as the criteria used to evaluate the methodological rigor of the studies that are reviewed. The introduction concludes with comments about the advances that have been made in the past decade, with the hope that this second special issue will serve to stimulate further research and expansion of the evidence base for child and adolescent psychosocial treatments to ameliorate youth clinical problems.