[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-447694-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-447694-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","cognitive-behavioural-therapies-with-a-trauma-focus-for-children-and-adolescents-a-commentary-on-a-systematic-review-and-meta-analysis","Cognitive behavioural therapies with a trauma focus for children and adolescents - a commentary on a systematic review and meta-analysis","","Cognitive behavioural therapies with a trauma focus (CBTs-TF) are assessed through a commentary that critically reviews a 2024 individual participant data systematic review and meta-analysis on children and adolescents. The underlying evidence background covers trauma exposure and post-traumatic stress disorder outcomes, including symptom profiles and recovery patterns without intervention. The commentary evaluates methodological quality using AMSTAR 2, highlights issues such as language restrictions and limited reporting, and discusses risk of bias ratings. It concludes CBTs-TF effectively reduces PTSD symptoms up to one year while noting interpretive cautions.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/cognitive-behavioural-therapies-with-a-trauma-focus-for-children-and-adolescents-a-commentary-on-a-systematic-review-and-meta-analysis/447694/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/cognitive-behavioural-therapies-with-a-trauma-focus-for-children-and-adolescents-a-commentary-on-a-systematic-review-and-meta-analysis/447694.png","ImageObject",300,407,{"name":42,"@type":43},"moss~","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-01","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",7,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the purpose of the commentary in this document?","Question",{"text":63,"@type":64},"It aims to critically appraise the methods used in de Haan et al. (2024) and to consider the relevance of the findings for clinical practice and further research.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How many studies did the 2024 review include, and how many provided individual participant data?",{"text":68,"@type":64},"The review identified 38 studies, with 25 studies providing individual participant data included in the meta-analysis.",{"name":70,"@type":61,"acceptedAnswer":71},"What conclusions does the commentary draw about CBTs-TF for children and young people?",{"text":72,"@type":64},"CBTs-TF is presented as an effective treatment for children and young people exposed to trauma with post-traumatic stress symptoms, at least up to one year, while advising caution due to highlighted limitations.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},447694,1791048002,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":55,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},962090895452,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Europe PMC unders uthManuscripts Europe M eC und Author Manuscripts  \n| Europe PMC Funders Group\u003Cbr>Author Manuscript\u003Cbr>J Fam Child Health. Author manuscript; available in PMC 2026 January 06. |\n| --- |\n| Published in final edited form as:\u003Cbr>J Fam Child Health. 2025 February 2; 2(2): 66–70. doi:10.12968/jfch.2025.2.2.66 .\u003Cbr>Cognitive behavioural therapies with a trauma focus for children and adolescents: a commentary on a systematic review and meta-analysis\u003Cbr>A Lambert\u003Cbr>Lancashire and South Cumbria NHS Foundation Trust\u003Cbr>A Doherty, J Harrison\u003Cbr>University of Lancashire\u003Cbr>Introduction\u003Cbr>Evidence suggests that overall, approximately one in six children and young people (16%) will develop post-traumatic stress disorder (PTSD) after exposure to trauma (Alisic et al., 2014). Interpersonal trauma (e.g. assault) is thought to result in higher rates of PTSD than non-interpersonal trauma (e.g. accidents) and evidence indicates that girls are more likely to develop PTSD than boys (Alisic et al., 2014; Nooner et al., 2012; Dyregrov 2006) . The symptoms of PTSD (at all stages of life) include intrusive thoughts, avoidance of stimuli associated with the trauma, characteristic changes in mood and cognition, and alterationsin arousal (such as hypervigilance, exaggerated startle response, or sleep disturbance), causing significant impairment of social, physical, occupational and educational functioning (American Psychiatric Association (APA), 2013). In the first six months post-trauma, thereis a natural recovery from PTSD in 50% of children and young people with little change in the prevalence of PTSD or symptom severity beyond six months, and recovery is unlikely without intervention (Hiller et al., 2016). Young people who have been exposed to trauma also have double the risk of developing a mental health condition, and an increased risk of future self-harm and suicide (Lewis et al., 2019) . Evidence shows that cognitive behavioural therapies with a trauma-focus (CBTs-TF) are effective in improving symptoms of PTSD in children, young people and adults, and are recommended in clinical guidelines (NICE 2018; WHO 2013) . However, individual clinical trials ofCBTs-TF have inadequate statistical power to comment on moderators of efficacy including individual-level factors such as age, gender and type of trauma (de Haan et al., 2024). A systematic review and meta-analysis by de Haan et al. (2024) aimed to determine the efficacy ofCBTs-TF for children and young people, relative to passive and active control conditions, and to examine both individual-\u003Cbr>This work is licensed under a BY 4.0 International license.\u003Cbr>Commentary on\u003Cbr>de Haan A, Meiser-Stedman R, Landolt MA, Kuhn I, Black MJ, Klaus K, et al. Efficacy and moderators of efficacy of cognitive behavioural therapies with a trauma focus in children and adolescents: an individual participant data meta-analysis of randomised trials Lancet Child Adolesc Health 2024 Jan;8(1):28-39 |\n\nEurope PMC unders uthManuscripts Europe M eC und Author Manuscripts  \nLambert et al. Page 2  \nlevel and treatment-level factors (such as study design and setting) that may moderate treatment effects.  \nAim of commentary  \nThis commentary aims to critically appraise the methods used within the meta-analysis by de Haan et al.,(2024) and to reflect on the relevance of the findings for clinical practice and further research.  \nResults of de Haan et al. (2024)  \nThe review conducted by de Haan (2024) identified 38 studies, of which 25 studies provided individual participant data that were included in the review’s meta-analysis. Results of de Haan et al., 20204 are summarised in Table 1.  \nCommentary  \nA critical appraisal of the 2024 review by de Haan was assessed using the AMSTAR 2 tool (Shea et al, 2017) . The review met nine out of the sixteen items in the AMSTAR tool’s criteria for assessment. The quality assessment highlighted that although a comprehensive and systematic literature search was undertaken-i","cbCaiiTYvqNJDf8k","https://ap.wps.com/l/cbCaiiTYvqNJDf8k","pdf",304158,11,"English","# Introduction\n# Aim of commentary\n# Results of de Haan et al. (2024)\n# Commentary\n## AMSTAR 2 assessment\n## Risk of bias considerations","[{\"question\":\"What is the purpose of the commentary in this document?\",\"answer\":\"It aims to critically appraise the methods used in de Haan et al. (2024) and to consider the relevance of the findings for clinical practice and further research.\"},{\"question\":\"How many studies did the 2024 review include, and how many provided individual participant data?\",\"answer\":\"The review identified 38 studies, with 25 studies providing individual participant data included in the meta-analysis.\"},{\"question\":\"What conclusions does the commentary draw about CBTs-TF for children and young people?\",\"answer\":\"CBTs-TF is presented as an effective treatment for children and young people exposed to trauma with post-traumatic stress symptoms, at least up to one year, while advising caution due to highlighted limitations.\"}]","Cognitive behavioural therapies with a trauma focus for children and adolescents - a commentary on a systematic review and meta-analysis | PDF",1790722246,28]