Posttraumatic stress disorder (PTSD) is not uncommon among adolescents and young adults (AYAs). Left untreated, transition to adulthood might be especially challenging and/or prolonged for AYAs. However, it is unclear whether AYAs are adequately represented in current PTSD treatment research and whether they benefit to the same degree as younger or older individuals. In the first part of the paper, we reflect on developmental considerations in the treatment of AYAs and give an overview of current age-specific results in PTSD treatment research. Furthermore, we review individual trauma-focused evidence-based treatments that were examined in AYAs over the last 10 years. In the second part, we present data from an uncontrolled feasibility trial evaluating cognitive processing therapy (CPT) with some age-adapted modifications and an exposure component (written accounts). We treated 17 AYAs (aged 14 to 21) suffering from posttraumatic stress symptoms (PTSS). At posttreatment, participants had improved significantly with respect to clinician-rated PTSS severity (d = 1.32). Treatment gains were maintained throughout the 6-week and 6-month follow-ups. Results indicated that CPT, with only minor adaptations, was feasible and safe in AYAs. The recommendations for future research focus on the inclusion of young adults in trials with adolescents, more refined age reporting in clinical trials, and the encouragement of dismantling studies in youth. To conclude, clinical recommendations for caregiver involvement and the addressing of developmental tasks, motivational issues and emotion regulation problems are discussed.

中文翻译：

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迷失了过渡？创伤后应激障碍的青少年和青少年的循证治疗以及评估认知加工治疗的不受控可行性试验的结果。

创伤后应激障碍（PTSD）在青少年和年轻人（AYAs）中并不罕见。如果不及时治疗，对于AYA来说，过渡到成年可能特别有挑战性和/或延长。但是，目前尚不清楚在目前的PTSD治疗研究中是否充分代表了AYAs，以及它们是否与年轻或年长的人一样受益。在本文的第一部分中，我们对AYAs治疗中的发展考虑进行了反思，并概述了PTSD治疗研究中当前针对特定年龄的研究结果。此外，我们回顾了过去10年中在AYA中检查过的以创伤为重点的循证治疗。在第二部分中 我们提供了来自非受控可行性试验的数据，该试验评估了认知加工疗法（CPT），并进行了一些适应年龄的修改和暴露成分（书面说明）。我们治疗了患有创伤后应激障碍症状（PTSS）的17例AYA（14至21岁）。在治疗后，参与者的临床PTSS严重程度有了显着改善（d  = 1.32）。整个6周和6个月的随访期间均保持治疗获益。结果表明，仅进行少量修改的CPT在AYA中是可行且安全的。对未来研究的建议着重于将年轻人纳入青少年试验中，在临床试验中更详细地报告年龄，并鼓励拆除青年研究。总之，讨论了有关照顾者参与和解决发展任务，动机问题和情绪调节问题的临床建议。