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Is Trauma Focused-Cognitive Behavioral Therapy (TF-CBT) Effective in Reducing Trauma Symptoms among Traumatized Refugee Children? A Systematic Review
Journal of Child & Adolescent Trauma Pub Date : 2021-06-21 , DOI: 10.1007/s40653-021-00370-0
Edson Chipalo 1
Affiliation  

In 2019, more than 25.9 million children under 18 were displaced due to unending political conflicts. Trauma Focused-Cognitive Behavioral Therapy (TF-CBT) has a high level of empirical evidence to support its efficacy in processing trauma and behavioral problems in non-refugee children. Yet, little is known about its long-term effectiveness in refugee children. This study conducted a systematic review that assessed the evidence of the effectiveness of TF-CBT in reducing trauma symptoms among refugee children under 18 years of age. A systematic review was conducted from peer-reviewed literature databases (12 databases): PsycINFO, PubMed, Scopus, Google Scholar, ProQuest Dissertations and Theses (PQDT), Cochrane Library, MEDLINE, PROSPERO, EBSCOHost, Campbell Collaboration Library of Systematic Reviews, Social Sciences Index, and grey literature sources published from 1990 to 2019. The search yielded 1650 articles, and 4 peer reviewed studies were identified that met inclusion criteria and yielded a sample size of 64 refugee children from 21 different countries. All 4 studies provided evidence that supported TF-CBT’s effectiveness in decreasing trauma symptoms and sustainment during the follow-up assessment among refugee children participants. Despite TF-CBT effectiveness for trauma symptoms treatment, there is still limited evidence to suggest that TF-CBT is effective for all refugee children due to the pilot nature of the studies, and its underutilization in traumatized refugee children from different cultural backgrounds. Future studies should conduct more TF-CBT interventions with diverse refugee children to provide more empirical support for its effectiveness with that population.



中文翻译:

创伤聚焦认知行为疗法 (TF-CBT) 能否有效减少受创伤的难民儿童的创伤症状?系统回顾

2019 年,超过 2590 万 18 岁以下儿童因无休止的政治冲突而流离失所。创伤聚焦认知行为疗法 (TF-CBT) 具有高水平的实证证据支持其在处理非难民儿童的创伤和行为问题方面的功效。然而,关于它对难民儿童的长期有效性知之甚少。本研究进行了一项系统回顾,评估了 TF-CBT 在减少 18 岁以下难民儿童的创伤症状方面有效性的证据。从同行评审的文献数据库(12 个数据库)进行了系统评价:PsycINFO、PubMed、Scopus、Google Scholar、ProQuest Dissertations and Theses (PQDT)、Cochrane Library、MEDLINE、PROSPERO、EBSCOHost、Campbell Collaboration Library of Systematic Reviews、Social科学索引,和 1990 年至 2019 年出版的灰色文献来源。搜索产生了 1650 篇文章,并确定了 4 项符合纳入标准的同行评审研究,并产生了来自 21 个不同国家的 64 名难民儿童的样本量。所有 4 项研究都提供了支持 TF-CBT 在难民儿童参与者的后续评估期间减少创伤症状和维持的有效性的证据。尽管 TF-CBT 对治疗创伤症状有效,但由于研究的试点性质以及它在来自不同文化背景的受创伤难民儿童中未得到充分利用,仍然有有限的证据表明 TF-CBT 对所有难民儿童都有效。

更新日期:2021-06-21
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