Pfefferbaum Betty, Nitiéma Pascal, Newman Elana
Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, P.O. Box 26901, WP3217, Oklahoma City, OK 73126, USA.
Department of Management Information Systems, Price College of Business, University of Oklahoma, Norman, OK 73069, USA.
Behav Sci (Basel). 2021 Feb 11;11(2):25. doi: 10.3390/bs11020025.
Over the last 20 years, numerous interventions have been developed and evaluated for use with children exposed to mass trauma with six publications reporting meta-analyses of randomized controlled trials of child mass trauma interventions using inactive controls to examine intervention effects on posttraumatic stress, depression, anxiety, and functional impairment. The current report reviews the results of these meta-analytic studies to examine the status of the evidence for child mass trauma mental health interventions and to evaluate potential moderators of intervention effect and implications for practice. The meta-analyses reviewed for the current report revealed a small to medium overall effect of interventions on posttraumatic stress, a non-statistically significant to small overall effect on depression, a non-statistically significant overall effect on anxiety, and a small overall effect on functional impairment. The subgroup analyses suggest that interventions should be matched to the populations being served and to the context. Additional research is needed to tailor future interventions to further address outcomes other than posttraumatic stress including depression, anxiety, and functional impairment.
在过去20年里，已经开发并评估了多种针对遭受大规模创伤儿童的干预措施，有六篇出版物报告了对儿童大规模创伤干预措施的随机对照试验的荟萃分析，这些试验使用无活性对照来检验干预措施对创伤后应激、抑郁、焦虑和功能损害的影响。本报告回顾了这些荟萃分析研究的结果，以审视儿童大规模创伤心理健康干预措施的证据状况，并评估干预效果的潜在调节因素以及对实践的影响。本报告所回顾的荟萃分析显示，干预措施对创伤后应激有小到中等程度的总体效果，对抑郁有非统计学显著到小的总体效果，对焦虑有非统计学显著的总体效果，对功能损害有小的总体效果。亚组分析表明，干预措施应与所服务的人群和背景相匹配。需要进一步开展研究，以便为未来的干预措施量身定制，从而进一步解决除创伤后应激之外的其他结果，包括抑郁、焦虑和功能损害。
