Get Answer: Review Reports Results Question Guide

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This question relates to review reports results and requires a structured academic response.

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Original Question

his review reports on the results of a systematic search of the literature for controlled and uncontrolled studies (pre-post minimum) that quantitatively examine the effectiveness or efficacy of TF-CBT for children and young people (0-18 years) who had experienced child maltreatment (>50 % of sample) where the included population was not overrepresented by sexual abuse (determined by a cut-off of <31 % of sample). Cochrane Library, Embase (via Ovid), ProQuest Central, MEDLINE (via Ovid), PsycINFO (via Ovid), and Scopus were searched in August 2021 for peer-reviewed literature. JBI checklists for RCTs and quasi-experimental studies were used to assess quality of the literature. Four randomized controlled trials (representing 446 participants) and four uncontrolled trials (representing 345 participants) were eligible for inclusion. Narrative synthesis was undertaken to present the results from this small body of literature which focuses mainly on physical abuse and domestic violence. Results suggested that TF-CBT, delivered in a variety of 'real-world' settings is an effective intervention for a range of non-sexual abuse related trauma symptoms in children and young people. The included RCTs showed that TF-CBT had a positive effect on posttraumatic stress symptoms, anxiety, strengths, functional impairment, and also potentially depression and emotional and behavioral difficulties (with mixed effect). Based on the recorded trauma symptoms of the included samples, treatment effects are applicable to threat-based experiences (e.g., physical abuse and domestic violence), and cannot be generalized to deprivation-based experiences (e.g., neglect). The findings from this review suggest that a flexible approach to implementation and employing engagement strategies to minimize high attrition rates could be beneficial. Limitations of the included evidence comprise small sample sizes, self-report measures, and mixed trauma types.

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