The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    Support for CBT following trauma in young people

     Many treatment options were reviewed.

    The strongest evidence was for cognitive behavioral therapy (CBT) to reduce psychological harm in children and adolescents following trauma.

    First, the details.

    • The reviewers selected studies conducted in high-income economies.
    • Studies included people younger than 21 years who were exposed to traumatic events: individual or mass, intentional or unintentional, man-made or natural.
    • The studies were categorized by type of trauma, and the results reanalyzed — meta-analysis.
    • Disorders of interest included depression, anxiety and posttraumatic stress disorder, internalizing and externalizing disorders, and suicidal behavior.

    And, the results.

    • 11 studies of individual CBT and 10 studies of group CBT showed beneficial effects on psychological harm.
    • There was insufficient evidence of benefit for the following treatments: play, art, psychodynamic therapies, pharmacologic therapies, and psychological debriefing.

    The bottom line?
    The authors concluded, “Personnel treating children and adolescents exposed to traumatic events should use interventions for which evidence of effectiveness is available.”

    The reviewers are associated with the CDC’s Task Force on Community Preventive Services.

    9/19/08 18:49 JR

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