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Child Disaster Mental Health Interventions: Therapy Components

Published online by Cambridge University Press:  16 September 2014

Betty Pfefferbaum*
Affiliation:
Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OklahomaUSA
Jennifer L. Sweeton
Affiliation:
Veterans Affairs Medical Center, Oklahoma City, OklahomaUSA
Pascal Nitiéma
Affiliation:
Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OklahomaUSA
Mary A. Noffsinger
Affiliation:
Courtroom Sciences, Inc., Irving, TexasUSA
Vandana Varma
Affiliation:
Department of Psychiatry and Behavioral Sciences, College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OklahomaUSA
Summer D. Nelson
Affiliation:
Department of Psychology, Tulsa Institute of Trauma, Adversity, and Injustice, University of Tulsa, Tulsa, OklahomaUSA
Elana Newman
Affiliation:
Department of Psychology, Tulsa Institute of Trauma, Adversity, and Injustice, University of Tulsa, Tulsa, OklahomaUSA
*
Correspondence: Betty Pfefferbaum, MD, JD Department of Psychiatry and Behavioral Sciences College of Medicine University of Oklahoma Health Sciences Center P.O. Box 26901 Oklahoma City, Oklahoma USA 73126-0901 E-mail Betty-Pfefferbaum@ouhsc.edu

Abstract

Children face innumerable challenges following exposure to disasters. To address trauma sequelae, researchers and clinicians have developed a variety of mental health interventions. While the overall effectiveness of multiple interventions has been examined, few studies have focused on the individual components of these interventions. As a preliminary step to advancing intervention development and research, this literature review identifies and describes nine common components that comprise child disaster mental health interventions. This review concluded that future research should clearly define the constituent components included in available interventions. This will require that future studies dismantle interventions to examine the effectiveness of specific components and identify common therapeutic elements. Issues related to populations studied (eg, disaster exposure, demographic and cultural influences) and to intervention delivery (eg, timing and optimal sequencing of components) also warrant attention.

PfefferbaumB, SweetonJL, NitiémaP, NoffsingerMA, VarmaV, NelsonSD, NewmanE. Child Disaster Mental Health Interventions: Therapy Components. Prehosp Disaster Med. 2014;29(5):1-9.

Type
Comprehensive Review
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

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References

1.Forman-Hoffman, VL, Zolotor, AJ, McKeeman, JL, et al. Comparative effectiveness of interventions for children exposed to nonrelational traumatic events. Pediatrics. 2013;131(3):526-539.Google Scholar
2.La Greca, AM, Silverman, WK. Treatment and prevention of posttraumatic stress reactions in children and adolescents exposed to disasters and terrorism: what is the evidence? Child Develop Perspectives. 2009;3(1):4-10.CrossRefGoogle Scholar
3.La Greca, AM, Silverman, WK. Interventions for youth following disasters and acts of terrorism. In: Kendall PC, ed. Child and Adolescent Therapy, 4th ed.Cognitive-Behavioral Procedures. New York, NY, USA: Guilford Press; 2011:324-344.Google Scholar
4.Pfefferbaum, B, Newman, E, Nelson, SD. Mental health interventions for children exposed to disasters and terrorism. J Child Adolesc Psychopharmacol. 2014;24(1):24-31.Google Scholar
5.Pfefferbaum, B, Newman, E, Nelson, SD, et al. Research methodology used in studies of child disaster mental health interventions for posttraumatic stress. Compr Psychiat. 2014;55(1):11-24.Google Scholar
6.Pfefferbaum, B, Shaw, JA, and the American Academy of Child Adolescent Psychiatry (AACAP) Committee on Quality Issues (CQI). Practice parameter on disaster-preparedness. J Acad Child Adoles Psychiatry. 2013;52(11):1224-1238.CrossRefGoogle ScholarPubMed
7.Pfefferbaum, B, Sweeton, JL, Newman, E, et al. Child disaster mental health interventions: part I. Techniques, outcomes, and methodological considerations. Disaster Health. 2014;2(1):46-57.Google Scholar
8.Pfefferbaum, B, Sweeton, JL, Newman, E, et al. Child disaster mental health interventions: part II. Timing of implementation, delivery settings and providers, and therapeutic approaches. Disaster Health. 2014;2(1):58-67.Google Scholar
9.Pfefferbaum, B, Varma, V, Nitiéma, P, Newman, E. Universal preventive interventions for children in the context of disasters and terrorism. Child Adolesc Psychiatric Clin. 2014;23(2):363-382.Google Scholar
10.Borntrager, C, Chorpita, BF, Higa-McMillan, CK, Daleiden, EL, Starace, N. Usual care for trauma-exposed youth: are clinician-reported therapy techniques evidence-based? Child Youth Serv Rev. 2013;35(1):133-141.Google Scholar
11.Cohen, JA, Mannarino, AP, Deblinger, E. Treating Trauma and Traumatic Grief in Children and Adolescents. New York, NY, USA: Guilford Press; 2006.Google Scholar
12.Cohen, JA, Mannarino, AP, Deblinger, E, Berliner, L. Cognitive-behavioral therapy for children and adolescents. In: Foa EB, Keane TM, Friedman MJ, Cohen JA, eds. Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies, 2nd ed.New York, NY, USA: Guilford Press; 2009:223-244.Google Scholar
13.American Academy of Child and Adolescent Psychiatry. Practice parameter for the assessment and treatment of children and adolescents with posttraumatic stress disorder. J Am Acad Child Adolesc Psychiat. 2010;49(4):414-430.Google Scholar
14.Cohen, JA, Jaycox, LH, Walker, DW, Mannarino, AP, Langley, AK, DuClos, JL. Treating traumatized children after Hurricane Katrina: Project Fleur-de-Lis. Clin Child Fam Psychol Rev. 2009;12(1):55-64.Google Scholar
15.Jaycox, LH, Cohen, JA, Mannarino, AP, et al. Children's mental health care following Hurricane Katrina: a field trial of trauma-focused psychotherapies. J Trauma Stress. 2010;23(2):223-231.Google Scholar
16.Brown, EJ, Pearlman, MY, Goodman, RF. Facing fears and sadness: cognitive-behavioral therapy for childhood traumatic grief. Harv Rev Psychiat. 2004;12(4):187-198.CrossRefGoogle ScholarPubMed
17.De Roos, C, Greenwald, R, den Hollander-Gijsman, M, Noorthoorn, E, van Buuren, S, de Jongh, A. A randomised comparison of cognitive behavioural therapy (CBT) and eye movement desensitization and reprocessing (EMDR) in disaster-exposed children. Eur J Psychotraumatology. 2011;2:1-11.Google Scholar
18.Scheeringa, MS, Salloum, A, Arnberger, RA, Weems, CF, Amaya-Jackson, L, Cohen, JA. Feasibility and effectiveness of cognitive-behavioral therapy for posttraumatic stress disorder in preschool children: two case reports. J Trauma Stress. 2007;20(4):631-636.Google Scholar
19.Scheeringa, MS, Weems, CF, Cohen, JA, Amaya-Jackson, L, Guthrie, D. Trauma-focused cognitive-behavioral therapy for posttraumatic stress disorder in three- through six year-old children: a randomized clinical trial. J Child Psychol Psychiatry. 2011;52(8):853-860.CrossRefGoogle ScholarPubMed
20.Brown, EJ, McQuaid, J, Farina, L, Ali, R, Winnick-Gelles, A. Matching interventions to children's mental health needs: feasibility and acceptability of a pilot school-based trauma intervention program. Education & Treatment of Children. 2006;29(2):257-286.Google Scholar
21.Giannopoulou, I, Dikaiakou, A, Yule, W. Cognitive-behavioural group intervention for PTSD symptoms in children following the Athens 1999 earthquake: a pilot study. Clin Child Psychol Psychiat. 2006;11(4):543-553.CrossRefGoogle ScholarPubMed
22.Sahin, NH, Yilmaz, B, Batigun, A. Psychoeducation for children and adults after the Marmara earthquake: an evaluation study. Traumatology. 2011;17(1):41-49.Google Scholar
23.Vijayakumar, L, Kannank, GK, Kumar, BG, Devarajan, P. Do all children need intervention after exposure to tsunami? Int Rev Psychiat. 2006;18(6):515-522.Google Scholar
24.Catani, C, Kohiladevy, M, Ruf, M, Schauer, E, Elbert, T, Neuner, F. Treating children traumatized by war and Tsunami: a comparison between exposure therapy and meditation-relaxation in North-East Sri Lanka. BMC Psychiatry. 2009;9(22):1-11.Google Scholar
25.Weems, CF, Taylor, LK, Costa, NM, et al. Effect of a school-based test anxiety intervention in ethnic minority youth exposed to Hurricane Katrina. J Appl Dev Psychol. 2009;30(3):218-226.Google Scholar
26.Lesmana, CBJ, Suryani, LK, Jensen, GD, Tiliopoulos, N. A spiritual-hypnosis assisted treatment of children with PTSD after the 2002 Bali terrorist attack. Am J Clin Hypnosis. 2009;52(1):23-34.Google Scholar
27.Berger, R, Pat-Horenczyk, R, Gelkopf, M. School-based intervention for prevention and treatment of elementary-students’ terror-related distress in Israel: a quasi-randomized controlled trial. J Trauma Stress. 2007;20(4):541-551.Google Scholar
28.March, JS, Amaya-Jackson, L, Murray, MC, Schulte, A. Cognitive-behavioral psychotherapy for children and adolescents with posttraumatic stress disorder after a single-incident stressor. J Am Acad Child Adolesc Psychiatry. 1998;37(6):585-593.CrossRefGoogle ScholarPubMed
29.Gelkopf, M, Berger, R. A school-based, teacher-mediated prevention program (ERASE-Stress) for reducing terror-related traumatic reactions in Israeli youth: a quasi-randomized controlled trial. J Child Psychol Psychiatry. 2009;50(8):962-971.Google Scholar
30.Pfefferbaum, B, Noffsinger, MA, Wind, LH, Allen, JR. Children's coping in the context of disasters. J Loss Trauma. 2014;19(1):78-97.Google Scholar
31.Chemtob, CM, Nakashima, J, Carlson, JG. Brief treatment for elementary school children with disaster-related posttraumatic stress disorder: a field study. J Clin Psychol. 2002;58(1):99-112.Google Scholar
32.Salloum, A, Overstreet, S. Grief and trauma intervention for children after disaster: exploring coping skills versus trauma narration. Behav Res Ther. 2012;50(3):169-179.Google Scholar
33.Gilboa-Schechtman, E, Foa, EB, Shafran, N, et al. Prolonged exposure versus dynamic therapy for adolescent PTSD: a pilot randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2010;49(10):1034-1042.CrossRefGoogle ScholarPubMed
34.Salloum, A, Garside, LW, Irwin, CL, Anderson, AD, Francois, AH. Grief and trauma group therapy for children after Hurricane Katrina. Social Work with Groups. 2009;32(1):64-79.CrossRefGoogle Scholar
35.Goenjian, AK, Karayan, I, Pynoos, RS. Outcome of psychotherapy among early adolescents after trauma. Am J Psychiatry. 1997;154(4):536-542.Google Scholar
36.Goodman, RF, Morgan, AV, Juriga, S, Brown, EJ. Letting the story unfold: a case study of client-centered therapy for childhood traumatic grief. Harv Rev Psychiatry. 2004;12(4):199-212.Google Scholar
37.Shooshtary, MH, Panaghi, L, Moghadam, JA. Outcome of cognitive behavioral therapy in adolescents after natural disaster. J Adolesc Health. 2008;42(5):466-472.Google Scholar
38.Goenjian, AK, Walling, D, Steinberg, AM, Karayan, I, Najarian, LM, Pynoos, RS. A prospective study of posttraumatic stress and depressive reactions among treated and untreated adolescents 5 years after a catastrophic disaster. Am J Psychiatry. 2005;162(12):2302-2308.Google Scholar
39.Wolmer, L, Hamiel, D, Barchas, JD, Slone, M, Laor, N. Teacher-delivered resilience-focused intervention in schools with traumatized children following the second Lebanon war. J Trauma Stress. 2011;24(3):309-316.Google Scholar
40.Ronan, KR, Johnston, DM. Behaviourally-based interventions for children following volcanic eruptions: an evaluation of effectiveness. Disaster Prev Management. 1999;8(3):169-176.CrossRefGoogle Scholar
41.Layne, CM, Pynoos, RS, Saltzman, WR, et al. Trauma/grief focused group psychotherapy: school-based postwar intervention with traumatized Bosnian adolescents. Group Dynamics: Theory, Research, and Practice. 2001;5(4):277-290.Google Scholar
42.Salloum, A, Overstreet, S. Evaluation of individual and group grief and trauma interventions for children post disaster. J Clin Child Adolesc Psychol. 2008;37(3):495-507.Google Scholar
43.American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Washington, DC, USA: American Psychiatric Association; 2013.Google Scholar
44.Berger, R, Gelkopf, M. School-based intervention for the treatment of tsunami-related distress in children: a quasi-randomized controlled trial. Psychother Psychosom. 2009;78(6):364-371.Google Scholar
45.Shen, YJ. Short-term group play therapy with Chinese earthquake victims: effects on anxiety, depression, and adjustment. Int J Play Ther. 2002;11(1):43-63.Google Scholar