Sunday, December 14, 2014

Week 7, Assignment 2



This week seemed to be intense. I was however able to use at least two articles from previous weeks to assist with the assignment. I used the Leatherby Library to find the remaining four articles. It took quite a bit of time for me to find four different articles relating to my question of "What types of treatment are there for children with Post-traumatic Stress Disorder".

Habib, M. m., Labruna, V., & Newman, J. (2013). Complex Histories and Complex Presentations: Implementation of a Manually-Guided Group Treatment for Traumatized Adolescents. Journal Of Family Violence, 28(7), 717-728.

In this article the authors describe the process in which to collect data to properly diagnose, treat, and how to develop interventions specifically for adolescents with extensive trauma exposure within residential settings. The method used in the study is a group therapy treatment where there are 16- sessions held to address the needs of children who have been exposed to or directly experienced violence. Adolescents are able to speak freely about their trauma in a safe environment. The study revealed success for most of the children who participated in the treatment. The need for future research should address other factors such as age and gender specific and a history of treatment out comes for each individual.
Kagan, R., Henry, J., Richardson, M., Trinkle, J., & LaFrenier, A. (2014). Evaluation of Real Life Heroes Treatment for Children With Complex PTSD. Psychological Trauma: Theory, Research, Practice, And Policy, 6(5), 588-596. doi:10.1037/a0035879

The article entitled “Evaluation of Real Life Heroes Treatment (RLH) for Children With Complex PTSD” provides the definition of the treatment and what the treatment focuses on. The article explains the method of the study, the number of children who took part in the study, and the results of their findings. The treatment of RHL is centered on attachment issues in children. The focus of the treatment is to emphasis issues related to affect regulation, emotional supportive relationships, and life story integration. The results of the study reviled that the effectiveness of the RHL treatment produced better outcomes when treatment was in combination with resiliency-focused treatment when working with children who have significant trauma associated with PTSD.
Last, B., Bos, A., Knoester, H., Bronner, M., & Grootenhuis, M. (2008, January 1). Posttraumatic stress disorder (PTSD) in children after pediatric intensive care treatment compared to children who survived a major fire disaster. Child and Adolescent Psychiatry and Mental Health, 2:9. doi:10.1186/1753-2000-2-9.

This article contains a study to find out if children experience Post-traumatic stress disorder (PTSD) after a major fire and to identify risk factors for PTSD. Thirty-six children aged eight to seventeen took part in the study. The children were asked to fill out questioners at three and nine months after leaving the Pediatric Intensive Care Unit (PICU). The results of the study showed a number of the children had symptoms of PTSD after receiving care in the PICU facilities. The author’s suggest the need for education and identification of PTSD symptoms in order to reduce the number of children suffering from PTSD during and after care in a PICU facility. Several factors for future research should be considered. First is to have a structured clinical interview process instead of relying on self-reports alone. Second is to conduct the study on children who do not have a possible brain injury because the symptoms of brain injury overlap significantly with symptoms of PTSD. Lastly is to ensure that the children who partake in the study understand the importance of the follow-up procedure.

Psychosocial plus pharmacologic treatments may help prevent pediatric PTSD. (Cover story). (2013). Brown University Child & Adolescent Behavior Letter, 29(3), 1-7.

This article is a continuation of the parent-child relationship to help in therapeutic interventions. The article examines the use of medications as a source of treatment as well as psychosocial interventions. From the medication viewpoint the researchers looked at Glucocorticoids, Opioids, Antidepressants and Morphine. Results showed even though the use of medication has worked at reducing symptoms of PTSD in adults only morphine when given right after a traumatic injury and for a span of six months can reduce the symptoms of PTSD in children. On the basis of psychosocial interventions only therapy along with family involvement was successful at reducing PTSD. The researchers did find that a combination of Propranolol (a medication to reduce hyperarousal) and family therapy could result in greater effectiveness. Further research needs to be conducted on studying the effectiveness of psychosocial strategies with pharmacologic on children and adolescents with PTSD symptoms.

Stanković, M., Grbeša, G., Kostić, J., Simonović, M., Milenković, T., & Višnji, A. (2013). A preview of the efficiency of systemic family therapy in treatment of children with posttraumatic stress disorder developed after car accident. Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journal Of Serbia & Montenegro, 70(2), 149-154. doi:10.2298/VSP1302149S

This article examined whether the systemic family therapy (SFT) was effective at reducing symptoms of Post-traumatic Stress Disorder for children after a car accident where at least one death resulted and the use of antidepressants. The children who received SFT when both parents were involved showed significant progress as compared to those who only had one parent or were taking the antidepressants. The researchers also examined Trauma Focus-Cognitive Behavioral Therapy (TF-CBT) against the results of SFT. The results showed there is not enough clinical data to support the effectiveness of combined SFT and TF-CBT. More research needs to be conducted to see if there is even a greater chance of reducing PTSD symptoms in children.

Van Wesel, F., Alisic, E., & Boeije, H. (2014). Using qualitative evidence to optimize child PTSD treatment guidelines. Psychological Trauma: Theory, Research, Practice, And Policy, 6(5), 546-554. doi:10.1037/a0035172

This article examines the impact of trauma, the importance of routines, and the involvement of parents in the therapy sessions. The article also aims to answer the questions of what causes some children to develop PTSD and how can it best be treated. The results reviled that trauma can have a broad impact on a child’s life. The involvement of parents in the therapeutic relationship can reduce the symptoms of PTSD as well as the ability to stick to a routine. The greater the traumatic experience for children the longer the symptoms of PTSD will take to subside. More research needs to be conducted on Children who suffer with symptoms of PTSD. More individualized involvement on the part of the children should be considered for future research.

2 comments:

  1. Hello Scarlett. I agree with you! This assignment was a "doosey"! I did a lot of reviewing to create the annotated bibliography. My assignment was at least six pages. I would like to check out the source you mentioned for the writing lab help especially for next weeks assignment! Good luck with that!-Patricia Brush, LBSU 302/Fall II

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  2. Hello Scarlett,
    My name is Patricia Brush. It seems that you have interesting and complicated research. My topic is not far off from yours. I am researching the long-term effects of poverty-related stress on young children affected by poverty. One thing that occurred to me, when reading your annotations about children who seemed to progress in treatment when parents are involved, was if there is any type of counseling for the parents to help parents understand effective ways of supporting their children suffering from PTSD. If there is not already support groups for parents and family members of traumatized victims, there is definitely a need for it. We certainly have our work cut out for us! What an opportunity to expand our understanding of children's and family's issues. Best wishes to you with your research!

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