• Medientyp: E-Artikel
  • Titel: Mediators of Outcome in Trauma-Focused Psychotherapy with Youth: A Systematic Review
  • Beteiligte: Protić, Sonja; Wittmann, Lutz; Taubner, Svenja; Conejo-Cerón, Sonia; Ioannou, Yianna; Heinonen, Erkki; Saliba, Andrea; Moreno-Peral, Patricia; Volkert, Jana; Barkauskiene, Rasa; Julia Schmidt, Stefanie; Rangel Santos Henriques, Margarida Isabel; Pinheiro Mota, Catarina; Sales, Célia M.D.; Røssberg, Jan Ivar; Adler, Asta; Giacomo, Dina Di; Mucha Vieira, Filipa; Drndarević, Nikola; Ulberg, Randi; Stepisnik Perdih, Tjasa; Mestre, Jose M.
  • Erschienen: SAGE Publications, 2024
  • Erschienen in: Trauma, Violence, & Abuse
  • Sprache: Englisch
  • DOI: 10.1177/15248380231223264
  • ISSN: 1524-8380; 1552-8324
  • Schlagwörter: Public Health, Environmental and Occupational Health ; Applied Psychology ; Health (social science)
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  • Beschreibung: <jats:p> This article aimed to provide a systematic narrative synthesis of existing studies on the mediators of change in psychotherapy with adolescents (10–19 years) and transition age youth (TAY) (20–29 years) who have experienced trauma-related symptoms or posttraumatic disorder. Additionally, we were interested in identifying psychotherapy-, trauma type-, and clients’ age- and gender-specific mediators of treatment outcome. Following the preferred reporting items for systematic reviews and meta-analyses, a total of 3,723 studies published in PubMed and PsycINFO databases were screened against inclusion criteria, revealing 15 eligible studies. No studies with only TAY were found; therefore, all results were limited to therapy with adolescents. Cognitive mediators were tested in 66% of selected studies, followed by parents/family-related, mental-health-related, therapy-related, and behavioral mediators. Moderate evidence was found for posttraumatic cognitions, whereas therapeutic alliance seemed to be a promising candidate for future research. Striking absence of non-cognitive-behavioral therapy interventions, emotional and adolescent-specific mediators, as well as studies with males and in non-Western societies was evident. Future original studies would benefit from applying methodological rigor in respect to mediation testing. </jats:p>