Mediators of Outcome in Trauma-Focused Psychotherapy with Youth: A Systematic Review.

Protić, Sonja; Wittmann, Lutz; Taubner, Svenja; Conejo-Cerón, Sonia; Ioannou, Yianna; Heinonen, Erkki; Saliba, Andrea; Moreno-Peral, Patricia; Volkert, Jana; Barkauskiene, Rasa; Schmidt, Stefanie Julia; 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; ... (2024). Mediators of Outcome in Trauma-Focused Psychotherapy with Youth: A Systematic Review. Trauma, violence & abuse, 25(4), pp. 2672-2688. Sage 10.1177/15248380231223264

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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.

Item Type:	Journal Article (Review Article)
Division/Institute:	07 Faculty of Human Sciences > Institute of Psychology
UniBE Contributor:	Schmidt, Stefanie Julia
ISSN:	1552-8324
Publisher:	Sage
Language:	English
Submitter:	Pubmed Import
Date Deposited:	29 Jan 2024 12:17
Last Modified:	03 Sep 2024 00:12
Publisher DOI:	10.1177/15248380231223264
PubMed ID:	38281152
Uncontrolled Keywords:	adolescents and transition age youth mediators psychotherapy systematic review trauma
URI:	https://boris.unibe.ch/id/eprint/192201