[Trauma in children and adolescents: screening, diagnoses and treatment]

Tijdschr Psychiatr. 2015;57(12):912-6.
[Article in Dutch]

Abstract

Background: Young people often experience one or more traumatic events during their life. About 16% develops a post-traumatic stress disorder (PTSD). Whereas trauma treatments are effective, untreated PTSD has serious consequences for the psychosocial development. Adequate screening, correct diagnosis and treatment are very important.

Aim: To investigate current screening techniques and diagnostic tools and to study the effects of treatment on traumatised children en adolescents.

Method: In this article we discuss the results of several trauma studies that formed part of two recent successfully completed PhD programmes.

Results: The Children's Revised Impact of Event Scale (CRIES-13) is a validated trauma screening tool. The Clinician-Administered PTSD Scale, Child and Adolescent Version (CAPS-CA) is a validated clinical trauma interview. Trauma focused cognitive behavioral therapy (TF-CBT) and eye movement desensitisation and reprocessing (EMDR) are the treatments of choice for children and adolescents with PTSD.

Conclusion: The CRIES-13 is suitable for use in general care, whereas the CAPS-CA is more suitable for specialist care. TF-CBT and EMDR are the treatment of choice for children and adolescents with PTSD.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Child Psychiatry*
  • Cognitive Behavioral Therapy / methods*
  • Eye Movement Desensitization Reprocessing / methods*
  • Humans
  • Stress Disorders, Post-Traumatic / psychology
  • Stress Disorders, Post-Traumatic / therapy*
  • Treatment Outcome