Indicated and selective preventive interventions

Child Adolesc Psychiatr Clin N Am. 2014 Apr;23(2):383-97, x. doi: 10.1016/j.chc.2013.12.001. Epub 2014 Feb 19.

Abstract

Exposure to traumatic events places children at risk for developing distressing, significant emotional reactions such as posttraumatic stress symptoms (PTSS). These reactions also affect long-term functional outcomes. Research on identified and potential risk factors for the development of significant, persistent PTSS is under way. Evidence for preventive interventions is in its infancy but progressing. Family-centered interventions comprising education about emotional reactions to traumatic events and focusing on communication between children and parents show promising results. Only morphine has shown sufficient evidence as a pharmacologic intervention in children. Additional research is necessary to support the establishment of gold-standard preventive practices.

Keywords: Child trauma; Posttraumatic stress; Posttraumatic stress disorder; Preventive interventions.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Child Health Services / methods*
  • Child, Preschool
  • Humans
  • Infant
  • Life Change Events*
  • Preventive Health Services / methods*
  • Stress Disorders, Traumatic / prevention & control*
  • Stress, Psychological / prevention & control*