Meta-analysis reveals psychotherapy for paediatric PTSD has an extremely low risk of adverse effects

New research from the University of Münster finds that psychotherapy is a safe and effective option for children and teenagers with post-traumatic stress disorder, with minimal risk of harm during treatment.

Children and teenagers with post-traumatic stress disorder can benefit from psychotherapy without facing a high risk of harm, according to new research from the University of Münster.

An international team led by Thole H. Hoppen and Nexhmedin Morina analysed 71 studies and more than 5,600 young patients, in what the researchers said was the first meta-analysis to look specifically at unwanted effects of psychological treatment for paediatric PTSD. Their review, published in the Journal of Child Psychology and Psychiatry, found that fewer than 0.01% of patients reported a worsening of symptoms after treatment ended, while adverse events during therapy were also uncommon at 0.29%.

The findings matter because previous work has already shown that psychological treatments can reduce PTSD symptoms in children, adolescents and young adults, with trauma-focused cognitive behavioural therapy and eye movement desensitisation and reprocessing among the approaches supported by the evidence. Other reviews have also found that these treatments remain effective even when young people have experienced multiple traumatic events, and that a range of psychological interventions can help after disasters and other major traumas.

Hoppen said the results should reassure families and therapists who worry that discussing traumatic memories may do more damage than good. That concern, the researchers argued, can become a barrier to care and may help leave the disorder untreated for longer. The study’s authors said the evidence should encourage timely treatment, particularly trauma-focused approaches, rather than postponement or avoidance.

Disclaimer: This content is for informational purposes only and is not intended to be a substitute for professional medical judgment, advice, diagnosis, or treatment.