Systematic review and meta-analysis: the effectiveness of cognitive behavioral therapy and eye movement desensitization and reprocessing in children and adolescents.
Irada Meoon, Aungsana Khlaisuk, Siriyupa Nansunanon et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the effectiveness of cognitive behavioral therapy (CBT) versus eye movement desensitization and reprocessing (EMDR) for treating PTSD in children and adolescents aged 6-18. The analysis included five trials with 248 participants and found no significant differences in PTSD symptoms between the two therapies. However, CBT was associated with higher depression symptoms compared to EMDR.
Key findings
- No significant difference in PTSD symptoms between CBT and EMDR (SMD: 0.18; 95% CI: -0.07-0.43).
- Anxiety symptoms did not show statistical significance (SMD: 0.44; 95% CI: -0.19-1.07).
- CBT was linked to higher depression symptoms than EMDR (SMD: 0.44; 95% CI: 0.13-0.76).
Why it matters
Understanding the comparative effectiveness of CBT and EMDR is crucial for clinicians treating PTSD in children and adolescents, as it informs treatment choices and addresses comorbid symptoms like anxiety and depression.
What to keep in mind
The evidence is based on a small number of trials, which may limit the generalizability of the findings.