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Previous meta-analyses of psychotherapies for children and adolescents with post-traumatic stress disorder (PTSD) did not investigate whether treatment efficacy is diminished when patients report multiple (versus single) traumas.

We systematically searched PsycInfo, MEDLINE, Web of Science and PTSDpubs on and included randomised controlled trials (RCTs) meeting the following criteria: (a) random allocation; (b) all participants presented with partial or full PTSD; (c) PTSD is the priple mean age

Relative to passive control conditions, interventions were found effective for single-trauma-related PTSD (Hedges’ g = 1.09; 95% CI 0.70–1.48; k = 8 trials) and multiple-trauma-related PTSD ( g = 1.11; 95% CI 0.74–1.47; k = 12). Psychotherapies were also more effective than active control conditions in reducing multiple-trauma-related PTSDparison with active control conditions regarding single-event PTSD was not possible owing to scarcity ( k = 1) of available trials. Efficacy did not differ with trauma exposure frequency irrespective of its operationalisation and subgroup analyses (e.g. trauma-focused cognitive–behavioural therapy only).

The current evidence base suggests that psychological interventions for paediatric PTSD can effectively treat PTSD in populations reporting single and multiple traumas. Future trials for PTSD following single-event trauma need to involve active control conditions.

Keywords

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence ( which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.

Post-traumatic stress disorder (PTSD) is a common disorder in children and adolescents. 続きを読む →

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Reporting summary

Our primary outcome variable measures the concern about the consequences of climate change and is thus climate change specific. However, the SOEP also elicits concerns about environmental protection, a broader concept encompassing various environmental issues, including climate change and biodiversity loss 1,28 . We re-run our analysis using environmental protection concerns as an alternative outcome. We find a statistically significant albeit slightly smaller effect of climate protests on concerns about environmental protection (Supplementary Table 9). In our preferred specification (Column (6)), climate protests significantly increase the probability that a respondent is concerned about environmental protection on average by 0.9 percentage points (p = 0.044) in the 14 days after a protest. Given the protest movement’s dominant focus on climate change embedded in a broader environmental discourse, this finding aligns with our expectations. It also highlights the strong but not perfect correlation between attitudes towards climate change and the environment 29 . These findings provide further evidence that concerns about climate change and the environment increase after climate protests. Further, we disaggregate the analysis and estimate the effects of each protest. Supplementary Fig. 6 displays the effect of individual climate protests on climate change concerns. While most protests yield positive coefficients, the statistical significance is sometimes reduced, not reaching the five percent significance level. This is likely due to the reduced number of observations at the protest level. Given this limitation regarding the sample sizes, protest-specific effects should be interpreted cautiously. As a general observation, we tend to observe larger positive coefficients for the kissbrides.com you could try this out first and last protests, potentially due to comparatively lower levels of concern before these protests took place (Fig. 1) in line with the aggregate finding concerning pre-protest concern levels (see below). 続きを読む →

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