Authors: Jia Li; Liru Gao; Ruiji Bao; Rui Ji; Qianyun He; Xinfeng Tang; Weijun Zhang; Zhiyong Qu · Research

How Do PTSD Treatments Work Across Different Age Groups?

A comprehensive review of how psychological treatments for PTSD compare in effectiveness across children, adults and older adults

Source: Li, J., Gao, L., Bao, R., Ji, R., He, Q., Tang, X., Zhang, W., & Qu, Z. (2023). Comparative efficacy for different age groups of psychological or psychosocial treatments on post-traumatic stress disorder: protocol for systematic review, meta-analysis and meta-regression analysis. BMJ Open, 13, e066569. https://doi.org/10.1136/bmjopen-2022-066569

What you need to know

  • This research aims to understand if psychological treatments for PTSD work equally well for people of different ages
  • The study will analyze research covering all age groups from preschool children to older adults
  • Understanding age differences in treatment effectiveness could help clinicians choose the most appropriate therapy for each patient

Why this research matters

Trauma is a widespread issue affecting people worldwide. According to surveys by the World Health Organization across 24 countries, about 70% of people experience at least one traumatic event in their lifetime. While most people recover naturally, some develop post-traumatic stress disorder (PTSD). The global lifetime rate of PTSD is around 3.9%, with higher rates in high-income countries (5%) compared to middle and lower-income nations (2.1-2.3%).

If left untreated, PTSD can lead to serious consequences including:

  • Lost work productivity (averaging 3.6 days per month)
  • Increased risk of physical health problems
  • Higher rates of other mental health conditions
  • Earlier mortality
  • Accelerated aging
  • Potential transmission of trauma effects to the next generation

Available treatments

Several types of treatments exist for PTSD:

Psychological Treatments

  • Trauma-focused cognitive behavioral therapy
  • Eye movement desensitization and reprocessing (EMDR)
  • Exposure therapy
  • Psychodynamic therapy
  • Counseling approaches
  • Family/couple therapy
  • Play therapy (for children)

Psychosocial Treatments

  • Meditation
  • Mindfulness-based stress reduction
  • Nature therapy
  • Support groups
  • Educational interventions
  • Employment support
  • Practical assistance (housing, finances)

Clinical guidelines generally recommend trauma-focused psychological therapies as the first choice for treating PTSD. Research shows these approaches tend to work better than medication for both adults and children.

The research gap

While we know psychological treatments can help reduce PTSD symptoms, we don’t yet fully understand if they work equally well for people of different ages. Most studies have focused on specific age groups (like just children or just adults) rather than comparing effectiveness across age ranges.

Some early research hints that treatments may work differently depending on age. For example, trauma-focused cognitive behavioral therapy appears to work better for school-age children (6-18 years) compared to preschoolers (3-6 years).

What this study will do

This research aims to be the largest and most comprehensive analysis of how PTSD treatments work across different age groups. It will:

  1. Gather and analyze research on psychological/psychosocial PTSD treatments for all ages
  2. Compare treatment effectiveness between:
    • Youth (under 18)
    • Early-middle adults (18-55)
    • Late adults (over 55)
  3. Examine if average age predicts how well treatments work
  4. Look at other factors that might influence treatment success

The researchers will focus only on high-quality studies (randomized controlled trials) to ensure reliable results.

Expected benefits

The findings could help:

  • Guide clinicians in choosing the most effective treatments based on patient age
  • Identify if certain age groups need modified or enhanced treatment approaches
  • Improve understanding of how PTSD recovery may work differently at different life stages
  • Lead to more personalized and effective treatment strategies

Study limitations

The researchers note some limitations:

  1. They won’t be able to examine long-term treatment differences between age groups due to limited research
  2. Including patients with other mental health conditions alongside PTSD could affect the results, though this better reflects real-world situations

Conclusions

  • This groundbreaking study aims to fill an important knowledge gap about how PTSD treatments work across the lifespan
  • The findings could help match patients with the most effective treatments for their age group
  • Results will be shared through reports, publications and presentations to help improve PTSD treatment approaches
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