Intervenciones basadas en evidencia para trauma en menores: identificación por la JPBE-PR
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Publiée
2025-12-30
Melanie Negrón-Marín
Loggina S. Báez Ávila
Betzaida Santiago Rodríguez
Xiomara Hernández González
Alfonso Martínez-Taboas
Andel V. Nicasio
https://orcid.org/0000-0001-5505-387X
Résumé
El trauma psicológico ha sido identificado como un problema crítico con consecuencias a corto y largo plazo en el desarrollo de las y los menores (Peterson, 2018). Este estudio tuvo como objetivo sintetizar la evidencia sobre intervenciones para la prevención y el tratamiento del trauma en menores de 0 a 18 años. Se realizó una revisión de la literatura científica con el propósito de identificar y evaluar intervenciones de cinco clearinghouses y tres bases de datos académicas. Los integrantes de la Junta de Prácticas Basadas en Evidencia para Puerto Rico (JPBE-PR) evaluaron 27 intervenciones dirigidas al trauma en menores, de las cuales cuatro se enfocaron en la prevención, 20 en el tratamiento y tres en ambos aspectos. De estas, 21 intervenciones fueron clasificadas como prometedoras, cinco como efectivas y una como eficaz. Estos resultados sugieren que, aunque existe un número significativo de intervenciones, prevalece una necesidad apremiante de estudios adicionales que solidifiquen el nivel de evidencia científica de estos programas. Esta revisión busca proporcionar una herramienta útil en Puerto Rico y Latinoamérica para promover investigaciones basadas en evidencia para la prevención y tratamiento del trauma en menores.
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Keywords
References
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APA Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice in psychology. American Psychologist, 61(4), 271–285. https://doi.org/10.1037/0003-066X.61.4.271
Baldwin, J. R., Coleman, O., Francis, E. R., & Danese, A. (2024). Prospective and retrospective measures of child maltreatment and their association with psychopathology: A systematic review and meta-analysis. JAMA Psychiatry, 81(8), 769–781. https://doi.org/10.1001/jamapsychiatry.2024.0818
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Bernal, G., & Domenech Rodríguez, M. M. (2009). Advances in Latino family research: Cultural adaptations of evidence-based interventions. Family Process, 48(2), 169–178. https://doi.org/10.1111/j.1545-5300.2009.01275.x
Clow, S., Olafson, E., Ford, J., Moser, M., Slivinsky, M., & Kaplow, J. (2023). Addressing grief reactions among incarcerated adolescents and young adults using trauma and grief component therapy. Psychological Trauma: Theory, Research, Practice, and Policy, 15(S1), S192–S200. https://doi.org/10.1037/tra0001364
Cohen, E., Tisch, R., Ramirez, M., & Torres, T. (2022). Hispanic family resiliencies improve with a family-based prevention program, ¡Celebrando Familias! Child Welfare, 100(4), 89–112. https://www.jstor.org/stable/48713802
Danielson, C. K., Adams, Z., McCart, M. R., Chapman, J. E., Sheidow, A. J., Walker, J., Smalling, A., & de Arellano, M. A. (2020). Safety and efficacy of exposure-based risk reduction through family therapy for co-occurring substance use problems and posttraumatic stress disorder symptoms among adolescents: A randomized clinical trial. JAMA Psychiatry, 77(6), 574–586. https://doi.org/10.1001/jamapsychiatry.2019.4803
Deblinger, E., Mannarino, A. P., Cohen, J. A., Runyon, M. K., & Steer, R. A. (2011). Trauma-Focused Cognitive Behavioral Therapy for children: Impact of the trauma narrative and treatment length. Depression and Anxiety, 28(1), 67–75. https://doi.org/10.1002/da.20744
Espil, F. M., Balters, S., Li, R., McCurdy, B. H., Kletter, H., Piccirilli, A., Cohen, J. A., Weems, C. F., Reiss, A. L., & Carrion, V. G. (2022). Cortical activation predicts posttraumatic improvement in youth treated with TF-CBT or CCT. Journal of Psychiatric Research, 156, 25–35. https://doi.org/10.1016/j.jpsychires.2022.10.002
Foa, E. B., Asnaani, A., Zang, Y., Capaldi, S., & Yeh, R. (2018). Psychometrics of the child PTSD symptom scale for DSM-5 for trauma-exposed children and adolescents. Journal of Clinical Child & Adolescent Psychology, 47(1), 38-46. https://doi.org/10.1080/15374416.2017.1350962
Ford, J. D., & Hawke, J. (2012). Trauma affect regulation psychoeducation group and milieu intervention outcomes in juvenile detention facilities. Journal of Aggression, Maltreatment & Trauma, 21(4), 365–384. https://doi.org/10.1080/10926771.2012.673538
Forneris, C. A., Gartlehner, G., Brownley, K. A., Gaynes, B. N., Sonis, J., Coker-Schwimmer, E., Jonas, D. E., Greenblatt, A., Wilkins, T. M., Woodell, C. L., & Lohr, K. N. (2013). Interventions to prevent post-traumatic stress disorder: A systematic review. American Journal of Preventive Medicine, 44(6), 635–650. https://doi.org/10.1016/j.amepre.2013.02.013
Gerson, R., & Rappaport, N. (2013). Traumatic stress and posttraumatic stress disorder in youth: Recent research findings on clinical impact, assessment, and treatment. Journal of Adolescent Health, 52(2), 137–143. https://doi.org/10.1016/j.jadohealth.2012.06.018
Greenwald, R., Siradas, L., Schmitt, T. A., Reslan, S., Sande, B., & Fierle, J. (2012). Implementing trauma-informed treatment for youth in a residential facility: First-year outcomes. Residential Treatment for Children & Youth, 29(2), 141–153. https://doi.org/10.1080/0886571X.2012.676525
Gudiño, O. G., Leonard, S., & Cloitre, M. (2016). STAIR-A for girls: A pilot study of a skills-based group for traumatized youth in an urban school setting. Journal of Child & Adolescent Trauma, 9, 67-79.
Hagan, M. J., Browne, D. T., Sulik, M., Ippen, C. G., Bush, N., & Lieberman, A. F. (2017). Parent and child trauma symptoms during child–parent psychotherapy: A prospective cohort study of dyadic change. Journal of Traumatic Stress, 30(6), 690-697.
Hodgdon, H. B., Suvak, M., Zinoviev, D. Y., Liebman, R. E., Briggs, E. C., & Spinazzola, J. (2019). Network analysis of exposure to trauma and childhood adversities in a clinical sample of youth. Psychological Assessment, 31(11), 1294-1306. https://doi.org/10.1037/pas0000748
Howlett, J. R., & Stein, M. B. (2016). Prevention of trauma and stressor-related disorders: A review. Neuropsychopharmacology, 41(1), 357–369. https://doi.org/10.1038/npp.2015.261
Huey, S. J., Park, A., Galán, C., & Wang, C. X. (2023). Culturally responsive cognitive behavioral therapy for ethnically diverse populations. Annual Review of Clinical Psychology, 19, 51-78. https://doi.org/10.1146/annurev-clinpsy-080921-072750
Huey, S. J., Tilley, J. L., Jones, E. O., & Smith, C. A. (2014). The contribution of cultural competence to evidence-based care for ethnically diverse populations. Annual Review of Clinical Psychology, 10, 305-338. https://doi.org/10.1146/annurev-clinpsy-032813-153729
Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. National Academies Press. https://doi.org/10.17226/10027
Jaycox, L. H., Langley, A. K., Stein, B. D., Wong, M., Sharma, P., Scott, M., & Schonlau, M. (2009). Support for Students Exposed to Trauma: A pilot study. School Mental Health, 1(2), 49–60. https://doi.org/10.1007/s12310-009-9007-8
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Intervenciones basadas en evidencia para trauma en menores: identificación por la JPBE-PR. (2025). Revista Puertorriqueña De Psicologia, 36(3), 400-418. https://doi.org/10.55611/reps.3603.05
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Comment citer
Intervenciones basadas en evidencia para trauma en menores: identificación por la JPBE-PR. (2025). Revista Puertorriqueña De Psicologia, 36(3), 400-418. https://doi.org/10.55611/reps.3603.05