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Additionally, we were interested in identifying psychotherapy-, trauma type-, and clients\u2019 age- and gender-specific mediators of treatment outcome. Following the preferred reporting items for systematic reviews and meta-analyses, a total of 3,723 studies published in PubMed and PsycINFO databases were screened against inclusion criteria, revealing 15 eligible studies. No studies with only TAY were found; therefore, all results were limited to therapy with adolescents. Cognitive mediators were tested in 66% of selected studies, followed by parents\/family-related, mental-health-related, therapy-related, and behavioral mediators. Moderate evidence was found for posttraumatic cognitions, whereas therapeutic alliance seemed to be a promising candidate for future research. Striking absence of non-cognitive-behavioral therapy interventions, emotional and adolescent-specific mediators, as well as studies with males and in non-Western societies was evident. Future original studies would benefit from applying methodological rigor in respect to mediation testing.<\/jats:p>","DOI":"10.1177\/15248380231223264","type":"journal-article","created":{"date-parts":[[2024,1,28]],"date-time":"2024-01-28T09:20:00Z","timestamp":1706433600000},"page":"2672-2688","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Mediators of Outcome in Trauma-Focused Psychotherapy with Youth: A Systematic Review"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0703-6826","authenticated-orcid":false,"given":"Sonja","family":"Proti\u0107","sequence":"first","affiliation":[{"name":"Institute of Criminological and Sociological Research, Belgrade, Serbia"},{"name":"Evangelische Hochschule Darmstadt\/University of Applied Science Darmstadt, Darmstadt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lutz","family":"Wittmann","sequence":"additional","affiliation":[{"name":"International Psychoanalytic University Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Svenja","family":"Taubner","sequence":"additional","affiliation":[{"name":"University Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Conejo-Cer\u00f3n","sequence":"additional","affiliation":[{"name":"Instituto de Investigaci\u00f3n Biom\u00e9dica de M\u00e1laga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAN, Malaga, Andaluc\u00eda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yianna","family":"Ioannou","sequence":"additional","affiliation":[{"name":"University of Nicosia, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erkki","family":"Heinonen","sequence":"additional","affiliation":[{"name":"National Institute for Health and Welfare, Helsinki, Finland"},{"name":"University of Oslo, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Saliba","sequence":"additional","affiliation":[{"name":"University of Malta and Mental Health Services Malta, Malta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Moreno-Peral","sequence":"additional","affiliation":[{"name":"Instituto de Investigaci\u00f3n Biom\u00e9dica de M\u00e1laga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAN, Malaga, Andaluc\u00eda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jana","family":"Volkert","sequence":"additional","affiliation":[{"name":"Clinic for Psychosomatic Medicine and Psychotherapy University of Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasa","family":"Barkauskiene","sequence":"additional","affiliation":[{"name":"Vilnius University, Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Julia Schmidt","sequence":"additional","affiliation":[{"name":"Division of Clinical Child and Adolescent Psychology, University of Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margarida Isabel","family":"Rangel Santos Henriques","sequence":"additional","affiliation":[{"name":"University of Tr\u00e1s-os-Montes and Alto Douro - 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