| 【Abstract】 Background Narrative exposure therapy (NET) has been shown to alleviate symptoms of post-traumatic stress disorder (PTSD)in studies, and the approach combines the advantages of both narrative therapy and exposure therapy. It ensures that the patient has a comprehensive understanding of the trauma and that the treatment is safe. Children and adolescents have a high prevalence of PTSD, but there are differences in the effectiveness of NET in this population. Objective Explore effectiveness of narrative exposure therapy in children and adolescents with PTSD, in order to provide references for clinical practice and research in the future. Methods On August 1,2022, The Cochrane Library, PubMed, Web of Science, CINAHL, CNKI, SinoMed, VIP and Wanfang database were searched from?inception to June 2022. The method of combining subject words with free words is used to search the randomized controlled trials (RCTs)about effectiveness of narrative exposure therapy in children and adolescents with PTSD. The quality of the literature was evaluated by the Cochrane Collaboration’s tool for bias risk assessment of randomized controlled trials (2011), and Meta-analysis was performed on the included RCTs by RevMan5.4. Results There are 9 included literatures and a total of 394 samples with PTSD were included. Meta-analysis results showed that there was no significant difference between narrative exposure therapy and relaxation therapy in terms of PTSD symptom (post-intervention SMD=0.22,95% CI：-0.84~1.28,Z=0.41,P＞0.05; 6 months post-intervention SMD=0.21,95% CI：-0.75~1.17,Z=0.43,P＞0.05), and narrative exposure therapy was more effective than treatment as usual (post-intervention SMD=-0.66,95% CI：-1.04~-0.27,Z=3.34,P＜0.05; 6 months post-intervention SMD=-0.77,95% CI：-1.36~-0.19,Z=2.58,P＜0.05); a total of 4 literatures comparing depression, narrative exposure therapy was not significantly different from treatment as usual (SMD=-0.39,95% CI：-0.98~0.21,Z=1.26,P＞0.05),and a total of 4 literatures comparing depression after 6 mouths, narrative exposure therapy was not significantly different from treatment as usual(SMD=-0.74,95% CI：-2.23~0.75,Z=0.97,P＞0.05); A total of 2 papers comparing mental distress, narrative exposure therapy was not significantly different from treatment as usual (SMD=-0.54,95% CI：-2.14~1.07,Z=0.65,P＞0.05); A total of 2 papers comparing appetite aggression, narrative exposure therapy was not significantly different from treatment as usual (SMD=-0.17,95% CI：-0.54~0.19,Z=0.93,P＞0.05). Conclusion According to the Meta-analysis, narrative exposure therapy was more effective than treatment as usual for PTSD symptoms of children and adolescents with medium to long-term effects, but had no significant advantage in the treatment of depression and mental distress. |