CONTACT US: Contact info
|
Citation |
Zandberg L, Kaczkurkin AN, McLean CP, Rescorla L, Yadin E, Foa EB. J. Trauma. Stress 2016; 29(6): 507-514. |
|
Affiliation |
Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA. |
|
Copyright |
(Copyright © 2016, International Society for Traumatic Stress Studies, Publisher John Wiley and Sons) |
|
DOI |
|
PMID |
27859619 |
|
Abstract |
The present study evaluated secondary emotional and behavioral outcomes among adolescents who received prolonged exposure (PE-A) or client-centered therapy (CCT) for posttraumatic stress disorder (PTSD) in a randomized controlled trial. Participants were 61 adolescent girls (age: M = 15.33, SD = 1.50 years) with sexual abuse related PTSD seeking treatment at a community mental health clinic. Multilevel modeling was employed to evaluate group differences on the Youth Self-Report (YSR) over acute treatment and 12-month follow-up. Both treatment groups showed significant improvements on all YSR scales from baseline to 12-month follow-up. Adolescents who received PE-A showed significantly greater reductions than those receiving CCT on the Externalizing subscale (d = 0.70), rule-breaking behavior (d = 0.63), aggressive behavior (d = 0.62), and conduct problems (d = 0.78). No treatment differences were found on the Internalizing subscale or among other YSR problem areas. Both PE-A and CCT effectively reduced many co-occurring problems among adolescents with PTSD. Although PE-A focuses on PTSD and not on disruptive behaviors, PE-A was associated with greater sustained changes in externalizing symptoms, supporting broad effects of trauma-focused treatment on associated problem areas. Language: en |