@article{ref1,
title="Changes in negative cognitions mediate PTSD symptom reductions during client-centered therapy and prolonged exposure for adolescents",
journal="Behaviour research and therapy",
year="2015",
author="McLean, Carmen P. and Yeh, Rebecca and Rosenfield, David and Foa, Edna B.",
volume="68",
number="",
pages="64-69",
abstract="OBJECTIVE: To assess whether changes in negative trauma-related cognitions play an important role in reducing symptoms of posttraumatic stress disorder (PTSD) and depression during prolonged exposure therapy for adolescents (PE-A). <br><br>METHOD: Secondary analysis of data from a randomized controlled trial comparing PE-A with client-centered therapy (CCT) for PTSD. Participants were 61 adolescent female sexual assault survivors ages 13-18 who received 8-14 weekly sessions of PE-A or CCT at a community rape crisis center. PTSD severity was assessed at baseline, mid-treatment, post-treatment, and 3-months post-treatment. Participants also completed self-report measures of negative posttraumatic cognitions and depressive symptoms at the same assessment points. <br><br>RESULTS: Cross lag panel mediation analyses showed that change in negative trauma-related cognitions mediated change in PTSD symptoms and depressive symptoms whereas change in PTSD and depressive symptoms did not mediate change in negative cognitions. <br><br>CONCLUSION: Our findings support EPT and suggest that change in negative trauma-related cognitions is a mechanism of both PE-A and CCT.<p /><p>Language: en</p>",
language="en",
issn="0005-7967",
doi="10.1016/j.brat.2015.03.008",
url="http://dx.doi.org/10.1016/j.brat.2015.03.008"
}