@article{ref1,
title="Treatment of adolescent PTSD: the impact of prolonged exposure versus client-centered therapy on co-occurring emotional and behavioral problems",
journal="Journal of Traumatic Stress",
year="2016",
author="Zandberg, Laurie and Kaczkurkin, Antonia N. and McLean, Carmen P. and Rescorla, Leslie and Yadin, Elna and Foa, Edna B.",
volume="29",
number="6",
pages="507-514",
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.<br><br>Copyright © 2016 International Society for Traumatic Stress Studies.<p /> <p>Language: en</p>",
language="en",
issn="0894-9867",
doi="10.1002/jts.22138",
url="http://dx.doi.org/10.1002/jts.22138"
}