Treatment of Adolescent PTSD: The Impact of Prolonged Exposure Versus Client-Centered Therapy on Co-Occurring Emotional and Behavioral Problems
| Autor: | Leslie Rescorla, Edna B. Foa, Antonia N. Kaczkurkin, Laurie J. Zandberg, Carmen P. McLean, Elna Yadin |
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| Rok vydání: | 2016 |
| Předmět: |
050103 clinical psychology
medicine.medical_specialty 05 social sciences Multilevel model Mental health Person-centered therapy law.invention Treatment and control groups Prolonged exposure Psychiatry and Mental health Clinical Psychology Randomized controlled trial Sexual abuse law medicine 0501 psychology and cognitive sciences Young adult Psychiatry Psychology 050104 developmental & child psychology Clinical psychology |
| Zdroj: | Journal of Traumatic Stress. 29:507-514 |
| ISSN: | 0894-9867 |
| DOI: | 10.1002/jts.22138 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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