Treatment of Adolescent PTSD: The Impact of Prolonged Exposure Versus Client-Centered Therapy on Co-Occurring Emotional and Behavioral Problems.

Treatment of Adolescent PTSD: The Impact of Prolonged Exposure Versus Client-Centered Therapy on Co-Occurring Emotional and Behavioral Problems.
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青少年创伤后应激障碍的治疗:长期暴露与以客户为中心的治疗对同时发生的情绪和行为问题的影响。

DOI:
10.1002/jts.22138
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发表时间:
2016
影响因子:
3.3
通讯作者:
Foa,EdnaB
Foa,EdnaB
中科院分区:
医学3区
文献类型:
--
作者:
Zandberg,Laurie;Kaczkurkin,AntoniaN;McLean,CarmenP;Rescorla,Leslie;Yadin,Elna;Foa,EdnaB

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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.
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