A Follow-up Study of a Multisite, Randomized, Controlled Trial for Children with Sexual Abuse-Related PTSD Symptoms

Autor/inn/en	Deblinger, Esther; Mannarino, Anthony P.; Cohen, Judith A.; Steer, Robert A.
Titel	A Follow-up Study of a Multisite, Randomized, Controlled Trial for Children with Sexual Abuse-Related PTSD Symptoms
Quelle	In: Journal of the American Academy of Child and Adolescent Psychiatry, 45 (2006) 12, S.1474-1484 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-8567
Schlagwörter	Therapy; Caregivers; Followup Studies; Depression (Psychology); Posttraumatic Stress Disorder; Sexual Abuse; Children; Emotional Response; Cognitive Restructuring; Behavior Modification; Counseling Techniques; Counseling Effectiveness; Outcomes of Treatment; Symptoms (Individual Disorders); Parent Attitudes + Suchen Sie Ihr Suchwort? Therapie; Caregiver; Carer; Betreuungsperson; Pfleger; Follow-up studies; Kontaktstudium; Sexueller Missbrauch; Child; Kind; Kinder; Emotionales Verhalten; Behaviour modification; Verhaltensänderung; Counseling technique; Counselling technique; Counselling techniques; Beratungsmethode; Psychiatrische Symptomatik; Elternverhalten
Abstract	Objective: To ascertain whether the differential responses that previously have been found between trauma-focused, cognitive-behavioral therapy (TF-CBT), and child-centered therapy (CCT) for treating posttraumatic stress disorder (PTSD) and related problems in children who had been sexually abused would persist following treatment and to examine potential predictors of treatment outcome. Method: A total of 183 children 8 to 14 years old and their primary caregivers were assessed 6 and 12 months after their posttreatment evaluations. Results: Mixed-model repeated analyses of covariance found that children treated with TF-CBT had significantly fewer symptoms of PTSD and described less shame than the children who had been treated with CCT at both 6 and 12 months. The caregivers who had been treated with TF-CBT also continued to report less severe abuse-specific distress during the follow-up period than those who had been treated with CCT. Multiple traumas and higher levels of depression at pretreatment were positively related to the total number of PTSD symptoms at posttreatment for children assigned to the CCT condition only. Conclusions: Children and caregivers assigned to TF-CBT continued to have fewer symptoms of PTSD, feelings of shame, and abuse-specific parental distress at 6- and 12-month assessments as compared to participants assigned to CCT. (Contains 1 figure and 2 tables.) (Author).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10