Journal of the American Academy of Child & Adolescent Psychiatry
New researchProlonged Exposure Versus Dynamic Therapy for Adolescent PTSD: A Pilot Randomized Controlled Trial
Section snippets
Participants
The characteristics of the sample are presented in Table 1. Inclusion criteria were age 12 to 18 years, a primary diagnosis of PTSD related to a single traumatic event, and fluency in Hebrew. Exclusion criteria were organic brain damage, mental retardation, an ongoing trauma-related threat, suicidal ideation posing imminent danger, current substance dependence, pending legal issues, initiation of treatment with psychotropic medication within the previous 6 weeks, and ongoing psychological
Sample Characteristics
Descriptive statistics for the sample are presented in Table 1. Of 38 participants, 24 (63%) were girls, 18 (47%) were living with both their biological parents, five (13%) were on stable psychiatric medication regiment, and 31 (81%) had at least one comorbid disorder—19 had one additional internalizing disorder, five had an additional externalizing disorder, and six had internalizing and externalizing disorders. No differences were found between treatment conditions at baseline on any
Discussion
The present study compared PE-A, a directive, trauma-focused cognitive-behavioral treatment, with TLDP-A, a nondirective, nontrauma-focused psychodynamic treatment, in adolescents with PTSD resulting from single-event trauma. The TLDP-A treatment served as a credible active control condition. Both interventions were successful in decreasing distress and increasing functioning after treatment and at 6- and 17-month follow-ups. Importantly, in an ITT sample, PE-A was superior to TLDP-A in
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Long term efficacy of developmentally adapted cognitive processing therapy in youth with abuse related PTSD — Follow-up of a randomized control trial
2022, Child Abuse and NeglectCitation Excerpt :Remission rates were stable in the D-CPT group through 6- and 12-month follow-up indicating a good long-term efficacy of D-CPT on the outcome of remission. The stable remission rates at follow-up in the D-CPT group are comparable to those of young patients receiving prolonged exposure (Gilboa-Schechtman et al., 2010; Rossouw, Yadin, Alexander, & Seedat, 2018) and cognitive therapy for PTSD (Meiser-Stedman et al., 2017). Our results extend the findings of the original RCT showing the very good efficacy of D-CPT compared to a WL/TA condition in reducing PTSD symptomatology (Rosner et al., 2019), as they also confirm the long-term efficacy of D-CPT.
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This study was funded by grant NIMH R34 MH71660-01 awarded to Dr. Gilboa-Schechtman.
Disclosure: Drs. Gilboa-Schechtman, Aderka, Foa, Powers, Yadin, Rachamin, and Apter, Ms. Shafran, and Ms. Rosenbach report no biomedical financial interests or potential conflicts of interest.