A multisite, randomized controlled trial for children with sexual abuse-related PTSD symptoms

被引:629
作者
Cohen, JA [1 ]
Deblinger, E
Mannarino, AP
Steer, RA
机构
[1] Allegheny Gen Hosp, Dept Psychiat, Allegheny Ctr 4, Pittsburgh, PA 15212 USA
[2] Univ Med & Dent New Jersey, Newark, NJ 07103 USA
关键词
posttraumatic stress disorder; child sexual abuse; trauma-focused cognitive-behavioral therapy; treatment; trauma;
D O I
10.1097/00004583-200404000-00005
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: To examine the differential efficacy of trauma-focused cognitive-behavioral therapy (TF-CBT) and child-centered therapy for treating posttraumatic stress disorder (PTSD) and related emotional and behavioral problems in children who have suffered sexual abuse. Method: Two hundred twenty-nine 8- to 14-year-old children and their primary caretakers were randomly assigned to the above alternative treatments. These children had significant symptoms of PTSD, with 89% meeting full DSM-IV PTSD diagnostic criteria. More than 90% of these children had experienced traumatic events in addition to sexual abuse. Results: A series analyses of covariance indicated that children assigned to TF-CBT, compared to those assigned to child-centered therapy, demonstrated significantly more improvement with regard to PTSD, depression, behavior problems, shame, and abuse-related attributions. Similarly, parents assigned to TF-CBT showed greater improvement with respect to their own self-reported levels of depression, abuse-specific distress, support of the child, and effective parenting practices. Conclusions: This study adds to the growing evidence supporting the efficacy of TF-CBT with children suffering PTSD as a result of sexual abuse and suggests the efficacy of this treatment for children who have experienced multiple traumas.
引用
收藏
页码:393 / 402
页数:10
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