Category: PTSD

Symposium

Adolescent PTSD: Prolonged Exposure Versus Client Centered Therapy on Behavioral Problems

Friday, November 17
3:30 PM - 5:00 PM
Location: Sapphire Ballroom B, Level 4, Sapphire Level

Keywords: PTSD Posttraumatic Stress Disorder | Adolescents | Prolonged Exposure
Presentation Type: Symposium

Objective: The present study evaluated secondary emotional and behavioral outcomes among adolescents who received Prolonged Exposure (PE-A) or Client Centered Therapy (CCT) for PTSD in a randomized controlled trial. Method: Participants were 61 adolescent girls 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. Results: 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 = .70), rule breaking behavior (d = .63), aggressive behavior (d = .62), and conduct problems (d = .78). No treatment differences were found on the Internalizing subscale or among other YSR problem areas. Conclusions: 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.

Laurie Zandberg

Assistant Professor
University of Pennsylvania, Center for the Treatment and Study of Anxiety

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Adolescent PTSD: Prolonged Exposure Versus Client Centered Therapy on Behavioral Problems



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