Cited by 1,123Child Abuse and TraumaPosttraumatic Stress Disorder ResearchChild Therapy and Development

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A Multisite, Randomized Controlled Trial for Children With Sexual Abuse–Related PTSD Symptoms

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Cohen, Judith A., Deblinger, Esther, Mannarino, Anthony P., Steer, Robert A.·2004·Journal of the American Academy of Child & Adolescent Psychiatry

DOI 10.1097/00004583-200404000-00005PMC PMC1201422

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Abstract

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.

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Authors: Cohen, J. A., Deblinger, E., Mannarino, A. P., & Steer, R. A.
Affiliations: Allegheny General Hospital (US)
Corresponding author: Cohen, Judith A.
ORCID: Cohen, Judith A.
Deblinger, Esther
Venue: Journal of the American Academy of Child & Adolescent Psychiatry
Publisher: Elsevier BV
Published: 2004-04
Volume: 43
Issue: 4
Pages: 393-402
ISSN: 0890-8567 (ISSN-L)
DOI: 10.1097/00004583-200404000-00005
PMC: PMC1201422
OpenAlex: W1987755633
Semantic Scholar: e7e2575d79a4663a3567a3968e82ee3b300677a3
Cited by: 1,123
References: 32
Citations by year: 2026: 14 · 2025: 17 · 2024: 26 · 2023: 24 · 2022: 40 · 2021: 47 · 2020: 65 · 2019: 53 · 2018: 55 · 2017: 42 · 2016: 108 · 2015: 90 · 2014: 63 · 2013: 77 · 2012: 66
FWCI: 42.39
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: NIMH (R10 MH55963, R10 MH56224)
Topics: Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
Keywords: post-traumatic stress disorder, child sexual abuse, trauma-focused cognitive behavioral therapy, child-centered therapy, depression, behavioral problems, shame, parental depression, parenting practices, polytrauma, children
MeSH terms: Adolescent, Analysis of Variance, Child, Child Abuse, Sexual, Female, Humans, Male, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy

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A Multisite, Randomized Controlled Trial for Children With Sexual Abuse–Related PTSD Symptoms

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