The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
A Multisite, Randomized Controlled Trial for Children With Sexual Abuse–Related PTSD Symptoms
Open accessAbstract
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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“In particular, cognitive behavioral therapy (CBT) including trauma exposure techniques has proven to be effective for child victims of sexual abuse [8-10] and other forms of violence [11,12].”
From Treating children traumatized by war and tsunami: a comparison between exposure therapy and meditation-relaxation in north-east Sri Lanka (2009) · cites this paper as [8]
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“Up to one half of children referred for sexual abuse treatment do not attend initial appointments (Hasket, Nowlam, Hutcheson, & Whitworth, 1991; Humphries, 1995), between one- and two-thirds of children drop out of treatment prematurely (e.g., Berliner & Saunders, 1996; Cohen et al., 2004), and successful and complete…”
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Passarela, C. D. M., Mendes, D. D., & Mari, J. D. J. (2010) · Archives of Clinical Psychiatry (São Paulo) · doi:10.1590/s0101-60832010000200006 · Cited by 17
Neill, E. L., Weems, C. F., & Scheeringa, M. S. (2016) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2016.1212359 · Cited by 17
“Parent factors have been linked to children’s treatment success in previous studies (Cohen et al., 2004; Cohen & Mannarino, 1996a, 2006; Deblinger et al., 1996; Deblinger et al., 1999); however, exactly how or why parents’ involvement is helping children’s treatment remains unclear (Kazdin, 1999; Silverman & Kurtines,…”
BackgroundZandberg, L. J., Kaczkurkin, A. N., McLean, C. P., Rescorla, L. A., Yadin, E., & Foa, E. B. (2016) · Journal of Traumatic Stress · doi:10.1002/jts.22138 · Cited by 17
Clements-Nolle, K. D., Larson, S., Buttar, A., & Dermid-Gray, L. (2017) · Women s Health Issues · doi:10.1016/j.whi.2016.12.004 · Cited by 17
Fluoxetine treatment is effective in a rat model of childhood-induced post-traumatic stress disorder
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A framework for the delivery of cognitive behaviour therapy in the educational psychology context
Greig, A. (2007) · Educational and Child Psychology · doi:10.53841/bpsecp.2007.24.1.19 · Cited by 17
Evaluation of Slum Upgrading Programs: A Literature ReviewPreprint
Jaitman, L. (2013) · SSRN Electronic Journal · doi:10.2139/ssrn.2305396 · Cited by 17
Espeleta, H. C., Peer, S. O., Are, F. G., & Hanson, R. F. (2021) · Child Maltreatment · doi:10.1177/10775595211003673 · Cited by 16
“…Leenarts et al., 2013), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT; Cohen et al., 2016) has emerged as one of the most widely utilized (Cohen et al., 2004, 2005, 2011; Deblinger et al., 2006; Leenarts et al., 2013), with robust and long-lasting treatment effect sizes for youth…”
BackgroundResultInfluentialGarrett, A. S., Abazid, L., Cohen, J. A., van der Kooij, A. J., Carrión, V. G., Zhang, W., Jo, B., Franklin, C. G., Blader, J. C., Zack, S., et al. (2021) · Journal of Traumatic Stress · doi:10.1002/jts.22678 · Cited by 16
Self-citationSchool-Based Interventions for Child and Adolescent Victims of Interpersonal Violence
Wichmann, M. L.-Y., Pawils, S., Richters, J., & Metzner, F. (2022) · Trauma Violence & Abuse · doi:10.1177/15248380221078892 · Cited by 20
Caro, P., Turner, W., Caldwell, D. M., & Macdonald, G. M. (2023) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013361.pub2 · Cited by 19
Eslinger, J. G., Sprang, G., & Otis, M. D. (2014) · Journal of Child and Family Studies · doi:10.1007/s10826-014-0079-1
Mentalizing techniques used by psychodynamic therapists working with children and early adolescents
Specht, P. M., Ensink, K., Normandin, L., & Midgley, N. (2016) · Bulletin of the Menninger Clinic · doi:10.1521/bumc.2016.80.4.281 · Cited by 16
The role of shame in chronic peer victimization.
Irwin, A., Li, J., Craig, W., & Hollenstein, T. (2018) · School Psychology · doi:10.1037/spq0000280 · Cited by 16
“A second explanation is that the youth in the current sample were entering puberty, experiencing changes in body size and shape, which has been linked to higher levels of body shame (Grabe et al., 2007). In addition to experiencing shame, youth also engage in continuous rumination about their appearance, making them v…”
BackgroundTutus, D., Goldbeck, L., Pfeiffer, E., Sachser, C., & Plener, P. L. (2018) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000419 · Cited by 16
Applying NUDGE to Inform Design of EBP Implementation Strategies in Community Mental Health Settings
Stewart, R. E., Beidas, R. S., Last, B. S., Hoskins, K., Byeon, Y. V., Williams, N. J., & Buttenheim, A. M. (2020) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-020-01052-z · Cited by 16
Wilmshurst, L. A. (2012) · Cited by 16
Implementing Trauma-Focused CBT With Fidelity and Flexibility: A Family Case Study
Kerig, P. K., Sink, H. E., Cuellar, R. E., Vanderzee, K. L., & Elfstrom, J. L. (2010) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2010.501291 · Cited by 16
“Evidence also is strong that TF-CBT is effective with children and adolescents from many different cultural and ethnic backgrounds (Cohen, Deblinger, Mannarino, & Steer, 2004 ).”
BackgroundSalloum, A., Swaidan, V. R., Torres, A. C., Murphy, T. K., & Storch, E. A. (2015) · Journal of Child and Family Studies · doi:10.1007/s10826-015-0207-6 · Cited by 16
“Similar to Cohen et al. (2004), TF-CBT consisted of 12 weekly sessions in-office (90 min each) where the following treatment components are addressed: psychoeducation; parenting skills; relaxation skills; affect expression and modulation; cognitive coping; trauma narrative; in vivo exposure, which…”
Kramer, M. G. (2016) · Therapeutic Communities The International Journal of Therapeutic Communities · doi:10.1108/tc-01-2015-0005 · Cited by 16
Tutus, D., Keller, F., Sachser, C., Pfeiffer, E., & Goldbeck, L. (2017) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2016.0136 · Cited by 16
“Parents, whose children were assigned to TF-CBT in the context of a randomized controlled trial (RCT) study, showed significant improvement in their own self-reported levels of depression in pre– post comparison (Cohen et al. 2004; Nixon et al. 2012; Holt et al. 2014).”
Influentialvan de Water, T., Rossouw, J., Yadin, E., & Seedat, S. (2018) · PLoS ONE · doi:10.1371/journal.pone.0199816 · Cited by 16
Metadata
- Authors
- Cohen, J. A., Deblinger, E., Mannarino, A. P., & Steer, R. A.
- Affiliations
- Allegheny General Hospital (US)
- Corresponding author
- Cohen, Judith A.
- 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)
- 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
- 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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