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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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Post Traumatic Stress Disorder in Children Sexsual Abuse
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“In the psychological aspect, the sexsually abused child feel an emotional toil (Cohen et al., 2004) to face the disgust, horror, fear and the helpless caused by trauma (Smid, Mooren, van der Mast, Gersons, Kleber, 2009).”
BackgroundEl sEntiMiEnto dE vErgüEnza En MujErEs sobrEviviEntEs dE abuso sExual infantil
Carla Crempien, C., & Martínez, V. (2010) · Cited by 2
Cognitive-Behavioral Therapy for Immigrant Youth: The Essentials
Thordarson, M. A., Keller, M., Sullivan, P. J., Trafalis, S., & Friedberg, R. D. (2016) · Springer eBooks · doi:10.1007/978-3-319-24693-2_2 · Cited by 2
Understanding and Responding to Crisis and Trauma in the School Setting
Wood, C., Domingues, J., Howard, J. M., & Said, S. (2017) · Springer eBooks · doi:10.1007/978-3-319-45166-4_21 · Cited by 2
Ethical Considerations for the Treatment of Youth in Foster Care
Marriott, B. R. (2017) · Ethics & Behavior · doi:10.1080/10508422.2017.1407654 · Cited by 4
Nested Hierarchy for Therapy Integration: Integrating the Integrative
Krupnik, V. (2018) · International Journal of Integrative Psychotherapy · Cited by 2
Smith, P. A., Perrin, S. G., & Yule, W. (2011) · Cambridge University Press eBooks · doi:10.1017/cbo9780511994920.013 · Cited by 2
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
Allen, B., Riden, E., & Shenk, C. E. (2020) · Neuromethods · doi:10.1007/978-1-0716-0700-8_5 · Cited by 2
Shame in Family Systems With Developmental Trauma
Hoekstra, K., & Katz, E. (2021) · The Family Journal · doi:10.1177/1066480720987997 · Cited by 2
“Trauma-focused cognitive behavioral therapy (TF-CBT) also includes supporting children in forming their own narrative about a traumatic experience that is balanced and can recognize their strengths (Cohen et al., 2004).”
BackgroundEvidence-Based Treatment for Victims of Child Sexual Abuse and Exploitation
Mannarino, A. P., & Cohen, J. A. (2021) · Springer eBooks · doi:10.1007/978-3-030-66654-5_8 · Cited by 2
Self-citationNeuner, F., Ruf, M., & Catani, C. (2009) · Springer eBooks · doi:10.1007/978-3-540-88384-5_21 · Cited by 2
Treating Trauma-related Symptoms in Children and Adolescents
Deblinger, E., Pollio, E., & Neubauer, F. (2012) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780195399066.013.0033 · Cited by 2
Self-citationCorrado, M., Murray, G., & Ghose, T. (2022) · Journal of Poetry Therapy · doi:10.1080/08893675.2022.2117999 · Cited by 2
“Although trauma narratives are an important element of youth-focused trauma treatment, there are conflicting perspectives about the process by which a trauma narrative should be created (Cohen et al., 2004; Foa et al., 2009; Klein & Janoff-Bulman, 1996).”
Background
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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