Cited by 355Posttraumatic Stress Disorder ResearchChild Abuse and TraumaSleep and related disorders

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Cognitive-Behavioral Therapy for PTSD in Children and Adolescents: A Preliminary Randomized Controlled Trial

SMITH, PATRICK, YULE, WILLIAM, PERRIN, SEAN, TRANAH, TROY, DALGLEISH, TIM, CLARK, DAVID M.·2007·Journal of the American Academy of Child & Adolescent Psychiatry

DOI 10.1097/chi.0b013e318067e288

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Abstract

Objective To evaluate the efficacy of individual trauma-focused cognitive-behavioral therapy (CBT) for treating posttraumatic stress disorder (PTSD) in children and young people.Method Following a 4-week symptom-monitoring baseline period, 24 children and young people (8-18 years old) who met full DSM-IV PTSD diagnostic criteria after experiencing single-incident traumatic events (motor vehicle accidents, interpersonal violence, or witnessing violence) were randomly allocated to a 10-week course of individual CBT or to placement on a waitlist (WL) for 10 weeks.Results Compared to the WL group, participants who received CBT showed significantly greater improvement in symptoms of PTSD, depression, and anxiety, with significantly better functioning. After CBT, 92% of participants no longer met criteria for PTSD; after WL, 42% of participants no longer met criteria. CBT gains were maintained at 6-month follow-up. Effects of CBT were partially mediated by changes in maladaptive cognitions, as predicted by cognitive models of PTSD.Conclusions Individual trauma-focused CBT is an effective treatment for PTSD in children and young people.

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Authors: SMITH, P., YULE, W., PERRIN, S., TRANAH, T., DALGLEISH, T., & CLARK, D. M.
Affiliations: King's College London (GB)
Corresponding author: SMITH, PATRICK
ORCID: SMITH, PATRICK
YULE, WILLIAM
PERRIN, SEAN
DALGLEISH, TIM
CLARK, DAVID M.
Venue: Journal of the American Academy of Child & Adolescent Psychiatry
Publisher: Elsevier BV
Published: 2007-08
Volume: 46
Issue: 8
Pages: 1051-1061
ISSN: 0890-8567 (ISSN-L)
DOI: 10.1097/chi.0b013e318067e288
OpenAlex: W2080647715
Semantic Scholar: e169a8a5f99b88f15ee0bfe497d010a97797c476
Cited by: 355
References: 49
Citations by year: 2026: 5 · 2025: 13 · 2024: 8 · 2023: 9 · 2022: 19 · 2021: 21 · 2020: 12 · 2019: 33 · 2018: 11 · 2017: 10 · 2016: 21 · 2015: 35 · 2014: 23 · 2013: 34 · 2012: 27
FWCI: 19.59
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
PubMed (publishedVersion)
Research Portal (King's College London) (submittedVersion)
Lund University Publications (Lund University) (submittedVersion)
Funders: Wellcome Trust (069777)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords: post-traumatic stress disorder, children and adolescents, trauma-focused cognitive behavioral therapy, individual psychotherapy, maladaptive cognitions, depression, anxiety, motor vehicle accidents, interpersonal violence, witnessing violence, treatment efficacy, symptom maintenance
MeSH terms: Adolescent, Child, Female, Humans, Male, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy, Treatment Outcome, Diagnostic and Statistical Manual of Mental Disorders

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Cognitive-Behavioral Therapy for PTSD in Children and Adolescents: A Preliminary Randomized Controlled Trial

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