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Cognitive-Behavioral Therapy for PTSD in Children and Adolescents: A Preliminary Randomized Controlled Trial
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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“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 [11]
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Metadata
- Authors
- SMITH, P., YULE, W., PERRIN, S., TRANAH, T., DALGLEISH, T., & CLARK, D. M.
- Affiliations
- King's College London (GB)
- Corresponding author
- SMITH, PATRICK
- 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)
- 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
- 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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