Prolonged exposure therapy and supportive counselling for post-traumatic stress disorder in adolescents: Task-shifting randomised controlled trial
Open accessAbstract
BACKGROUND: Empirical evidence on the effectiveness of evidence-based treatments for adolescents with post-traumatic stress disorder (PTSD) in low-resource settings is needed.AimsTo evaluate the comparative effectiveness of prolonged exposure and supportive counselling in adolescents with PTSD. METHOD: Sixty-three adolescents (13-18 years) with PTSD were randomly assigned to receive either of the interventions comprising 7-14 sessions of treatment (trial registration in the Pan African Clinical Trials Registry: PACTR201511001345372). The primary outcome measure was PTSD symptom severity, as independently assessed on the Child PTSD Symptom Scale at pre-treatment, post-treatment, and at 3- and 6-month follow-up. RESULTS: Participants receiving prolonged exposure experienced greater improvement on the PTSD symptom severity scale than those receiving supportive counselling (between group differences at post-intervention, mean 12.49, 95% CI 6.82-18.17, P<0.001; d = 1.22). A similar effect size was maintained at 3-month (d = 0.85) and 6-month (d = 1.02) follow-up assessments. CONCLUSIONS: Adolescents with PTSD experienced greater benefit from prolonged exposure treatment when provided by non-specialist health workers (nurses) in a community setting.Declaration of interestNone.
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Prolonged Exposure Therapy for Adolescents (PE-A) produces sustained improvements in PTSD and depression symptoms up to 12 months post-treatment.
“researchers in the studies [49,52] highlight the sustained improvements in PTSD and depression symptoms with Prolonged Exposure Therapy for Adolescents (PE-A) up to 12 months post-treatment.”
From Clinical Efficacy of Psychotherapeutic Interventions for Post-Traumatic Stress Disorder in Children and Adolescents: A Systematic Review and Analysis. (2024) · cites this paper as [49]
The Follow-up phase reports that improvements in PTSD and depression symptoms in the PE-A group were maintained at 3 and 6 months post-treatment. It does not report a 12-month follow-up, so this source does not support the claimed duration. (LLM, conf=0.90)
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- Authors
- Rossouw, J., Yadin, E., Alexander, D., & Seedat, S.
- Affiliations
- Stellenbosch University (ZA)
- University of Pennsylvania (US)
- Corresponding author
- Rossouw, Jaco
- Venue
- The British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2018-07-11
- Volume
- 213
- Issue
- 4
- Pages
- 587-594
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2870349781
- Cited by
- 71
- References
- 41
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 22 · 2023: 7 · 2022: 10 · 2021: 8 · 2020: 7 · 2019: 2 · 2018: 1
- FWCI
- 5.29
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Research Foundation
- Universiteit Stellenbosch
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- post-traumatic stress disorder, adolescents, prolonged exposure therapy, supportive counseling, non-specialist health workers, nurses, community-based treatment, resource-limited settings, PTSD symptom severity, Child PTSD Symptom Scale, task shifting
- MeSH terms
- Adolescent, Counseling, Developing Countries, Female, Humans, Implosive Therapy, Male, Psychiatric Status Rating Scales, South Africa, Stress Disorders, Post-Traumatic, Treatment Outcome
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