Prolonged exposure versus dynamic therapy for adolescent PTSD: a pilot randomized controlled trial.

Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel.
Journal of the American Academy of Child and Adolescent Psychiatry (Impact Factor: 6.97). 10/2010; 49(10):1034-42. DOI: 10.1016/j.jaac.2010.07.014
Source: PubMed

ABSTRACT To examine the efficacy and maintenance of developmentally adapted prolonged exposure therapy for adolescents (PE-A) compared with active control time-limited dynamic therapy (TLDP-A) for decreasing posttraumatic and depressive symptoms in adolescent victims of single-event traumas.
Thirty-eight adolescents (12 to 18 years old) were randomly assigned to receive PE-A or TLDP-A.
Both treatments resulted in decreased posttraumatic stress disorder and depression and increased functioning. PE-A exhibited a greater decrease of posttraumatic stress disorder and depression symptom severity and a greater increase in global functioning than did TDLP-A. After treatment, 68.4% of adolescents beginning treatment with PE-A and 36.8% of those beginning treatment with TLDP-A no longer met diagnostic criteria for posttraumatic stress disorder. Treatment gains were maintained at 6- and 17-month follow-ups.
Brief individual therapy is effective in decreasing posttraumatic distress and behavioral trauma-focused components enhance efficacy. CLINICAL TRIAL REGISTRY INFORMATION: Prolonged Exposure Therapy Versus Active Psychotherapy in Treating Post-Traumatic Stress Disorder in Adolescents, URL:, unique identifier: NCT00183690.

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