Judith A Cohen1, Anthony P Mannarino, Kraig Knudsen. 1. Drexel University College of Medicine, Allegheny General Hospital, Department of Psychiatry, Four Allegheny Center, 8th Floor, Pittsburgh, PA 15212, USA.
Abstract
OBJECTIVE: To measure the durability of improvement in response to two alternative treatments for sexually abused children. METHOD:Eighty-two sexually abused children ages 8-15 years old and their primary caretakers were randomly assigned to trauma-focused cognitive-behavioral therapy (TF-CBT) or non-directive supportive therapy (NST) delivered over 12 sessions; this study examines symptomatology during 12 months posttreatment. DATA ANALYSIS: Intent-to-treat and treatment completer repeated measures analyses were conducted. RESULTS: Intent-to-treat indicated significant group x time effects in favor of TF-CBT on measures of depression, anxiety, and sexual problems. Among treatment completers, the TF-CBT group evidenced significantly greater improvement in anxiety, depression, sexual problems and dissociation at the 6-month follow-up and in PTSD and dissociation at the 12-month follow-up. CONCLUSION: This study provides additional support for the durability of TF-CBT effectiveness.
RCT Entities:
OBJECTIVE: To measure the durability of improvement in response to two alternative treatments for sexually abused children. METHOD: Eighty-two sexually abused children ages 8-15 years old and their primary caretakers were randomly assigned to trauma-focused cognitive-behavioral therapy (TF-CBT) or non-directive supportive therapy (NST) delivered over 12 sessions; this study examines symptomatology during 12 months posttreatment. DATA ANALYSIS: Intent-to-treat and treatment completer repeated measures analyses were conducted. RESULTS: Intent-to-treat indicated significant group x time effects in favor of TF-CBT on measures of depression, anxiety, and sexual problems. Among treatment completers, the TF-CBT group evidenced significantly greater improvement in anxiety, depression, sexual problems and dissociation at the 6-month follow-up and in PTSD and dissociation at the 12-month follow-up. CONCLUSION: This study provides additional support for the durability of TF-CBT effectiveness.
Authors: Geraldine Macdonald; Julian P T Higgins; Paul Ramchandani; Jeffrey C Valentine; Latricia P Bronger; Paul Klein; Roland O'Daniel; Mark Pickering; Ben Rademaker; George Richardson; Matthew Taylor Journal: Cochrane Database Syst Rev Date: 2012-05-16
Authors: Claude M Chemtob; Omar G Gudiño; Rohini Luthra; Rachel Yehuda; James Schmeidler; Brian Auslander; Hillel Hirshbein; Alan Schoor; Rick Greenberg; Jeffrey Newcorn; Paula G Panzer; Todd Schenk; Paul Levine; Robert Abramovitz Journal: Evid Based Pract Child Adolesc Ment Health Date: 2016-08-26