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

Eva Gilboa-Schechtman, Edna B Foa, Naama Shafran, Idan M Aderka, Mark B Powers, Lilach Rachamim, Lea Rosenbach, Elna Yadin, Alan Apter, Eva Gilboa-Schechtman, Edna B Foa, Naama Shafran, Idan M Aderka, Mark B Powers, Lilach Rachamim, Lea Rosenbach, Elna Yadin, Alan Apter

Abstract

Objective: 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.

Method: Thirty-eight adolescents (12 to 18 years old) were randomly assigned to receive PE-A or TLDP-A.

Results: 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.

Conclusions: 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: https://ichgcp.net/clinical-trials-registry/NCT00183690" title="See in ClinicalTrials.gov">NCT00183690.

Copyright © 2010 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.

Figures

Figure 1
Figure 1
CONSORT diagram of participant flow through the protocol.

Source: PubMed

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