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Cognitive-behavioral therapy for PTSD in children and adolescents: A preliminary randomized controlled trial.

  • Patrick Smith
  • William Yule
  • Sean Perrin
  • Troy Tranah
  • Tim Dalgleish
  • David Clark
Publiceringsår: 2007
Språk: Engelska
Sidor: 1051-1061
Publikation/Tidskrift/Serie: Journal of the American Academy of Child and Adolescent Psychiatry
Volym: 46
Nummer: 8
Dokumenttyp: Artikel i tidskrift
Förlag: Lippincott Williams and Wilkins


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 (8Y18 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.


  • Psychology
  • cognitive-behavioral therapy.
  • Posttraumatic stress disorder


  • ISSN: 0890-8567

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