TY - JOUR
T1 - Cognitive-behavioral psychotherapy for children and adolescents with posttraumatic stress disorder after a single-incident stressor
AU - March, John S.
AU - Amaya-Jackson, Lisa
AU - Murray, Mary Cathryn
AU - Schulte, Ann
N1 - Funding Information:
Drs. March and Amaya-jackson are with th~ Departments ofPrychiatry and Prychowgy, Duk~ University. Durham. NC. Dr. Schulte and Ms. Murray a" with thr Department ofPrychology, North Carolina State Uniuersity, Rakigh. Portions ofthis papa w,,~ presmted at th« Norbert and Charlotte Ri~g" ServiceAward Lecture, Annual Muting ofthe American Acad~my ofChild and AdolescentPsychiatry, Philadelphia. October 1996. This work was supported in part byNIMH grant I R2I MN52828-01 to Dr. March. Correspondenceto Dr. March. Departmmt ofPrychiatry, DUMC Box 3527. Durham . NC 27710. 0890-8567/98/3706-0585/$03.00/0© 1998 by the American Academy of Child and Adolescent Psychiatry.
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 1998/6
Y1 - 1998/6
N2 - Objective: To test the efficacy of a group-administered cognitive- behavioral psychotherapy (CBT) protocol for pediatric posttraumatic stress disorder (PTSD) after a single-incident stressor. Method: After a school- wide selection-to-treatment procedure conducted in two elementary and two junior high schools, children and adolescents with DSM-IV PTSD by structured interview were entered into an 18-week, group-administered CBT protocol using a single case across time and setting experimental design. Assessments of PTSD, anxiety, depression, trait anger, locus of control, and disruptive behavior were conducted at baseline, posttreatment, and at 6-month follow- up. Results: Experimental control across time (staggered start date) and setting (school and age) was demonstrated. Fourteen of 17 subjects completed treatment. Of these, 8 (57%) no longer met DSM-IV criteria for PTSD immediately after treatment; 12 (86%) of 14 were free of PTSD at 6-month follow-up. On intent-to-treat analyses, treatment produced a robust beneficial effect posttreatment on the Clinician-Administered PTSD Scale- Child and Adolescent Version, with additional improvement accruing at follow- up (p < .001). improvements of a similar magnitude were seen for depression (p < .001), anxiety (p < .001), and anger (p < .005). Locus of control remained external from pre- to posttreatment but became strongly Internal at follow-up (p < .001). Conclusion: More clinical trials are required to confirm that CBT is a safe, acceptable, and effective treatment for PTSD in children and adolescents.
AB - Objective: To test the efficacy of a group-administered cognitive- behavioral psychotherapy (CBT) protocol for pediatric posttraumatic stress disorder (PTSD) after a single-incident stressor. Method: After a school- wide selection-to-treatment procedure conducted in two elementary and two junior high schools, children and adolescents with DSM-IV PTSD by structured interview were entered into an 18-week, group-administered CBT protocol using a single case across time and setting experimental design. Assessments of PTSD, anxiety, depression, trait anger, locus of control, and disruptive behavior were conducted at baseline, posttreatment, and at 6-month follow- up. Results: Experimental control across time (staggered start date) and setting (school and age) was demonstrated. Fourteen of 17 subjects completed treatment. Of these, 8 (57%) no longer met DSM-IV criteria for PTSD immediately after treatment; 12 (86%) of 14 were free of PTSD at 6-month follow-up. On intent-to-treat analyses, treatment produced a robust beneficial effect posttreatment on the Clinician-Administered PTSD Scale- Child and Adolescent Version, with additional improvement accruing at follow- up (p < .001). improvements of a similar magnitude were seen for depression (p < .001), anxiety (p < .001), and anger (p < .005). Locus of control remained external from pre- to posttreatment but became strongly Internal at follow-up (p < .001). Conclusion: More clinical trials are required to confirm that CBT is a safe, acceptable, and effective treatment for PTSD in children and adolescents.
KW - Anger
KW - Anxiety
KW - Assessment
KW - Behavior therapy
KW - Cognitive therapy
KW - Grief
KW - Locus of control
KW - Post-traumatic stress disorder
KW - School treatment
KW - Single- case design
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U2 - 10.1097/00004583-199806000-00008
DO - 10.1097/00004583-199806000-00008
M3 - Article
C2 - 9628078
AN - SCOPUS:0031806248
VL - 37
SP - 585
EP - 593
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
SN - 0890-8567
IS - 6
ER -