Magazine article Clinical Psychiatry News

Exposure Therapy Beats Counseling for Adolescent PTSD: From Jama

Magazine article Clinical Psychiatry News

Exposure Therapy Beats Counseling for Adolescent PTSD: From Jama

Article excerpt

Prolonged-exposure therapy--a standard treatment for posttraumatic stress disorder in adults--worked better than supportive counseling did to help adolescent girls to recover from sexual abuse, based on the results of a randomized trial comparing 3 months of weekly exposure therapy in 31 girls to supportive counseling in 30 others.

Further, the technique succeeded with master's level mental health counselors who provided the exposure therapy after a 4-day training session, plus two follow-up sessions.

Those in the prolonged-exposure group improved from a baseline mean of 27.3 points to 6.7 points, an overall shift from moderately severe to below-threshold PTSD, on the clinician-assessed 51-point Child PTSD Symptom Scale--Interview. The supportive-counseling group improved from a mean of 29.4 points to 16.1 points, going from an overall score of moderately severe to mild PTSD. The difference in outcomes was significant.

Prolonged-exposure therapy is rarely provided to adolescents because of concern that it might exacerbate PTSD symptoms or because of the belief that patients must master coping skills before exposure can safely be provided, noted study researcher Edna Foa, Ph.D., of the department of psychiatry at the University of Pennsylvania, Philadelphia, and her colleagues.

The findings imply that prolonged-exposure therapy can be successfully administered by newly trained counselors at community mental health and rape crisis clinics. …

Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.