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Changes in negative cognitions mediate PTSD symptom reductions during client-centered therapy and prolonged exposure for adolescents

Mclean, Carmen P ; Yeh, Rebecca ; Rosenfield, David ; Foa, Edna B

Behaviour Research and Therapy, May 2015, Vol.68, pp.64-69 [Peer Reviewed Journal]

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  • Title:
    Changes in negative cognitions mediate PTSD symptom reductions during client-centered therapy and prolonged exposure for adolescents
  • Author/Creator: Mclean, Carmen P ; Yeh, Rebecca ; Rosenfield, David ; Foa, Edna B
  • Language: English
  • Subjects: Adolescents ; Negative Cognitions ; Prolonged Exposure ; Mechanisms ; Post-Traumatic Stress ; Medicine ; Psychology
  • Is Part Of: Behaviour Research and Therapy, May 2015, Vol.68, pp.64-69
  • Description: To assess whether changes in negative trauma-related cognitions play an important role in reducing symptoms of posttraumatic stress disorder (PTSD) and depression during prolonged exposure therapy for adolescents (PE-A). Secondary analysis of data from a randomized controlled trial comparing PE-A with client-centered therapy (CCT) for PTSD. Participants were 61 adolescent female sexual assault survivors ages 13–18 who received 8–14 weekly sessions of PE-A or CCT at a community rape crisis center. PTSD severity was assessed at baseline, mid-treatment, post-treatment, and 3-months post-treatment. Participants also completed self-report measures of negative posttraumatic cognitions and depressive symptoms at the same assessment points. Cross lag panel mediation analyses showed that change in negative trauma-related cognitions mediated change in PTSD symptoms and depressive symptoms whereas change in PTSD and depressive symptoms did not mediate...
  • Identifier: ISSN: 0005-7967 ; E-ISSN: 1873-622X ; DOI: 10.1016/j.brat.2015.03.008