title: Prolonged exposure versus dynamic therapy for adolescent PTSD: a pilot randomized controlled trial.
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.
  
  
  METHODS
  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: http://clinicaltrials.gov, unique identifier: NCT00183690.
authors.affiliation: Department of Psychology, Bar-Ilan University, Ramat-Gan, Israel. evagilboa@gmail.com
authors.forename: Eva
authors.initials: E
authors.lastname: Gilboa-Schechtman
authors.forename: Edna B
authors.initials: EB
authors.lastname: Foa
authors.forename: Naama
authors.initials: N
authors.lastname: Shafran
authors.forename: Idan M
authors.initials: IM
authors.lastname: Aderka
authors.forename: Mark B
authors.initials: MB
authors.lastname: Powers
authors.forename: Lilach
authors.initials: L
authors.lastname: Rachamim
authors.forename: Lea
authors.initials: L
authors.lastname: Rosenbach
authors.forename: Elna
authors.initials: E
authors.lastname: Yadin
authors.forename: Alan
authors.initials: A
authors.lastname: Apter
mesh_terms: D000293:Adolescent; D001143:Arousal; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007171:Implosive Therapy; D008016:Life Change Events; D008297:Male; D017060:Patient Satisfaction; D010865:Pilot Projects; D011575:Psychoanalytic Therapy; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*