Treatment of Post-Traumatic Stress Disorder (PTSD) in Sexually Abused Children
The purpose of this study is to compare the effectiveness of two psychological therapies used to treat PTSD in children who have recently been sexually abused: Sexual Abuse-Specific Cognitive Behavioral Therapy (SAS-CBT) vs nondirective supportive therapy (NST).
Child sexual abuse is a common experience that has serious mental health consequences, including the development of PTSD and other abuse-related problems.
All children will be assigned randomly (like tossing a coin) to receive either SAS-CBT or NST at each of two sites. In addition, the parents and the child will receive individual therapy for 12 weeks. The child will be monitored to evaluate his/her response to therapy. Assessments will take place before and just following treatment, and then 6 and 12 months post-treatment.
A child may be eligible for this study if he/she:
Has been sexually abused, is suffering from PTSD as a result of the abuse, and is 8 to 14 years old.
Child Abuse, Sexual
Stress Disorders, Post-Traumatic
Behavioral: Nondirective supportive therapy
Behavioral: Cognitive Behavior Therapy
Behavioral: Parent therapy
|Study Design:||Allocation: Randomized
Primary Purpose: Treatment
|Official Title:||Treatment of PTSD in Sexually Abused Children|
|Study Start Date:||September 1997|
|Estimated Study Completion Date:||July 2002|
To evaluate the comparative efficacy of Sexual Abuse-Specific Cognitive Behavioral Therapy (SAS-CBT) vs nondirective supportive therapy (NST) in decreasing symptoms of Post-Traumatic Stress Disorder (PTSD) following recent sexual abuse.
Child sexual abuse is a common experience that has serious mental health consequences, including the development of PTSD and other abuse-related and general psychopathological symptoms.
Patients are randomly assigned to receive either SAS-CBT or NST at each of two sites, and will be provided with 12 weeks of individual therapy for children and parents. Treatment is monitored for compliance with the respective treatment models through intensive supervision, audiotaping of sessions, rating of sessions with use of adherence checklists, and independent blind rating of audiotapes. Treatment outcome is evaluated through the use of several self-, parent-, and teacher-report standardized instruments, administered at pre- and post-treatment, and follow-up evaluations at 6 and 12 months. The project also assesses differential treatment impact by gender and ethnicity, and attempts to evaluate the impact of specific components of the treatment process in mediating treatment outcome. Specifically, the project evaluates the differential effectiveness of the two treatment modalities in improving the subject's abuse-related attributions and perceptions, parenting practices, familial adaptability and cohesiveness, parent support, and parental emotional reaction to the abuse, and the impact of improving these variables on treatment outcome.
|United States, New Jersey|
|Center for Children's Support, University of Medicine and Dentistry - New Jersey|
|Stratford, New Jersey, United States|
|United States, Pennsylvania|
|Center for Traumatic Stress in Children & Adolescents, Allegheny General Hospital|
|Pittsburgh, Pennsylvania, United States|
|Principal Investigator:||Judith A. Cohen, MD|
|Principal Investigator:||Esther Deblinger, PhD|