- Adolescents and young adults with child sexual or physical abuse-related PTSD who received developmentally adapted cognitive processing therapy (D-CPT) had a significantly greater decrease in PTSD severity than those in the waitlist group with treatment advice (WL/TA).
Why this matters
- Evidence-based data on treatment for abuse-related PTSD in adolescents are lacking even though 31% of adolescents with a history of physical abuse and 41% of adolescent rape survivors are estimated to have PTSD.
- 88 adolescents and young adults (age, 14-21 years) with childhood abuse-related PTSD were randomly assigned to D-CPT or WL/TA.
- Funding: German Federal Ministry of Education and Research.
- D-CPT was associated with greater improvement in PTSD severity vs WL/TA (mean CAPS-CA scores, 24.7 vs 47.5; Hedges' g=0.90).
- This difference was maintained at 3-month follow-up (mean CAPS-CA scores, 25.9 vs 47.3; Hedges' g=0.80).
- Self-reported PTSD symptom severity improved with D-CPT vs WL/TA at:
- posttreatment assessment (mean scores, 18.1 vs 35.1; Hedges' g=1.08) and
- follow-up assessment (mean scores, 16.1 vs 36.1; Hedges' g=1.35).
- Treatment success was greatest during the trauma-focused core phase.
- D-CPT was associated with more stable treatment gains with effect size:
- 0.65-0.98 at posttreatment assessment and
- 0.74-1.00 at follow-up assessment.
- Small study sample.
Coauthored with Antara Ghosh, PhD