Journal article
Dysfunctional posttraumatic cognitions as a mediator of symptom reduction in Trauma-Focused Cognitive Behavioral Therapy with children and adolescents: Results of a randomized controlled trial.
- Pfeiffer E Ulm University, Clinic for Child and Adolescent Psychiatry/Psychotherapy, Steinhövelstr. 1, 89075 Ulm, Germany. Electronic address: elisa.pfeiffer@uniklinik-ulm.de.
- Sachser C Ulm University, Clinic for Child and Adolescent Psychiatry/Psychotherapy, Steinhövelstr. 1, 89075 Ulm, Germany. Electronic address: cedric.sachser@uniklinik-ulm.de.
- de Haan A University of Zurich, Institute of Psychology, Department of Child and Adolescent Health Psychology, Binzmuehlestrasse 14, 8050 Zürich, Switzerland; University Children's Hospital Zurich, Department of Psychosomatics and Psychiatry, Steinwiesstrasse 75, 8032 Zürich, Switzerland. Electronic address: anke.dehaan@kispi.uzh.ch.
- Tutus D Ulm University, Clinic for Child and Adolescent Psychiatry/Psychotherapy, Steinhövelstr. 1, 89075 Ulm, Germany. Electronic address: dunja.tutus@uniklinik-ulm.de.
- Goldbeck L Ulm University, Clinic for Child and Adolescent Psychiatry/Psychotherapy, Steinhövelstr. 1, 89075 Ulm, Germany. Electronic address: lutz.goldbeck@uniklinik-ulm.de.
- 2017-08-16
Published in:
- Behaviour research and therapy. - 2017
Children and Adolescents
Dysfunctional Cognitions
Mediation of Change
Posttraumatic Stress Disorder
Trauma-Focused Cognitive Behavioral Therapy
Adolescent
Child
Cognition
Cognitive Behavioral Therapy
Female
Humans
Male
Models, Psychological
Stress Disorders, Post-Traumatic
Treatment Outcome
English
OBJECTIVE
To investigate whether the change in dysfunctional posttraumatic cognitions (PTC) during Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a mediator of posttraumatic stress symptom (PTSS) reduction in a sample of children and adolescents.
METHOD
A bootstrap mediation analysis was performed to investigate the indirect effect of dysfunctional PTC on treatment outcome in a recently completed RCT study with children and adolescents (n = 123; 7-17 years old) that investigated the effectiveness of TF-CBT.
RESULTS
The mediation model revealed that changes in dysfunctional PTC mediated the relationship between the group (TF-CBT vs. waitlist) and PTSS at the end of treatment.
CONCLUSION
Change in dysfunctional PTC is an important mechanism mediating the reduction of PTSS in TF-CBT. Monitoring dysfunctional PTC throughout treatment might, therefore, be an important factor in optimizing treatment outcome.
To investigate whether the change in dysfunctional posttraumatic cognitions (PTC) during Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a mediator of posttraumatic stress symptom (PTSS) reduction in a sample of children and adolescents.
METHOD
A bootstrap mediation analysis was performed to investigate the indirect effect of dysfunctional PTC on treatment outcome in a recently completed RCT study with children and adolescents (n = 123; 7-17 years old) that investigated the effectiveness of TF-CBT.
RESULTS
The mediation model revealed that changes in dysfunctional PTC mediated the relationship between the group (TF-CBT vs. waitlist) and PTSS at the end of treatment.
CONCLUSION
Change in dysfunctional PTC is an important mechanism mediating the reduction of PTSS in TF-CBT. Monitoring dysfunctional PTC throughout treatment might, therefore, be an important factor in optimizing treatment outcome.
- Language
-
- English
- Open access status
- closed
- Identifiers
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- DOI 10.1016/j.brat.2017.08.001
- PMID 28810136
- Persistent URL
- https://sonar.ch/global/documents/258729
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