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Edna B. Foa - One of the best experts on this subject based on the ideXlab platform.

  • Treatment of Adolescent PTSD: The Impact of Prolonged Exposure Versus Client-Centered Therapy on Co-Occurring Emotional and Behavioral Problems
    Journal of Traumatic Stress, 2016
    Co-Authors: Laurie J. Zandberg, Carmen P Mclean, Antonia N. Kaczkurkin, Leslie Rescorla, Elna Yadin, Edna B. Foa
    Abstract:

    The present study evaluated secondary emotional and behavioral outcomes among adolescents who received prolonged exposure (PE-A) or Client-Centered Therapy (CCT) for posttraumatic stress disorder (PTSD) in a randomized controlled trial. Participants were 61 adolescent girls (age: M = 15.33, SD = 1.50 years) with sexual abuse related PTSD seeking treatment at a community mental health clinic. Multilevel modeling was employed to evaluate group differences on the Youth Self-Report (YSR) over acute treatment and 12-month follow-up. Both treatment groups showed significant improvements on all YSR scales from baseline to 12-month follow-up. Adolescents who received PE-A showed significantly greater reductions than those receiving CCT on the Externalizing subscale (d = 0.70), rule-breaking behavior (d = 0.63), aggressive behavior (d = 0.62), and conduct problems (d = 0.78). No treatment differences were found on the Internalizing subscale or among other YSR problem areas. Both PE-A and CCT effectively reduced many co-occurring problems among adolescents with PTSD. Although PE-A focuses on PTSD and not on disruptive behaviors, PE-A was associated with greater sustained changes in externalizing symptoms, supporting broad effects of trauma-focused treatment on associated problem areas.

  • Therapeutic Alliance during Prolonged Exposure Versus Client-Centered Therapy for Adolescent Posttraumatic Stress Disorder.
    Journal of Clinical Psychology, 2016
    Co-Authors: Sandra Capaldi, Joseph K. Carpenter, Anu Asnaani, Laurie J. Zandberg, Edna B. Foa
    Abstract:

    OBJECTIVES: To examine the relationship between improvements in adolescent ratings of therapeutic alliance and reductions in posttraumatic stress disorder (PTSD) severity over time among adolescent girls during prolonged exposure Therapy for adolescents (PE-A) versus Client-Centered Therapy (CCT), as well as to examine differences in changes in alliance between treatment groups. METHOD: A total of 61 adolescent girls (aged 13-18 years) with sexual assault-related PTSD received PE-A or CCT in a randomized controlled trial. Participants rated alliance at session 3, midtreatment, and posttreatment. RESULTS: The rate of improvement in adolescent-rated alliance was greater in PE-A than CCT over the course of treatment. In addition, improvement in adolescent-rated alliance significantly contributed to improvements in PTSD (regardless of treatment condition), but not vice versa. CONCLUSIONS: Contrary to beliefs that trauma-focused treatments fail to establish strong therapeutic alliance in sexually abused adolescents, improvement in adolescent ratings of alliance were greater in PE-A compared to CCT, and improvements in adolescent-rated alliance were significantly associated with better treatment outcome across both types of treatments.© 2016 Wiley Periodicals, Inc. Language: en

  • Changes in PTSD and Depression During Prolonged Exposure and Client-Centered Therapy for PTSD in Adolescents
    Journal of Clinical Child & Adolescent Psychology, 2015
    Co-Authors: Carmen P Mclean, Joseph K. Carpenter, Edna B. Foa
    Abstract:

    Depressive symptoms are common among individuals with posttraumatic stress disorder (PTSD). Prolonged exposure Therapy (PE) for PTSD has been found to alleviate both PTSD and depressive symptoms, but relatively little is known about the pattern of PTSD and depressive symptom change during treatment. This study aimed to investigate the relationship between changes in PTSD and depression during PE for adolescent (PE-A) and Client-Centered Therapy (CCT). The moderating role of PE-A versus CCT and the possible differences across symptom clusters of PTSD were also examined. Participants were 61 female adolescents with sexual-assault-related PTSD randomized to PE-A (n = 31) or CCT (n = 30). Participants completed the Beck Depression Inventory and the Child PTSD Symptom Scale at pre-, mid-, and posttreatment and before each treatment session. Multilevel mediation analysis indicated a reciprocal but asymmetrical relationship between changes in PTSD and depression during treatment in the overall sample. Moderated ...

Carmen P Mclean - One of the best experts on this subject based on the ideXlab platform.

  • Treatment of Adolescent PTSD: The Impact of Prolonged Exposure Versus Client-Centered Therapy on Co-Occurring Emotional and Behavioral Problems
    Journal of Traumatic Stress, 2016
    Co-Authors: Laurie J. Zandberg, Carmen P Mclean, Antonia N. Kaczkurkin, Leslie Rescorla, Elna Yadin, Edna B. Foa
    Abstract:

    The present study evaluated secondary emotional and behavioral outcomes among adolescents who received prolonged exposure (PE-A) or Client-Centered Therapy (CCT) for posttraumatic stress disorder (PTSD) in a randomized controlled trial. Participants were 61 adolescent girls (age: M = 15.33, SD = 1.50 years) with sexual abuse related PTSD seeking treatment at a community mental health clinic. Multilevel modeling was employed to evaluate group differences on the Youth Self-Report (YSR) over acute treatment and 12-month follow-up. Both treatment groups showed significant improvements on all YSR scales from baseline to 12-month follow-up. Adolescents who received PE-A showed significantly greater reductions than those receiving CCT on the Externalizing subscale (d = 0.70), rule-breaking behavior (d = 0.63), aggressive behavior (d = 0.62), and conduct problems (d = 0.78). No treatment differences were found on the Internalizing subscale or among other YSR problem areas. Both PE-A and CCT effectively reduced many co-occurring problems among adolescents with PTSD. Although PE-A focuses on PTSD and not on disruptive behaviors, PE-A was associated with greater sustained changes in externalizing symptoms, supporting broad effects of trauma-focused treatment on associated problem areas.

  • changes in negative cognitions mediate ptsd symptom reductions during Client Centered Therapy and prolonged exposure for adolescents
    Behaviour Research and Therapy, 2015
    Co-Authors: Carmen P Mclean, David Rosenfield
    Abstract:

    Objective 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).

  • Changes in PTSD and Depression During Prolonged Exposure and Client-Centered Therapy for PTSD in Adolescents
    Journal of Clinical Child & Adolescent Psychology, 2015
    Co-Authors: Carmen P Mclean, Joseph K. Carpenter, Edna B. Foa
    Abstract:

    Depressive symptoms are common among individuals with posttraumatic stress disorder (PTSD). Prolonged exposure Therapy (PE) for PTSD has been found to alleviate both PTSD and depressive symptoms, but relatively little is known about the pattern of PTSD and depressive symptom change during treatment. This study aimed to investigate the relationship between changes in PTSD and depression during PE for adolescent (PE-A) and Client-Centered Therapy (CCT). The moderating role of PE-A versus CCT and the possible differences across symptom clusters of PTSD were also examined. Participants were 61 female adolescents with sexual-assault-related PTSD randomized to PE-A (n = 31) or CCT (n = 30). Participants completed the Beck Depression Inventory and the Child PTSD Symptom Scale at pre-, mid-, and posttreatment and before each treatment session. Multilevel mediation analysis indicated a reciprocal but asymmetrical relationship between changes in PTSD and depression during treatment in the overall sample. Moderated ...

Laurie J. Zandberg - One of the best experts on this subject based on the ideXlab platform.

  • Treatment of Adolescent PTSD: The Impact of Prolonged Exposure Versus Client-Centered Therapy on Co-Occurring Emotional and Behavioral Problems
    Journal of Traumatic Stress, 2016
    Co-Authors: Laurie J. Zandberg, Carmen P Mclean, Antonia N. Kaczkurkin, Leslie Rescorla, Elna Yadin, Edna B. Foa
    Abstract:

    The present study evaluated secondary emotional and behavioral outcomes among adolescents who received prolonged exposure (PE-A) or Client-Centered Therapy (CCT) for posttraumatic stress disorder (PTSD) in a randomized controlled trial. Participants were 61 adolescent girls (age: M = 15.33, SD = 1.50 years) with sexual abuse related PTSD seeking treatment at a community mental health clinic. Multilevel modeling was employed to evaluate group differences on the Youth Self-Report (YSR) over acute treatment and 12-month follow-up. Both treatment groups showed significant improvements on all YSR scales from baseline to 12-month follow-up. Adolescents who received PE-A showed significantly greater reductions than those receiving CCT on the Externalizing subscale (d = 0.70), rule-breaking behavior (d = 0.63), aggressive behavior (d = 0.62), and conduct problems (d = 0.78). No treatment differences were found on the Internalizing subscale or among other YSR problem areas. Both PE-A and CCT effectively reduced many co-occurring problems among adolescents with PTSD. Although PE-A focuses on PTSD and not on disruptive behaviors, PE-A was associated with greater sustained changes in externalizing symptoms, supporting broad effects of trauma-focused treatment on associated problem areas.

  • Therapeutic Alliance during Prolonged Exposure Versus Client-Centered Therapy for Adolescent Posttraumatic Stress Disorder.
    Journal of Clinical Psychology, 2016
    Co-Authors: Sandra Capaldi, Joseph K. Carpenter, Anu Asnaani, Laurie J. Zandberg, Edna B. Foa
    Abstract:

    OBJECTIVES: To examine the relationship between improvements in adolescent ratings of therapeutic alliance and reductions in posttraumatic stress disorder (PTSD) severity over time among adolescent girls during prolonged exposure Therapy for adolescents (PE-A) versus Client-Centered Therapy (CCT), as well as to examine differences in changes in alliance between treatment groups. METHOD: A total of 61 adolescent girls (aged 13-18 years) with sexual assault-related PTSD received PE-A or CCT in a randomized controlled trial. Participants rated alliance at session 3, midtreatment, and posttreatment. RESULTS: The rate of improvement in adolescent-rated alliance was greater in PE-A than CCT over the course of treatment. In addition, improvement in adolescent-rated alliance significantly contributed to improvements in PTSD (regardless of treatment condition), but not vice versa. CONCLUSIONS: Contrary to beliefs that trauma-focused treatments fail to establish strong therapeutic alliance in sexually abused adolescents, improvement in adolescent ratings of alliance were greater in PE-A compared to CCT, and improvements in adolescent-rated alliance were significantly associated with better treatment outcome across both types of treatments.© 2016 Wiley Periodicals, Inc. Language: en

Joseph K. Carpenter - One of the best experts on this subject based on the ideXlab platform.

  • Therapeutic Alliance during Prolonged Exposure Versus Client-Centered Therapy for Adolescent Posttraumatic Stress Disorder.
    Journal of Clinical Psychology, 2016
    Co-Authors: Sandra Capaldi, Joseph K. Carpenter, Anu Asnaani, Laurie J. Zandberg, Edna B. Foa
    Abstract:

    OBJECTIVES: To examine the relationship between improvements in adolescent ratings of therapeutic alliance and reductions in posttraumatic stress disorder (PTSD) severity over time among adolescent girls during prolonged exposure Therapy for adolescents (PE-A) versus Client-Centered Therapy (CCT), as well as to examine differences in changes in alliance between treatment groups. METHOD: A total of 61 adolescent girls (aged 13-18 years) with sexual assault-related PTSD received PE-A or CCT in a randomized controlled trial. Participants rated alliance at session 3, midtreatment, and posttreatment. RESULTS: The rate of improvement in adolescent-rated alliance was greater in PE-A than CCT over the course of treatment. In addition, improvement in adolescent-rated alliance significantly contributed to improvements in PTSD (regardless of treatment condition), but not vice versa. CONCLUSIONS: Contrary to beliefs that trauma-focused treatments fail to establish strong therapeutic alliance in sexually abused adolescents, improvement in adolescent ratings of alliance were greater in PE-A compared to CCT, and improvements in adolescent-rated alliance were significantly associated with better treatment outcome across both types of treatments.© 2016 Wiley Periodicals, Inc. Language: en

  • Changes in PTSD and Depression During Prolonged Exposure and Client-Centered Therapy for PTSD in Adolescents
    Journal of Clinical Child & Adolescent Psychology, 2015
    Co-Authors: Carmen P Mclean, Joseph K. Carpenter, Edna B. Foa
    Abstract:

    Depressive symptoms are common among individuals with posttraumatic stress disorder (PTSD). Prolonged exposure Therapy (PE) for PTSD has been found to alleviate both PTSD and depressive symptoms, but relatively little is known about the pattern of PTSD and depressive symptom change during treatment. This study aimed to investigate the relationship between changes in PTSD and depression during PE for adolescent (PE-A) and Client-Centered Therapy (CCT). The moderating role of PE-A versus CCT and the possible differences across symptom clusters of PTSD were also examined. Participants were 61 female adolescents with sexual-assault-related PTSD randomized to PE-A (n = 31) or CCT (n = 30). Participants completed the Beck Depression Inventory and the Child PTSD Symptom Scale at pre-, mid-, and posttreatment and before each treatment session. Multilevel mediation analysis indicated a reciprocal but asymmetrical relationship between changes in PTSD and depression during treatment in the overall sample. Moderated ...

Nisva Azmila - One of the best experts on this subject based on the ideXlab platform.

  • Efektivitas Pendekatan Client Centered Therapy dalam Layanan Konseling Kelompok untuk Meningkatkan Regulasi Diri Siswa di Sekolah Menengah Atas Negeri 1 Mandah
    2020
    Co-Authors: Nisva Azmila
    Abstract:

    ABSTRAK Sy, Nisva Azmila, (2019): Efektivitas Pendekatan Client Centered Therapy dalam Layanan Konseling Kelompok untuk Meningkatkan Regulasi Diri Siswa di Sekolah Menengah Atas Negeri 1 Mandah Tujuan penelitian ini adalah untuk mengetahui seberapa efektif pendekatan Client Centered Therapy dalam layanan konseling kelompok untuk meningkatkan regulasi diri siswa. Meningkatkan regulasi diri siswa di Sekolah Menengah Atas Negeri 1 Mandah dengan cara memberikan pendekatan Client Centered Therapy dalam layanan konseling kelompok, regulasi ialah suatu peningkatan dalam mengatur perasaan, perilaku, dan percaya terhadap keterempilan sendiri. Metode penelitian ini adalah Kuantitatif Pre Eksperimen dengan jenis Pre-test Post-test One Group Design. Di mana subjek dalam penelitian ini adalah siswa yang mempunyai regulasi diri, sedangkan objeknya adalah pendekatan Client Centered Therapy dalam layanan konseling kelompok untuk meningkatkan regulasi diri siswa. Teknik pengumpulan data yang digunakan adalah angket, observasi, dan dokumentasi. Uji validitas angket mengunakan pearson product moment dan uji reliabilitas menggunakan alpha cronbach. Untuk mengetahui dapat di terapkan pendekatan Client Centered Therapy dalam layanan konseling kelompok untuk meningkatkan regulasi diri siswa digunakan analisis data dengan uji wilcoxon. Hasil dari penelitian ini yaitu rata-rata skor regulasi diri siswa sebelum di beri perlakuan (pre-test) pendekatan Client Centered Therapy dalam layanan konseling kelompok adalah 77 dan setelah diberikan perlakuan (post-test) pendekatan Client Centered Therapy dalam layanan konseling kelompok adalah 113.2. dari hasil uji hipotesis menggunakan uji wilcoxon diperoleh angka probabilitas Asymp. Sig. (2-tailed) 0.005 < 0.05, yang berarti bahwa hipotesis nihil (Ho)di tolak dan hipotesis alternatif (Ha)di terima. Dapat di simpulkan bahwa pendekatan Client Centered Therapy dalam layanan konseling kelompok dapat diterapkan untuk meningkatkan regulasi diri siswa. Layanan konseling kelompok efektif untuk meningkatkan regulasi diri siswa. Kata Kunci: Regulasi diri, Pendekatan Client Centered Therapy, Layanan Konseling Kelompo