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Long-term follow-up of a randomised controlled trial of prolonged exposure therapy and supportive counselling for post-traumatic stress disorder in adolescents: a task-shifted intervention.
- Source :
- Psychological Medicine; Apr2022, Vol. 52 Issue 6, p1022-1030, 9p
- Publication Year :
- 2022
-
Abstract
- Background: Empirical evidence on the longer-term effectiveness of evidence-based treatments for adolescents with post-traumatic stress disorder (PTSD) in low-resource settings is needed. The aim of the study was to evaluate the maintenance of treatment gains achieved in a comparative study of effectiveness of prolonged exposure therapy for adolescents (PE-A) and supportive counselling (SC) in adolescents with PTSD up to 24-months post-treatment. Method: Sixty-three adolescents (13–18 years) with PTSD were randomly assigned to receive either of the interventions comprising 7–14 sessions of treatment provided by trained and supervised non-specialist health workers (NSHWs). The primary outcome measure was PTSD symptom severity, as independently assessed on the Child PTSD Symptom Scale, at pretreatment, post-treatment, and at 3-, 6-, 12- and 24-months post-treatment follow-up (FU) evaluations. Results: Participants in both the prolonged exposure and SC treatment groups attained a significant reduction in PTSD symptoms and maintained this reduction in PTSD symptoms at 12- and 24-month assessment. Participants receiving prolonged exposure experienced greater improvement on the PTSD symptom severity scale than those receiving SC at 12-months FU [difference in PE-A v. SC mean scores = 9.24, 95% CI (3.66–14.83), p < 0.001; g = 0.88] and at 24-months FU [difference in PE-A v. SC mean scores = 9.35, 95% CI (3.53–15.17), p = 0.002; g = 0.68]. Conclusions: Adolescents with PTSD continued to experience greater benefit from prolonged exposure treatment than SC provided by NSHWs in a community setting 12 and 24 months after completion of treatment. [ABSTRACT FROM AUTHOR]
- Subjects :
- TREATMENT of post-traumatic stress disorder
COUNSELING
CONFIDENCE intervals
MIDDLE-income countries
DESENSITIZATION (Psychotherapy)
COMMUNITIES
TREATMENT effectiveness
COMPARATIVE studies
RANDOMIZED controlled trials
PRE-tests & post-tests
NEUROPSYCHOLOGICAL tests
PSYCHOLOGICAL tests
LOW-income countries
DESCRIPTIVE statistics
SCHOOLS
STATISTICAL sampling
STATISTICAL models
LONGITUDINAL method
COGNITIVE therapy
EVALUATION
ADOLESCENCE
Subjects
Details
- Language :
- English
- ISSN :
- 00332917
- Volume :
- 52
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Psychological Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 159744513
- Full Text :
- https://doi.org/10.1017/S0033291720002731