Predictors and moderators of treatment outcome for single incident pediatric PTSD: A multi-center randomized clinical trial

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de Roos, CarlijnGGZ Rivierduinen (author)

Predictors and moderators of treatment outcome for single incident pediatric PTSD: A multi-center randomized clinical trial

Article/chapterEnglish2021

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2021-09-30
Informa UK Limited,2021

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LIBRIS-ID:oai:lup.lub.lu.se:89de4ced-9826-466b-b01b-6a25506219a8
https://lup.lub.lu.se/record/89de4ced-9826-466b-b01b-6a25506219a8URI
https://doi.org/10.1080/20008198.2021.1968138DOI

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Language:English
Summary in:English

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BACKGROUND: The current study explores predictors and moderators of pediatric PTSD outcomes for Eye Movement Desensitization and Reprocessing Therapy (EMDR) and Cognitive Behavioral Writing Therapy (CBWT). METHODS: Data were obtained as part of a multi-center randomized controlled trial of up to six sessions (up to 45 minutes each) of either EMDR therapy, CBWT, or wait-list, involving 101 youth (aged 8-18 years) with a PTSD diagnosis (full/subthreshold) tied to a single event. The predictive and moderating effects of the child’s baseline sociodemographic and clinical characteristics, and parent’s psychopathology were evaluated using linear mixed models (LMM) from pre- to post-treatment and from pre- to 3- and 12-month follow-ups. RESULTS: At post-treatment and 3-month follow-up, youth with an index trauma of sexual abuse, severe symptoms of PTSD, anxiety, depression, more comorbid disorders, negative posttraumatic beliefs, and with a parent with more severe psychopathology fared worse in both treatments. For children with more severe self-reported PTSD symptoms at baseline, the (exploratory) moderator analysis showed that the EMDR group improved more than the CBWT group, with the opposite being true for children and parents with a less severe clinical profile. CONCLUSIONS: The most consistent finding from the predictor analyses was that parental symptomatology predicted poorer outcomes, suggesting that parents should be assessed, supported and referred for their own treatment where indicated. The effect of the significant moderator variables was time-limited, and given the large response rate (>90%) and brevity (< 4 hours) of both treatments, the present findings suggest a focus on implementation and dissemination, rather than tailoring, of evidence-based trauma-focused treatments for pediatric PTSD tied to a single event.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
SAMHÄLLSVETENSKAP Psykologi hsv//swe
SOCIAL SCIENCES Psychology hsv//eng
EMDR
Trauma focused CBT
randomized controlled trial
outcome predictors
outcome moderators
PTSD
children and adolescents

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Zijlstra, BonneUniversity of Amsterdam (author)
Perrin, SeanLund University,Lunds universitet,Institutionen för psykologi,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Psychology,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences(Swepub:lu)psyc-sep (author)
van der Oord, SaskiaCatholic University of Leuven (author)
Lucassen, SachaUniversity of Amsterdam (author)
Emmelkamp, PaulUniversity of Amsterdam (author)
de Jongh, AdUniversity of Amsterdam (author)
GGZ RivierduinenUniversity of Amsterdam (creator_code:org_t)

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In:European Journal of Psychotraumatology: Informa UK Limited12:12000-8066

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By the author/editor: de Roos, Carlijn; Zijlstra, Bonne; Perrin, Sean; van der Oord, Sa ...; Lucassen, Sacha; Emmelkamp, Paul; show more...; de Jongh, Ad; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Psychiatry

SOCIAL SCIENCES: SOCIAL SCIENCES; and Psychology

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By the university: Lund University

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