Journal of Abnormal Child Psychology

, Volume 40, Issue 3, pp 327–337

A Randomized Trial of Cognitive Behaviour Therapy and Cognitive Therapy for Children with Posttraumatic Stress Disorder Following Single-Incident Trauma

  • Reginald David Vandervord Nixon
  • Jisca Sterk
  • Amanda Pearce
Article

DOI: 10.1007/s10802-011-9566-7

Cite this article as:
Nixon, R.D.V., Sterk, J. & Pearce, A. J Abnorm Child Psychol (2012) 40: 327. doi:10.1007/s10802-011-9566-7

Abstract

The present study compared the efficacy of trauma-focused cognitive behavior therapy (CBT) with trauma-focused cognitive therapy (without exposure; CT) for children and youth with posttraumatic stress disorder (PTSD). Children and youth who had experienced single-incident trauma (N = 33; 7–17 years old) were randomly assigned to receive 9 weeks of either CBT or CT which was administered individually to children and their parents. Intent-to-treat analyses demonstrated that both interventions significantly reduced severity of PTSD, depression, and general anxiety. At posttreatment 65% of CBT and 56% of the CT group no longer met criteria for PTSD. Treatment completers showed a better response (CBT: 91%; CT: 90%), and gains were maintained at 6-month follow-up. Maternal depressive symptoms and unhelpful trauma beliefs moderated children’s outcome. It is concluded that PTSD secondary to single-incident trauma can be successfully treated with trauma-focused cognitive behavioural methods and the use of exposure is not a prerequisite for good outcome.

Keywords

Posttraumatic stress disorder Cognitive behavior therapy Children and young people Single incident trauma 

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Reginald David Vandervord Nixon
    • 1
  • Jisca Sterk
    • 1
  • Amanda Pearce
    • 1
  1. 1.School of PsychologyFlinders UniversityAdelaideAustralia