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Prior research has suggested that high levels of anger may impede the outcome of treatment in adults with posttraumatic stress disorder (PTSD). The current study investigated whether high levels of anger resulted in poorer treatment outcomes in adolescent girls with PTSD. Participants included 61 female adolescent survivors of sexual abuse or assault who were randomized to either prolonged exposure for adolescents (PE\u2010A) or client\u2010centered therapy (CCT) for traumatized children for 8\u201314 weekly sessions. Participants were followed for 12 months posttreatment. High levels of state anger at baseline were associated with less improvement in PTSD symptoms in the CCT group than the PE\u2010A group (<jats:italic>d<\/jats:italic> = 0.62). The moderating effects of state anger on improvement in PTSD symptoms was significant with emotion regulation difficulties, which may underlie anger symptoms (<jats:italic>d<\/jats:italic> = 0.58) in the model. The results of this study suggessted that high state anger was less of an impediment to treatment of PTSD for those receiving PE\u2010A than those receiving less differentiated approaches such as CCT.<\/jats:p>","DOI":"10.1002\/jts.22116","type":"journal-article","created":{"date-parts":[[2016,7,26]],"date-time":"2016-07-26T21:42:38Z","timestamp":1469569358000},"page":"325-331","source":"Crossref","is-referenced-by-count":15,"title":["The Moderating Effect of State Anger on Treatment Outcome in Female Adolescents With PTSD*"],"prefix":"10.1002","volume":"29","author":[{"given":"Antonia N.","family":"Kaczkurkin","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anu","family":"Asnaani","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jody","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edna B.","family":"Foa","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,26]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8624.1998.tb06166.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0b013e31803044e2"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1891\/jcop.17.2.113.57434"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.102.2.327"},{"issue":"111","key":"e_1_2_5_7_1","article-title":"Mood regulation expectancies predict situational coping responses, but not changes in depression","volume":"8","author":"Catanzaro S. 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