{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T01:45:47Z","timestamp":1789436747733,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,11,17]],"date-time":"2016-11-17T00:00:00Z","timestamp":1479340800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01 MH074505"],"award-info":[{"award-number":["R01 MH074505"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The present study evaluated secondary emotional and behavioral outcomes among adolescents who received prolonged exposure (PE\u2010A) or client\u2010centered therapy (CCT) for posttraumatic stress disorder (PTSD) in a randomized controlled trial. Participants were 61 adolescent girls (age: <jats:italic>M<\/jats:italic> = 15.33, <jats:italic>SD<\/jats:italic> = 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\u2010Report (YSR) over acute treatment and 12\u2010month follow\u2010up. Both treatment groups showed significant improvements on all YSR scales from baseline to 12\u2010month follow\u2010up. Adolescents who received PE\u2010A showed significantly greater reductions than those receiving CCT on the Externalizing subscale (<jats:italic>d<\/jats:italic> = 0.70), rule\u2010breaking behavior (<jats:italic>d<\/jats:italic> = 0.63), aggressive behavior (<jats:italic>d<\/jats:italic> = 0.62), and conduct problems (<jats:italic>d<\/jats:italic> = 0.78). No treatment differences were found on the Internalizing subscale or among other YSR problem areas. Both PE\u2010A and CCT effectively reduced many co\u2010occurring problems among adolescents with PTSD. Although PE\u2010A focuses on PTSD and not on disruptive behaviors, PE\u2010A was associated with greater sustained changes in externalizing symptoms, supporting broad effects of trauma\u2010focused treatment on associated problem areas.<\/jats:p>","DOI":"10.1002\/jts.22138","type":"journal-article","created":{"date-parts":[[2016,11,17]],"date-time":"2016-11-17T22:12:52Z","timestamp":1479420772000},"page":"507-514","source":"Crossref","is-referenced-by-count":13,"title":["Treatment of Adolescent PTSD: The Impact of Prolonged Exposure Versus Client\u2010Centered Therapy on Co\u2010Occurring Emotional and Behavioral Problems"],"prefix":"10.1002","volume":"29","author":[{"given":"Laurie","family":"Zandberg","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonia N.","family":"Kaczkurkin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen P.","family":"McLean","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie","family":"Rescorla","sequence":"additional","affiliation":[{"name":"Department of Psychology Bryn Mawr College  Bryn Mawr Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elna","family":"Yadin","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":[[2016,11,17]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1207\/S15374424JCCP3203_02"},{"key":"e_1_2_5_3_1","volume-title":"Manual for the ASEBA school\u2010age forms & profiles","author":"Achenbach T. 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