{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T16:39:29Z","timestamp":1774802369889,"version":"3.50.1"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,3,26]],"date-time":"2020-03-26T00:00:00Z","timestamp":1585180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"German Federal Ministry of Education and Research","award":["01GY1141"],"award-info":[{"award-number":["01GY1141"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Loss is a commonly experienced traumatic event among children. Although the experience of loss can potentially lead to posttraumatic stress symptoms (PTSS), little is known about PTSS levels after traumatic loss versus other traumatic events. We investigated data from a randomized controlled trial (RCT) on trauma\u2010focused cognitive behavioral therapy (TF\u2013CBT) versus a waitlist condition for children with PTSS. In a secondary analysis, we compared participants who reported traumatic loss as their index event (<jats:italic>n<\/jats:italic> = 23) to those who reported the two most frequently reported index events in the RCT: sexual abuse (SA; <jats:italic>n<\/jats:italic> = 59) and physical violence (PV; <jats:italic>n<\/jats:italic> = 55). The index event was rated according to the participants\u2019 most distressing traumatic event reported on the Clinician\u2010Administered PTSD Scale for Children and Adolescents. Participants who experienced traumatic loss reported fewer PTSS and better general functioning than those who reported SA. A subgroup RCT (<jats:italic>n<\/jats:italic> = 19) revealed TF\u2013CBT to be highly effective in reducing PTSS in cases of traumatic loss, <jats:italic>d<\/jats:italic> = 1.69. The effect sizes for PTSS indicated that all three trauma groups benefited from TF\u2013CBT. In the waitlist group, PTSS symptoms improved for SA and PV, <jats:italic>d<\/jats:italic>s = 0.76 and 0.98, respectively, but not for traumatic loss, <jats:italic>d<\/jats:italic> = 0.23. These findings suggest that TF\u2013CBT is a feasible and promising treatment for children who experience PTSS after traumatic loss. The results are limited by the post hoc quality of the analyses and lack of a measure of grief in the RCT.<\/jats:p>","DOI":"10.1002\/jts.22499","type":"journal-article","created":{"date-parts":[[2020,3,26]],"date-time":"2020-03-26T18:47:45Z","timestamp":1585248465000},"page":"208-217","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Posttraumatic Stress Disorder and Childhood Traumatic Loss: A Secondary Analysis of Symptom Severity and Treatment Outcome"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7417-8747","authenticated-orcid":false,"given":"Johanna","family":"Unterhitzenberger","sequence":"first","affiliation":[{"name":"Department of Psychology Catholic University Eichst\u00e4tt\u2010Ingolstadt  Eichst\u00e4tt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9353-7936","authenticated-orcid":false,"given":"Cedric","family":"Sachser","sequence":"additional","affiliation":[{"name":"Clinic for Child and Adolescent Psychiatry\/Psychotherapy Ulm University  Ulm Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Rosner","sequence":"additional","affiliation":[{"name":"Department of Psychology Catholic University Eichst\u00e4tt\u2010Ingolstadt  Eichst\u00e4tt Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,3,26]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Manual for the Child Behavior Checklist\/4\u201318 and 1991 profile","author":"Achenbach T. 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