caa a22 4500 605477620 CHVBK 20210128100402.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00787-014-0572-5 doi (NATIONALLICENCE)springer-10.1007/s00787-014-0572-5 Trauma-focused cognitive behavioral therapy or eye movement desensitization and reprocessing: what works in children with posttraumatic stress symptoms? A randomized controlled trial [Elektronische Daten] [Julia Diehle, Brent Opmeer, Frits Boer, Anthony Mannarino, Ramón Lindauer] To prevent adverse long-term effects, children who suffer from posttraumatic stress symptoms (PTSS) need treatment. Trauma-focused cognitive behavioral therapy (TF-CBT) is an established treatment for children with PTSS. However, alternatives are important for non-responders or if TF-CBT trained therapists are unavailable. Eye movement desensitization and reprocessing (EMDR) is a promising treatment for which sound comparative evidence is lacking. The current randomized controlled trial investigates the effectiveness and efficiency of both treatments. Forty-eight children (8-18years) were randomly assigned to eight sessions of TF-CBT or EMDR. The primary outcome was PTSS as measured with the Clinician-Administered PTSD Scale for Children and Adolescents (CAPS-CA). Secondary outcomes included parental report of child PTSD diagnosis status and questionnaires on comorbid problems. The Children's Revised Impact of Event Scale was administered during the course of treatment. TF-CBT and EMDR showed large reductions from pre- to post-treatment on the CAPS-CA (−20.2; 95% CI −12.2 to −28.1 and −20.9; 95% CI −32.7 to −9.1). The difference in reduction was small and not statistically significant (mean difference of 0.69, 95% CI −13.4 to 14.8). Treatment duration was not significantly shorter for EMDR (p=0.09). Mixed model analysis of monitored PTSS during treatment showed a significant effect for time (p<0.001) but not for treatment (p=0.44) or the interaction of time by treatment (p=0.74). Parents of children treated with TF-CBT reported a significant reduction of comorbid depressive and hyperactive symptoms. TF-CBT and EMDR are effective and efficient in reducing PTSS in children. Springer-Verlag Berlin Heidelberg, 2014 Children nationallicence PTSD nationallicence RCT nationallicence Trauma nationallicence CBT nationallicence EMDR nationallicence Diehle Julia Department of Child and Adolescent Psychiatry, Academic Medical Centre, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands aut Opmeer Brent Clinical Research Unit, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands aut Boer Frits Department of Child and Adolescent Psychiatry, Academic Medical Centre, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands aut Mannarino Anthony Department of Psychiatry, Four Algheny Center, Drexel University College of Medicine, 15212, Pittsburgh, PA, USA aut Lindauer Ramón Department of Child and Adolescent Psychiatry, Academic Medical Centre, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/2(2015-02-01), 227-236 1018-8827 24:2<227 2015 24 787 https://doi.org/10.1007/s00787-014-0572-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0572-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Diehle Julia Department of Child and Adolescent Psychiatry, Academic Medical Centre, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Opmeer Brent Clinical Research Unit, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Boer Frits Department of Child and Adolescent Psychiatry, Academic Medical Centre, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Mannarino Anthony Department of Psychiatry, Four Algheny Center, Drexel University College of Medicine, 15212, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Lindauer Ramón Department of Child and Adolescent Psychiatry, Academic Medical Centre, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/2(2015-02-01), 227-236 1018-8827 24:2<227 2015 24 787