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https://www.wefairplay.org/2025/03/11/wb0zqhx9oh Objective: To evaluate the efficacy of child and caregiver participation in the cognitive-behavioral treatment of sexually abused children with posttraumatic stress symptoms. Method: Thirty-six sexually abused children (aged 5-17 years) were randomly assigned to a child-alone cognitive-behavioral treatment condition, a family cognitive-behavioral treatment condition, or a waiting-list control condition. Results: Compared with controls, children who received treatment exhibited significant improvements in posttraumatic stress disorder symptoms and self-reports of fear and anxiety. Significant improvements also occurred in relation to parent-completed measures and clinician ratings of global functioning. In general, parental involvement did not improve the efficacy of cognitive-behavioral therapy. Maintenance of improvement was evident at a 12-week follow-up assessment. Conclusions: Cognitive-behavioral treatment was useful, but further research is required on caregiver involvement. J. Am. Acad. Child Adolese. Psychiatry, 2000, 39(11):1347-1355. Key Words: children, sexual abuse, posttraumatic stress disorder, treatment, randomized trial.

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