PMID- 32277800
OWN - NLM
STAT- MEDLINE
DCOM- 20210813
LR  - 20210813
IS  - 1573-6598 (Electronic)
IS  - 0894-9867 (Linking)
VI  - 33
IP  - 3
DP  - 2020 Jun
TI  - Efficacy of Psychological Intervention for Children with Concurrent Posttraumatic 
      Stress Disorder and Mild Traumatic Brain Injury.
PG  - 330-337
LID - 10.1002/jts.22512 [doi]
AB  - Posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI) are 
      common conditions following motor vehicle accidents (MVAs). Mild TBI and PTSD not 
      only share similar features but may also coexist and interact. Nonetheless, 
      research on psychotherapeutic interventions for PTSD in patients with a history 
      of mTBI, particularly regarding pediatric populations, is limited. The present 
      study compared the efficacy of the prolonged exposure treatment protocol for 
      children and adolescents (PE-A) with PTSD and mTBI (n = 16) versus PTSD alone (n 
      = 21); treatment commenced at least 3 months following an MVA. Emotional status 
      and cognitive functioning were assessed pre- and postintervention using 
      questionnaires and standardized neuropsychological tests. Participants from both 
      groups benefitted from the intervention, as reflected in their emotional status 
      via increased ratings of well-being and decreased ratings of PTSD, anxiety, 
      depression, and postconcussive symptoms, eta(2) = .21-.50. Ratings of cognitive 
      function also improved for cognitive flexibility, eta(2) = .30; executive function 
      in everyday life, eta(2) = .27; and attention and inhibition, eta(2) = .16. Parental 
      PTSD was the strongest predictor of improvement after intervention, sr(2) = .35. 
      Thus, it appears that PE-A is an effective intervention for children with 
      MVA-related PTSD regardless of its comorbidity with mTBI.
CI  - (c) 2020 International Society for Traumatic Stress Studies.
FAU - Shorer, Maayan
AU  - Shorer M
AUID- ORCID: 0000-0003-2913-2595
AD  - Department of Psychological Medicine, Schneider Children's Medical Center of 
      Israel, Petach-Tikva, Israel.
AD  - Clinical Psychology Program, Ruppin Academic Center, Emek-Hefer, Israel.
FAU - Segev, Shira
AU  - Segev S
AD  - Leslie and Susan Gonda (Goldschmied) Multidisciplinary Brain Research Center, Bar 
      Ilan University, Ramat-Gan, Israel.
FAU - Rassovsky, Yuri
AU  - Rassovsky Y
AD  - Leslie and Susan Gonda (Goldschmied) Multidisciplinary Brain Research Center, Bar 
      Ilan University, Ramat-Gan, Israel.
FAU - Fennig, Silvana
AU  - Fennig S
AD  - Department of Psychological Medicine, Schneider Children's Medical Center of 
      Israel, Petach-Tikva, Israel.
AD  - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
FAU - Apter, Alan
AU  - Apter A
AD  - Department of Psychological Medicine, Schneider Children's Medical Center of 
      Israel, Petach-Tikva, Israel.
AD  - Clinical Psychology Program, Ruppin Academic Center, Emek-Hefer, Israel.
AD  - Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
FAU - Peleg, Tammy Pilowsky
AU  - Peleg TP
AD  - Department of Psychological Medicine, Schneider Children's Medical Center of 
      Israel, Petach-Tikva, Israel.
AD  - Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20200411
PL  - United States
TA  - J Trauma Stress
JT  - Journal of traumatic stress
JID - 8809259
SB  - IM
MH  - Accidents, Traffic/psychology
MH  - Adolescent
MH  - Brain Concussion/complications/*therapy
MH  - Child
MH  - Comorbidity
MH  - Female
MH  - Humans
MH  - Implosive Therapy/*methods
MH  - Male
MH  - Self Report
MH  - Stress Disorders, Post-Traumatic/complications/*therapy
EDAT- 2020/04/12 06:00
MHDA- 2021/08/14 06:00
CRDT- 2020/04/12 06:00
PHST- 2019/06/12 00:00 [received]
PHST- 2019/10/29 00:00 [revised]
PHST- 2019/11/02 00:00 [accepted]
PHST- 2020/04/12 06:00 [pubmed]
PHST- 2021/08/14 06:00 [medline]
PHST- 2020/04/12 06:00 [entrez]
AID - 10.1002/jts.22512 [doi]
PST - ppublish
SO  - J Trauma Stress. 2020 Jun;33(3):330-337. doi: 10.1002/jts.22512. Epub 2020 Apr 
      11.