The present study evaluated secondary emotional and behavioral outcomes among adolescents who received prolonged exposure (PE‐A) or client‐centered therapy (CCT) for posttraumatic stress disorder (PTSD) in a randomized controlled trial. Participants were 61 adolescent girls (age: M = 15.33, SD = 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‐Report (YSR) over acute treatment and 12‐month follow‐up. Both treatment groups showed significant improvements on all YSR scales from baseline to 12‐month follow‐up. Adolescents who received PE‐A showed significantly greater reductions than those receiving CCT on the Externalizing subscale (d = 0.70), rule‐breaking behavior (d = 0.63), aggressive behavior (d = 0.62), and conduct problems (d = 0.78). No treatment differences were found on the Internalizing subscale or among other YSR problem areas. Both PE‐A and CCT effectively reduced many co‐occurring problems among adolescents with PTSD. Although PE‐A focuses on PTSD and not on disruptive behaviors, PE‐A was associated with greater sustained changes in externalizing symptoms, supporting broad effects of trauma‐focused treatment on associated problem areas. 標題: 為青少年而設的創傷後壓力症治療༚比較延長暴露療法與受輔者中心療法對同時出現的情緒和行為問題的療效 撮要: 本研究透過隨機對照試驗, 評估青少年接受治療創傷後壓力症(PTSD)的延長暴露療法(PE‐A)或受輔者中心療法(CCT)後的續發情緒和行為。樣本為61名在社區心理治療診所尋求治療、有性侵犯相關PTSD的女青少年(年齡: M = 15.33, SD = 1.50歲)。我們利用多層模型, 評估樣本在接受緊急治療時和完成治療12個月後的跟進期, 在青少年行為自陳量表(YSR)反映的組別差異。從基線到12個月的跟進期, 兩種治療組在所有YSR測量項目均顯示顯著改善。接受PE‐A的青少年相比接受CCT的, 在外化行為問題子量表(d = 0.70)、犯規行為(d = 0.63)、攻擊性行為(d = 0.62)、和操行問題(d = 0.78)顯著有較大改善。兩種治療在內化行為問題子量表或其他YSR問題方面沒有差異。PE‐A與CCT治療都能有效減低患PTSD青少年多種同時出現的徵狀。雖然PE‐A專門治療PTSD而非破壞行為, 但PE‐A跟外化行為症狀持續改變較多有關。結果反映, 對準創傷的治療療效範圍廣, 能有助減低創傷相關的問題。 标题: 为青少年而设的创伤后压力症治疗༚比较延长暴露疗法与受辅者中心疗法对同时出现的情绪和行为问题的疗效 撮要: 本研究透过随机对照试验, 评估青少年接受治疗创伤后压力症(PTSD)的延长暴露疗法(PE‐A)或受辅者中心疗法(CCT)后的续发情绪和行为。样本为61名在小区心理治疗诊所寻求治疗、有性侵犯相关PTSD的女青少年(年龄: M = 15.33, SD = 1.50岁)。我们利用多层模型, 评估样本在接受紧急治疗时和完成治疗12个月后的跟进期, 在青少年行为自陈量表(YSR)反映的组别差异。从基线到12个月的跟进期, 两种治疗组在所有YSR测量项目均显示显著改善。接受PE‐A的青少年相比接受CCT的, 在外化行为问题子量表(d = 0.70)、犯规行为(d = 0.63)、攻击性行为(d = 0.62)、和操行问题(d = 0.78)显著有较大改善。两种治疗在内化行为问题子量表或其他YSR问题方面没有差异。PE‐A与CCT治疗都能有效减低患PTSD青少年多种同时出现的征状。虽然PE‐A专门治疗PTSD而非破坏行为, 但PE‐A跟外化行为症状持续改变较多有关。结果反映, 对准创伤的治疗疗效范围广, 能有助减低创伤相关的问题。