Findings show that children and caregivers assigned to TF-CBT maintained the gains found at their completion of treatment. They continued to have fewer symptoms of posttraumatic stress disorder (PTSD), feelings of shame, and abuse-specific parental distress at 6-month and 12-month assessments compared to the children and caregivers assigned to CCT. Parental support for the child apparently decreased over time for both treatment types; however, parents who participated in the TF-CBT continued to show a higher level of support for the children over time compared to those who participated in CCT. A total of 183 children (8-14 years old) and their primary caregivers were assessed at 6 and 12 months after completing treatment. The Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version measured PTSD. The CDI Kovacs measured self-reported depression, and the State-Trait Anxiety Inventory for children assessed self-reported symptoms of both state and trait anxiety. The Children's Attributions and Perceptions Scale determined the children's self-reported levels of stigmatization, interpersonal trust, self-blame for negative events, and perceived credibility. The Shame Questionnaire measured the child's self-reported shame about being sexually abused. Parents used various instruments to assess their children at the same intervals of follow-up. TF-CBT is a structured treatment approach that offers education and coping-skills training designed to help children and parents process traumatic experiences. CCT is a supportive, client-centered approach that focuses on establishing a trusting therapeutic relationship that is self-affirming, empowering, and validating for both the child and caregiver. 2 tables, 1 figure, and 32 references