A comparison of CBT and EMDR for sexually‐abused Iranian girls

Jaberghaderi, Nasrin; Greenwald, Ricky; Rubin, Allen; Zand, Shahin Oliaee; Dolatabadi, Shiva

doi:10.1002/cpp.395

Cited by 181 publications

(125 citation statements)

References 29 publications

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“…Of the 12 studies [89][90][91][92][93][94][95][96][97][98][99][100][101][102][103][104][105] examining the effects of CBT for sexual abuse, all measured psychological distress, 11 recorded behaviour outcomes, [89][90][91][92][93][94][95][96][97][98][99][100][102][103][104][105] seven measured some form of social functioning 90,[95][96][97][98][99][100][101]104,105 and three measured acceptability. 99,101 Five studies 90,95-100 also looked at parent/carer outcomes.…”

Section: Cognitive-behavioural Therapy Interventionsmentioning

confidence: 99%

“…We identified 26 controlled studies [90][91][92][93][94][95][96][97][98][99][100][101][102][103][106][107][108][109][110][111][112][114][115][116][117]121,176,268 of cognitive-behavioural interventions (CBT), of which 23 were randomised trials. There were sufficient randomised trials to attempt to explore the differential effect on different maltreatment histories, broadly defined, and so this section is organised into the following three groupings, and does not include the three COSs of CBT interventions.…”

Section: Cognitive-behavioural Therapymentioning

confidence: 99%

“…CBT interventions for children who have been sexually abused [89][90][91][92][93][94][95][96][97][98][99][100][101][102][103] 2. CBT for children who have been physically abused [106][107][108][109] 3.…”

Section: Cognitive-behavioural Therapymentioning

confidence: 99%

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The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Macdonald

Livingstone

Hanratty

et al. 2016

Health Technol Assess

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BackgroundChild maltreatment is a substantial social problem that affects large numbers of children and young people in the UK, resulting in a range of significant short- and long-term psychosocial problems.ObjectivesTo synthesise evidence of the effectiveness, cost-effectiveness and acceptability of interventions addressing the adverse consequences of child maltreatment.Study designFor effectiveness, we included any controlled study. Other study designs were considered for economic decision modelling. For acceptability, we included any study that asked participants for their views.ParticipantsChildren and young people up to 24 years 11 months, who had experienced maltreatment before the age of 17 years 11 months.InterventionsAny psychosocial intervention provided in any setting aiming to address the consequences of maltreatment.Main outcome measuresPsychological distress [particularly post-traumatic stress disorder (PTSD), depression and anxiety, and self-harm], behaviour, social functioning, quality of life and acceptability.MethodsYoung Persons and Professional Advisory Groups guided the project, which was conducted in accordance with Cochrane Collaboration and NHS Centre for Reviews and Dissemination guidance. Departures from the published protocol were recorded and explained. Meta-analyses and cost-effectiveness analyses of available data were undertaken where possible.ResultsWe identified 198 effectiveness studies (including 62 randomised trials); six economic evaluations (five using trial data and one decision-analytic model); and 73 studies investigating treatment acceptability. Pooled data on cognitive–behavioural therapy (CBT) for sexual abuse suggested post-treatment reductions in PTSD [standardised mean difference (SMD) –0.44 (95% CI –4.43 to –1.53)], depression [mean difference –2.83 (95% CI –4.53 to –1.13)] and anxiety [SMD –0.23 (95% CI –0.03 to –0.42)]. No differences were observed for post-treatment sexualised behaviour, externalising behaviour, behaviour management skills of parents, or parental support to the child. Findings from attachment-focused interventions suggested improvements in secure attachment [odds ratio 0.14 (95% CI 0.03 to 0.70)] and reductions in disorganised behaviour [SMD 0.23 (95% CI 0.13 to 0.42)], but no differences in avoidant attachment or externalising behaviour. Few studies addressed the role of caregivers, or the impact of the therapist–child relationship. Economic evaluations suffered methodological limitations and provided conflicting results. As a result, decision-analytic modelling was not possible, but cost-effectiveness analysis using effectiveness data from meta-analyses was undertaken for the most promising intervention: CBT for sexual abuse. Analyses of the cost-effectiveness of CBT were limited by the lack of cost data beyond the cost of CBT itself.ConclusionsIt is not possible to draw firm conclusions about which interventions are effective for children with different maltreatment profiles, which are of no benefit or are harmful, and which factors encourage people to seek therapy, accept the offer of therapy and actively engage with therapy. Little is known about the cost-effectiveness of alternative interventions.LimitationsStudies were largely conducted outside the UK. The heterogeneity of outcomes and measures seriously impacted on the ability to conduct meta-analyses.Future workStudies are needed that assess the effectiveness of interventions within a UK context, which address the wider effects of maltreatment, as well as specific clinical outcomes.Study registrationThis study is registered as PROSPERO CRD42013003889.FundingThe National Institute for Health Research Health Technology Assessment programme.

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Section: Cognitive-behavioural Therapy Interventionsmentioning

confidence: 99%

Section: Cognitive-behavioural Therapymentioning

confidence: 99%

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The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Macdonald

Livingstone

Hanratty

et al. 2016

Health Technol Assess

View full text Add to dashboard Cite

show abstract

“…Karatzias et al, 2007), 3 were excluded as the comparative treatment was not clearly defined or not compared directly with exposure based CBT (e.g. Edmond, Rubin, & Wambach, 1999) and 1 study was excluded as the participants were children (Jaberghaderi, Greenwald, Rubin, Zand, & Dolatabadi, 2004). In total, 8 studies were located that satisfied the inclusion criteria.…”

Section: Inclusion Of Studiesmentioning

confidence: 99%

“…Where hours of homework and session times were not clearly defined in the papers (e.g. Jaberghaderi, et al, 2004), the treatment manuals were acquired and two postgraduate research students were engaged to calculate the total number of prescribed homework hours for each study condition (e.g. EMDR or TFCBT) and the total number of hours spent in session.…”

Section: Homework Hours and Session Timesmentioning

confidence: 99%

Cognitive behaviour therapy versus eye movement desensitization and reprocessing for post-traumatic disorder – is it all in the homework then?

Lee

2012

European Review of Applied Psychology

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The aim of the present meta-analysis was to determine whether there are any differences between eye movement desensitisation and reprocessing (EMDR) and trauma-focused cognitive behaviour therapy (TFCBT) for post-traumatic stress disorder (PTSD) with respect to efficacy and efficiency. We performed a comprehensive literature search using several electronic search engines as well as manual searches of other review papers. Eight original studies involving 227 participants were identified in this manner. The results showed no difference between EMDR or TFCBT on measures of PTSD. However, there was a significant advantage for EMDR over TFCBT in reducing depression (Hedge's g= .63). The analysis also indicated a difference in the prescribed homework between the treatments.Meta-regression analyses were conducted to examine the relationship between hours of homework and gains in depression and PTSD symptoms. Conclusions were confounded by differences between the treatments. These findings are discussed in terms of efficacy and cost-effectiveness. Conflict of interest:The second author receives payments for CBT and EMDR trainings.

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