Cognitive-behavioural interventions for children who have been sexually abused

Macdonald, Geraldine; Higgins, Julian P T; Ramchandani, Paul

doi:10.1002/14651858.cd001930.pub2

Cited by 32 publications

(10 citation statements)

References 43 publications

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“…Trials were identified through database searches up to the publication date of December Fleming, & Shuldham, 2005;, and for specific disorders in children and adolescents, including affective disorders (Cotrell, 2003;Henken, Huibers, Churchill, Restifo, & Roelofs, 2007;Justo, Soares, & Calil, 2007;Lane, Millane, & Lip, 2003;Merry et al, 2011), anxiety disorders and obsessive-compulsive disorders (James, Soler, & Weatherall, 2005;O'Kearney, Anstey, von Sanden, & Hunt, 2006), eating disorders (Fisher, Hetrick, & Rushford, 2010;Hay, Bacaltchuk, Stefano, & Kashyap, 2009;Hay, Claudino, & Kaio, 2001;Le Grange, Lock, & Dymek, 2003;Lock, 2011;Pratt & Woolfenden, 2002), enuresis Glazener, Evans, & Peto, 2004), and fecal incontinence (Brazzelli, Griffiths, Cody, & Tappin, 2011); sexually abused children (Macdonald, Higgins, & Ramchandani, 2006), child and adolescent psychotherapy in general (Döpfner, 2003;Döpfner & Lehmkuhl, 2002;Heekerens, 2002;Kazdin & Weisz, 1998;Weisz, Huey, & Weersing, 1998), interventions for enhancing medication adherence (Haynes, Ackloo, Sahota, McDonald, & Yao, 2008), alternatives to inpatient mental health care for children and young people (Shepperd et al, 2009), psychoeducation (Lucksted, McFarlane, Downing, Dixon, & Adams, 2012), and resource orientation as a therapeutic technique (Grawe & Grawe-Gerber, 1999).…”

Section: Identification Of Primary Studiesmentioning

confidence: 99%

The Efficacy of Systemic Therapy for Internalizing and Other Disorders of Childhood and Adolescence: A Systematic Review of 38 Randomized Trials

et al. 2013

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Systemic therapy (ST) is one of the most widely applied psychotherapeutic approaches in the treatment of children and adolescents, yet few systematic reviews exist on the efficacy of ST with this age group. Parallel to a similar study on adults, a systematic review was performed to analyze the efficacy of ST in the treatment of children and adolescents. All randomized or matched controlled trials (RCT) evaluating ST in any setting with child and adolescent index patients were identified by database searches and cross-references, as well as in existing meta-analyses and reviews. Inclusion criteria were: index patient diagnosed with a DSM-IV or ICD-10 listed psychological disorder, or suffering from other clinically relevant conditions, and trial published by December 2011. Studies were analyzed according to their sample, research methodology, interventions applied, and results at end-of-treatment and at follow-up. This article presents findings for internalizing and mixed disorders. Thirty-eight trials were identified, with 33 showing ST to be efficacious for the treatment of internalizing disorders (including mood disorders, eating disorders, and psychological factors in somatic illness). There is some evidence for ST being also efficacious in mixed disorders, anxiety disorders, Asperger disorder, and in cases of child neglect. Results were stable across follow-up periods of up to 5 years. Trials on the efficacy of ST for externalizing disorders are presented in a second article. There is a sound evidence base for the efficacy of ST as a treatment for internalizing disorders of child and adolescent patients.

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Section: Identification Of Primary Studiesmentioning

confidence: 99%

The Efficacy of Systemic Therapy for Internalizing and Other Disorders of Childhood and Adolescence: A Systematic Review of 38 Randomized Trials

et al. 2013

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“…For child sexual abuse, trauma-focused cognitive behaviour therapy for both abused young people and their non-abusing parents has been shown to reduce symptoms of post-traumatic stress disorder and improve overall adjustment . In a meta-analysis of six studies of trauma-focused cognitive behaviour therapy, MacDonald et al (2006) found an effect size of forty-three, which indicates that the average treated case fared better than 67 per cent of control group cases who received standard care. These findings are consistent with the results of previous narrative reviews (Chaffin and Friedrich, 2004;Cohen et al, 2006b;Putnam, 2003;Ramchandani and Jones, 2003;Reeker et al, 1997;Stevenson, 1999).…”

Section: Sexual Abusementioning

confidence: 99%

The effectiveness of family therapy and systemic interventions for child‐focused problems

Carr

2008

Journal of Family Therapy

184

134

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This review updates a similar paper published in the Journal of Family Therapy in 2001. It presents evidence from meta‐analyses, systematic literature reviews and controlled trials for the effectiveness of systemic interventions for families of children and adolescents with various difficulties. In this context, systemic interventions include both family therapy and other family‐based approaches such as parent training. The evidence supports the effectiveness of systemic interventions either alone or as part of multimodal programmes for sleep, feeding and attachment problems in infancy; child abuse and neglect; conduct problems (including childhood behavioural difficulties, ADHD, delinquency and drug abuse); emotional problems (including anxiety, depression, grief, bipolar disorder and suicidality); eating disorders (including anorexia, bulimia and obesity); and somatic problems (including enuresis, encopresis, recurrent abdominal pain, and poorly controlled asthma and diabetes).

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“…Practitioners were warned that several well-known and commonly used treatments had no empirical support for their efficacy, e.g., Trauma-focused Play Therapy. Macdonald, Higgins, and Ramchandani (2006) assessed the efficacy of cognitive-behavioral therapy (CBT) with respect to immediate and longer-term sequella of CSA. They located 377 studies that were potentially eligible for inclusion in their review.…”

Section: Child and Adolescent Psychotherapy: A Reviewmentioning

confidence: 99%

“…Whether symptomatic or asymptomatic, children and adolescents labeled sexually abused are routinely provided psychotherapy. A 1986 nationwide survey of sexual abuse treatment programs found that in most settings nearly every child/adolescent labeled sexually abused was put in treatment (Beutler, Williams & Zetzer, 1994; Macdonald, Higgins, & Ramchandani, 2006). Finkelhor and Berliner (1995) estimated that among substantiated cases of child sexual abuse (CSA) up to 73 percent receive treatment.…”

Section: Introductionmentioning

confidence: 99%

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Rethinking the routine provision of psychotherapy to children/adolescents labeled “sexually abused”.

Oellerich¹

2007

International Journal of Behavioral Consultation and Therapy

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Whether symptomatic or asymptomatic, children labeled sexually abused are routinely offered treatment at considerable financial cost. One result of this is that mental health professionals are being charged with exploiting the problem of child sexual abuse (CSA). Is the routine provision of psychotherapy for children and adolescents labeled sexually abused warranted? In this paper, it is argued that the evidence indicates it is not warranted. Further, its provision is not in the best interests of either the children or mental health professionals. It is argued it is time to rethink the routine provision of psychotherapy to children and adolescents labeled sexually abuse. A number of recommendations are given which follow from the evidence.

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Cognitive-behavioural interventions for children who have been sexually abused

Cited by 32 publications

References 43 publications

The Efficacy of Systemic Therapy for Internalizing and Other Disorders of Childhood and Adolescence: A Systematic Review of 38 Randomized Trials

The Efficacy of Systemic Therapy for Internalizing and Other Disorders of Childhood and Adolescence: A Systematic Review of 38 Randomized Trials

The effectiveness of family therapy and systemic interventions for child‐focused problems

Rethinking the routine provision of psychotherapy to children/adolescents labeled “sexually abused”.

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