Expectations Test: Trauma Scales for Sexual Abuse, Physical Abuse, Exposure to Family Violence, and Posttraumatic Stress

Gully, Kevin J.

doi:10.1177/1077559503254137

Cited by 11 publications

(3 citation statements)

References 13 publications

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“…Answers are summed to reflect the child’s expectations for certain emotions and experiences in social situations. Psychometric evaluation reveals good reliability and internal consistency, sensitivity and specificity data for common trauma histories, and some evidence for sensitivity to therapeutic change (Gully, 2000, 2003). We report expectation scores for a subset of experiences relevant to child physical abuse that were not redundant with the TSCC scales (i.e., scared, physical harm, personal efficacy in interpersonal situations).…”

Section: Methodsmentioning

confidence: 99%

Evaluation of the sustainability and clinical outcome of Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) in a child protection center

Kolko

Iselin

Gully

2011

Child Abuse & Neglect

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This paper examines the sustainability and outcome of Alternatives for Families: A CognitiveBehavioral Therapy (AF-CBT) as delivered by practitioners in a community-based child protection program who had received training in the model several years earlier. Formerly described as Abuse-Focused CBT, AF-CBT is an evidence-based treatment (EBT) for child physical abuse and family aggression/conflict that was included in the National Child Traumatic Stress Network's initial EBT dissemination efforts in 2002. Seven practitioners participated in a year-long Learning Collaborative in AF-CBT and in similar training programs for 4 other EBTs. The agency's routine data collection system was used to document the clinical and adjustment outcomes of 52 families presenting with a physically abused child who received their services between 2 and 5 years after the AF-CBT training had ended. Measures of the use of all 5 EBTs documented their frequency, internal consistency, and intercorrelations. Controlling for the unique content of the other four EBTs, the amount of AF-CBT Abuse-specific content delivered was related to improvements on standardized parent rating scales (i.e., child externalizing behavior, anger, anxiety, social competence) and both parent and clinician ratings of the child's adjustment at discharge (i.e., child more safe, less scared/sad, more appropriate with peers). The amount of AF-CBT General content was related to a few discharge ratings (better child prognosis, helpfulness to parents). These novel data provide suggestive evidence for the sustainability and clinical benefits of AF-CBT in an existing community clinic serving physically abused children and their families, and are discussed in the context of key developments in the treatment model and dissemination literature.

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Section: Methodsmentioning

confidence: 99%

Evaluation of the sustainability and clinical outcome of Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) in a child protection center

Kolko

Iselin

Gully

2011

Child Abuse & Neglect

Self Cite

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“…Physical abuse ranges from very severe violence (threatened or assaulted with a weapon, intentionally burned, punched with a closed fist, kicked, thrown around the room, head banged against the wall) to mild violence (being tied up, being denied food or medical care, being held under water; Gully, 2003;Whitbeck & Simons, 1990). Sexual abuse is generally measured by verbal requests for sexual favors, being touched sexually against one's will, and being forced to engage in sexual activities against one's will (Whitbeck & Simons, 1990).…”

Section: Maltreatmentmentioning

confidence: 99%

Homeless Youth: Characteristics, Contributing Factors, and Service Options

Thompson

Bender

Windsor

et al. 2010

Journal of Human Behavior in the Social Environment

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“…In cases in which family counseling is used for families of runaway/homeless females, particular attention should be paid to repairing mother-daughter relationships as means of preventing unwanted pregnancy. Considering previous research indicating that serious family dysfunction may escalate into physical abuse or other forms of maltreatment [38] and that physically and sexually abused youth exhibit more severe runaway behaviors [24], it was surprising that neither physical nor sexual abuse by one's father significantly predicted pregnancy. It was further unexpected that experiencing physical abuse by one's mother was associated with decreased risk of pregnancy.…”

Section: Predictors Of Pregnancymentioning

confidence: 99%

Runaway and Pregnant: Risk Factors Associated with Pregnancy in a National Sample of Runaway/Homeless Female Adolescents

Thompson

Bender

Lewis

et al. 2008

Journal of Adolescent Health

101

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Purpose-Homeless youth are at particularly high risk for teen pregnancy; research indicates as many as 20% of homeless young women become pregnant. These pregnant and homeless teens lack financial resources and adequate health care, resulting in increased risk for low-birth-weight babies and high infant mortality. This study investigated individual and family-level predictors of teen pregnancy among a national sample of runaway/homeless youth in order to better understand the needs of this vulnerable population. Methods-Data from the Runaway/Homeless Youth Management Information System (RHY MIS)provided a national sample of youth seeking services at crisis shelters. A sub-sample of pregnant females and a random sub-sample (matched by age) of nonpregnant females comprised the study sample (N= 951). Chi-square and t tests identified differences between pregnant and nonpregnant runaway females; maximum likelihood logistic regression identified individual and family-level predictors of teen pregnancy.Results-Teen pregnancy was associated with being an ethnic minority, dropping out of school, being away from home for longer periods of time, having a sexually transmitted disease, and feeling abandoned by one's family. Family factors, such as living in a single parent household and experiencing emotional abuse by one's mother, increased the odds of a teen being pregnant.Conclusions-The complex problems associated with pregnant runaway/homeless teens create challenges for short-term shelter services. Suggestions are made for extending shelter services to include referrals and coordination with teen parenting programs and other systems of care. Keywords Homeless adolescents; Runaway youth; Adolescent health; Teen pregnancyRates of pregnancy among adolescents in the United States decreased from 1991 to 2005 by 35%, but increased by 3% in 2006 [1]. Despite fluctuations, the U.S. has the highest rate of teenage pregnancies and birth in the western industrialized world. In 2004, 41 of 1000 female adolescents aged 15-19 years gave birth, translating to 415,262 live births [2] and indicating that teen pregnancy remains a serious public health challenge. Childbearing during adolescence has been associated with a variety of negative maternal consequences; teen mothers are more likely to drop out of school, to remain unmarried, and to live in poverty. Their children are more likely to be born prematurely at low birth weight, to live in impoverished single-parent households, and to enter the child welfare system [2,3]. Infant mortality during the first year of life is also higher among babies born to adolescents than to mothers >20 years of age [4]. One group of youth particularly at risk for pregnancy is runaway/homeless adolescents [5,6]. These are young persons who stay away from home at least overnight without the permission of a parent or guardian and who live in unsupervised locations or circumstances, such as with strangers, in shelters, in public places such as parks or highway underpasses, or in shared rented room...

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Expectations Test: Trauma Scales for Sexual Abuse, Physical Abuse, Exposure to Family Violence, and Posttraumatic Stress

Cited by 11 publications

References 13 publications

Evaluation of the sustainability and clinical outcome of Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) in a child protection center

Evaluation of the sustainability and clinical outcome of Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) in a child protection center

Homeless Youth: Characteristics, Contributing Factors, and Service Options

Runaway and Pregnant: Risk Factors Associated with Pregnancy in a National Sample of Runaway/Homeless Female Adolescents

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