Factors affecting utilization of treatment services by sexually abused girls

Horowitz, Lisa A.; Putnam, Frank W.; Noll, Jennie G.; Trickett, Penelope K.

doi:10.1016/s0145-2134(96)00129-9

Cited by 42 publications

(54 citation statements)

References 23 publications

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“…621,629 ) to a large national sample of n = 1085. 634 The majority of sample sizes were < 50 cases (40 studies 169,175,497,504,506,510,511,526,533,538,621,629,[636][637][638][639][641][642][643]645,646,648,651,652,658,[661][662][663]665,666,[668][669][670]675,677,678,680 ), between 50 and 100 cases (15 studies 107,170,176,481,482,492,505,644,647,…”

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

“…Sexual abuse was the most commonly cited type of abuse across the acceptability studies (33 studies 161,[169][170][171]189,492,497,505,506,526,533,538,621,633,[636][637][638][640][641][642][643]645,647,648,653,657,660,662,664,668,673,[677][678][679][680] ) and some intervention categories reported data for only this population group [systemic interventions, 526,533,621,673,678 psychoeducational interventions, 161,538,647,664 peer mentoring 660 (note: there was only one study in this category)]. Three studies 510,639,65...…”

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

“…538,647 In the Rushton et al 664 study, treatment was planned for 30 weekly sessions for the girls, and the work with carers lasted for the same duration, but the authors note that it was not uniform because of limited resources. Birth and adoptive parents were usually seen weekly; foster carers were usually seen fortnightly.…”

Section: Interventionsmentioning

confidence: 99%

“…In the study by Boisvert et al, 647 those who had attended 15 sessions were considered to have completed treatment; non-completers attended no more than four sessions. There was a 19.8% dropout rate.…”

Section: Characteristics Of Treatment Completersmentioning

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: Description Of Included Acceptability Studiesmentioning

confidence: 99%

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

Section: Characteristics Of Treatment Completersmentioning

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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“…A assiduidade das participantes foi satisfatória (90% das sessões) e verificou-se o engajamento de todas no processo, bem como o estabelecimento de um forte vínculo terapêutico com as psicoterapeutas. A assiduidade e a permanência das participantes durante todo o processo é um resultado positivo desta intervenção com a equipe de pesquisa, pois altos índices de perda de participantes são verificados em pesquisas sobre psicoterapia para crianças vítimas de abuso sexual (Cohen, Mannarino e Knudsen, 2005;Deblinger, Stauffer e Steer, 2001;Horowitz, Putnam, Noll e Trickett, 1997).…”

Section: Resultsunclassified

Grupoterapia cognitivo-comportamental para meninas vítimas de abuso sexual: descrição de um modelo de intervenção

et al. 2006

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RESUMOO abuso sexual contra crianças e adolescentes é uma forma de violência que pode desencadear disfunções cognitivas, emocionais e comportamentais que necessitam intervenção psicológica. O tratamento das vítimas e suas famílias é um desafio para a prática de psicólogos, devido à complexidade do fenômeno. O presente trabalho tem como objetivo descrever um processo de grupoterapia cognitivo-comportamental desenvolvido para casos de abuso sexual. As técnicas utilizadas são apresentadas a partir da experiência das autoras em uma pesquisa que objetivou avaliar a efetividade deste modelo. Participaram do estudo 10 meninas vítimas de abuso sexual intrafamiliar com idade entre 9 e 13 anos. Os resultados apontaram que o processo de grupoterapia contribui para a reestruturação de crenças, reações emocionais e comportamentais disfuncionais. O grupo representou um elo na rede de apoio social e afetiva das meninas e promoveu melhoras na qualidade de vida.Palavras-chave: abuso sexual, terapia cognitivo-comportamental, infância, adolescência

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Neurobiological and psychiatric consequences of child abuse and neglect

Heim

Shugart

Craighead

et al. 2010

Developmental Psychobiology

544

341

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The effects of early-life trauma and its consequences for the treatment of depression are reviewed. The prevalence and clinical sequelae of early sexual and physical abuse, neglect and parental loss are described. An overview of preclinical studies that help guide clinical research and practice is presented. Human clinical studies on the neurobiological consequences of early trauma are summarized. Moderating factors, such as genetic variation and sex differences, are discussed. The few current treatment outcome studies relevant to this research area are described. Guidance for the management of patients with depression and a history of child abuse and neglect are provided. Most patients who have experienced early traumatic experiences are likely best treated with a combination of psychotherapy and pharmacotherapy. This review is dedicated to the memory of Seymour Levine who pioneered the field of early experience research and to a considerable extent inspired the clinical studies described in this review.

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Factors affecting utilization of treatment services by sexually abused girls

Cited by 42 publications

References 23 publications

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

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

Grupoterapia cognitivo-comportamental para meninas vítimas de abuso sexual: descrição de um modelo de intervenção

Neurobiological and psychiatric consequences of child abuse and neglect

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