Parent–Child Interaction Therapy for sexual concerns of maltreated children: A preliminary investigation

Allen, Brian; Timmer, Susan Goff; Urquiza, Anthony J.

doi:10.1016/j.chiabu.2016.04.008

Cited by 31 publications

(13 citation statements)

References 21 publications

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“…However, at this time, it appears child-reported symptoms may not be associated with caregiver-reported SBPs or ISBPs, or if they are related, these links are likely to be weak given the small effect sizes previously observed (Allen et al, 2015). Given that the most effective treatments for SBPs to date require active caregiver involvement (Allen et al, 2016;Shawler et al, 2018;Amand et al, 2008), it is vital to consider the role that caregivers' differing perceptions of children's SBPs and other trauma-related symptoms play in treatment. It is possible that different perceptions of SBPs may limit caregiver-child communication and support, and create challenges in remediating these symptoms.…”

Section: Discussionmentioning

confidence: 94%

“…As suggested by Amand and colleagues' (2008) meta-analysis of treatment outcomes, understanding the etiology of SBPs may improve our ability to select the type of intervention utilized (e.g., SBP-focused versus trauma-focused). For example, if SBPs consistently co-occur with externalizing problems, Parent-Child Interaction Therapy (PCIT), developed to treat externalizing problems in young children, may also effectively address SBPs, such as was demonstrated in one study (Allen et al, 2016;Shawler et al, 2018). Conversely, if SBPs and ISBPs co-occur with PTSS, trauma-focused treatment may be more warranted.…”

Section: Limitationsmentioning

confidence: 99%

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Sexual Behavior Problems Among Sexually Abused Children: Associations With Co-Occurring Symptoms

Wamser‐Nanney

Campbell

2020

Child Maltreat

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Sexual behavior problems (SBPs) and interpersonal SBPs (ISBPs) among sexually abused children often occur alongside a variety of other clinical difficulties, such as externalizing problems, attentional difficulties, social concerns, and posttraumatic stress symptoms (PTSS). Yet, as few studies have examined these links in a multivariate manner, it is unclear which symptoms are most strongly related to SBPs and ISBPs. Research regarding children’s reports of their difficulties and SBPs and ISBPs is also very limited. The current study investigated the relations between both caregiver- and child-reported trauma-related symptoms and SBPs and ISBPs among 248 treatment-seeking sexually abused children (ages 6–12; M = 8.06, SD = 2.52; 64.5% female; 55.6% white). Children’s caregiver-reported trauma-related sexual concerns and anger were associated with SBPs. For ISBPs, only caregiver-reported sexual concerns were related to ISBPs. Surprisingly, none of the child-reported symptoms were associated with either SBPs or ISBPs. Trauma-related sexual concerns and anger may be tied to SBPs, whereas other clinical difficulties may be less strongly implicated. Trauma-related sexual concerns may be most important in understanding interpersonally focused SBPs. Children’s self-reported difficulties may be unrelated to caregiver-reported SBPs, or these results may be a function of a low degree of caregiver and child symptom concordance.

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Section: Discussionmentioning

confidence: 94%

Section: Limitationsmentioning

confidence: 99%

Sexual Behavior Problems Among Sexually Abused Children: Associations With Co-Occurring Symptoms

Wamser‐Nanney

Campbell

2020

Child Maltreat

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“…This finding is promising, as children who exhibit SBPs may not be at a higher risk for premature termination and, hopefully, trauma‐focused treatment will help to mitigate their level of SBPs. It is important to note that some preliminary studies have utilized evidence‐based treatments to successfully treat SBPs (Allen, Timmer, & Urquiza, 2016; Allen, 2018). Further, roughly 70% of the present sample received at least 12 treatment sessions; as such, clinicians have the opportunity to engage most families in trauma treatment and there is preliminary evidence that trauma‐exposed children may benefit from abbreviated treatment protocols (Deblinger et al., 2011; Wamser‐Nanney, Scheeringa, & Weems, 2016).…”

Section: Discussionmentioning

confidence: 99%

Sexual Behavior Problems and Premature Termination From Pediatric Trauma‐Focused Treatment Among Sexually Abused Children

Wamser‐Nanney

2020

Journal of Traumatic Stress

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Premature termination from child trauma-focused treatment is common; however, the role of children's level of symptoms as a risk factor for attrition remains uncertain. In particular, children's sexual behavior problems (SBPs) have received scant attention in the prior attrition literature, and no known studies to date have thoroughly examined SBPs in relation to premature treatment termination. The current study investigated whether higher levels of children's SBPs were associated with increased risk for attrition from trauma-focused treatment in a sample of 242 sexually abused children aged 2-12 years (M = 7.48 years, SD = 2.68; 64.5% female, 54.1% White). To assess the potential associations between SBPs and treatment dropout more thoroughly, two definitions of attrition were utilized: (a) clinician-rated dropout and (b) whether the child received an adequate dose of treatment (i.e., 12 or more sessions). Whereas only 34.3% of the children completed treatment per their clinician, 69.4% received an adequate dose of treatment. In contrast to the study hypotheses, neither development-related nor sexual abuse-specific SBPs were associated with either clinician-rated dropout or adequate dose status, ORs = 0.99-1.00. Sexual acting-out behaviors in sexually abused children may not correspond with attrition from trauma-focused treatment at multiple points of treatment. Given the heterogeneity of SBPs, further assessment of whether attrition patterns differ across subgroups of children who exhibit SBPs is needed.

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“…C'est pourquoi le PCIT n'a cessé de s'étendre et de s'adapter aux besoins des familles, afin d'atteindre les situations cliniques spécifiques. On peut en effet citer l'application ou l'adaptation de ce modèle de thérapie en deux phases aux enfants victimes de maltraitance ou placés en famille d'accueil (Allen, Timmer, & Urquiza, 2016;Mark Chaffin et al, 2004 ;Herschell, Scudder, Schaffner, & Slagel, 2017 ;Kennedy, Kim, Tripodi, Brown, & Gowdy, 2016 ;Timmer, Urquiza, & Zebell, 2006 ;Timmer, Urquiza, Zebell, & McGrath, 2005 ;Topitzes, Mersky, & Mcneil, 2015), avec des troubles internalisés (e.g. anxiété, dépression ; Comer et al, 2012 ;Lenze, Pautsch, & Luby, 2011 ;Luby, Lenze, & Tillman, 2012 ;Puliafico, Comer, & Albano, 2013 ;Puliafico, Comer, & Pincus, 2012), avec des troubles développementaux ou neurodéveloppementaux (e.g.…”

Section: Discussionunclassified

Prise en charge des troubles du comportement du jeune enfant par le programme Parent-Child Interaction Therapy (PCIT)

Dell'Armi

Kruck

Niec

2020

Pratiques Psychologiques

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Parent–Child Interaction Therapy for sexual concerns of maltreated children: A preliminary investigation

Cited by 31 publications

References 21 publications

Sexual Behavior Problems Among Sexually Abused Children: Associations With Co-Occurring Symptoms

Sexual Behavior Problems Among Sexually Abused Children: Associations With Co-Occurring Symptoms

Sexual Behavior Problems and Premature Termination From Pediatric Trauma‐Focused Treatment Among Sexually Abused Children

Prise en charge des troubles du comportement du jeune enfant par le programme Parent-Child Interaction Therapy (PCIT)

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