Psychosocial interventions for responding to child sexual abuse: A systematic review

McTavish, Jill; Amin, Avni; Reijnders, Megin; Ali, Muhammad Usman; Fitzpatrick‐Lewis, Donna; MacMillan, Harriet L.

doi:10.1016/j.chiabu.2019.104203

Cited by 19 publications

(21 citation statements)

References 39 publications

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“…Estudos que aperfeiçoem as técnicas existentes e que busquem novas estratégias são importantes para subsidiar com evidências os profissionais que atendem as vítimas, as auxiliando a superar as sequelas deixadas pela violência (Mathews & Collin-Vezina, 2019). Nesse sentido, ainda há carência desse tipo de investigações sobre intervenções em países em desenvolvimento (McTavish et al, 2021). Por isso, o presente estudo teve como objetivo apresentar e descrever a aplicação do PAPI-ASI uma intervenção para crianças vítimas desse tipo de violência.…”

Section: Discussionunclassified

“…Tanto os estudos internacionais (Hébert & Daignault, 2014;Allen & Hoskowitz, 2016), quanto o conduzido por Schneider e Habigzang (2016) no Brasil, fazem parte de um conjunto de evidências sobre a efetividade da TCC em relação as consequências psicológicas advindas do ASI. Nesse sentido, a literatura tem acumulado evidências a favor da TCC nesse contexto, ao mesmo tempo que, há carência de estudos em países em desenvolvimento (McTavish et al, 2021). Nesse sentido, o objetivo desse estudo foi avaliar e descrever os efeitos da aplicação piloto de uma intervenção psicológica de abordagem cognitivo-comportamental para o tratamento de uma criança vítima de abuso sexual.…”

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Estudo de Caso sobre uma Intervenção Brasileira para Vítimas de Abuso Sexual Infantil

Zibetti

Filho

Blefari

et al. 2021

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O objetivo do presente estudo de caso foi apresentar a aplicação do Protocolo de atendimento psicoterápico individual para vítimas de abuso sexual infantil (PAPI-ASI). Participou do estudo uma criança do sexo feminino com seis anos de idade que foi vítima de abuso sexual. A intervenção visou a reduzir sintomas de Transtorno de Stress Pós-Traumático (TEPT), bem como, reduzir e/ou extinguir comportamentos indesejáveis resultantes do abuso sexual infantil (ASI) presentes na avaliação inicial. Os resultados foram avaliados quantitativamente em medidas pré e pós-intervenção com o Child Behavior Checklist (CBCL), respondido pelos pais e qualitativamente com a avaliação clínica e relato dos pais sobre as alterações observadas no comportamento da criança durante a intervenção. O desfecho global da intervenção foi positivo, apresentando melhoras na atenção, diminuição na dificuldade em finalizar atividades e menor frequência e intensidade da ansiedade. Inicialmente, a participante apresentava critérios clínicos suficientes para diagnóstico de TEPT que ao final da intervenção eram subclínicos. Por fim, o estudo apresentou resultados promissores do protocolo abordado, enfatizando a potencialidade de tornar-se um instrumento válido na dinâmica clínica relacionada a ASI.

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Section: Discussionunclassified

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Estudo de Caso sobre uma Intervenção Brasileira para Vítimas de Abuso Sexual Infantil

Zibetti

Filho

Blefari

et al. 2021

ctc

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“…Research suggests that trauma-focused psychotherapies, including trauma-focused cognitive behavioral therapy, help improve the negative psychological effects and mental health symptoms associated with childhood sexual abuse. [28][29][30] Given evidence suggesting that child mental health symptoms increase risk for recurrence, 17,20,22 such strategies may serve as tertiary prevention.…”

Section: Practical Implicationsmentioning

confidence: 99%

Child Sexual Abuse Recurrence: A Narrative Review

Wildfeuer

Kobulsky

Reyes

2021

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Child sexual abuse recurrence can have a detrimental and devastating effect on victims. Less is known, however, about the risk and protective factors associated with child sexual abuse recurrence. In order to better understand these risk and protective factors, a narrative review was conducted of the current literature. Academic databases, cited references, and reference lists were searched for peer-reviewed research that focused on sexual abuse recurrence prior to age 18 years. The risk and protective factors identified in the literature were organized into four a priori categories based on an ecological systems framework: child, characteristics of the maltreatment, family, and community/social systems. Examples of risk factors at each level were child mental health concerns (child), the perpetrator being the mother’s significant other (characteristics of the maltreatment), parental history of sexual abuse (family), and active or prior child welfare involvement (community/social systems). Only two protective factors were identified, both regarding the family: family social support and a parent believing the child’s report of the initial victimization. There were mixed or inconclusive findings for several factors. Overall, the review indicates that tertiary prevention, including child-, caregiver-, and perpetrator-focused strategies, should be employed to mitigate the risk factors and enhance the protective factors for child sexual abuse recurrence. Further research is needed to address protective factors and community/social systems factors and could, building on this narrative review, involve a systematic review of the child sexual abuse recurrence literature.

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“…PTSD symptoms can be highly correlated with CSA (Chen et al, 2010; McTavish et al, 2019). Common symptoms of PTSD include flashbacks, nightmares, physical reactivity, decreases in positive affect, hypervigilance, dissociation, and difficulty sleeping (American Psychiatric Association, 2013).…”

Section: Influence Of Csa On Adult Mental Healthmentioning

confidence: 99%

“…Due to the high costs of individual therapy treatment and the great number of clients in need of treatment, administering effective sexual abuse interventions in group settings is becoming increasingly important. Groups allow for a greater number of clients to be treated in a shorter period of time and can also provide an interpersonal component that helps decrease survivors’ feelings of isolation and shame (McTavish et al, 2019; Yalom, 1985). Group treatment for survivors of sexual abuse typically lasts between 12 and 18 weeks and can be conducted with a number of different treatment modalities (Deblinger et al, 2016).…”

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confidence: 99%

Retreat Intervention Effectiveness for Female Survivors of Child Sexual Abuse

Ward

Wood

Young³

2020

Research on Social Work Practice

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Purpose: Childhood sexual abuse (CSA) is a widespread issue that can have detrimental effects on adult well-being. As demand for CSA treatment is high, it is important for clinicians to understand what forms of interventions are effective. Method: This quasi-experimental study examined the effectiveness of a 4-day retreat intervention for 986 adult female CSA survivors. Multilevel growth curve modeling was used to analyze treatment group effects, and paired-sample t tests were used for the wait-list group. Results: The intervention significantly reduced post-traumatic stress disorder symptoms (Cohen’s d = 0.69) and increased life satisfaction (Cohen’s d = 0.98), social support (Cohen’s d = 0.20), and coping self-efficacy (Cohen’s d = 1.14); these changes were maintained 1-year postintervention. The wait-list group did not report statistically significant changes across time. Discussion: Findings suggest retreat interventions may be a promising form of CSA treatment and encourage more empirical work on retreat interventions across diverse samples and settings.

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Psychosocial interventions for responding to child sexual abuse: A systematic review

Cited by 19 publications

References 39 publications

Estudo de Caso sobre uma Intervenção Brasileira para Vítimas de Abuso Sexual Infantil

Estudo de Caso sobre uma Intervenção Brasileira para Vítimas de Abuso Sexual Infantil

Child Sexual Abuse Recurrence: A Narrative Review

Retreat Intervention Effectiveness for Female Survivors of Child Sexual Abuse

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