J A Cohen1, A P Mannarino. 1. Department of Psychiatry, Allegheny General Hospital, MCP Hahnemann University School of Medicine, Pittsburgh, PA, USA.
Abstract
PROBLEM: This study evaluated the impact of child and family characteristics on treatment outcome of sexually abused children. METHOD:Forty-nine recently sexually abused 7- to 14-year-old children were randomly assigned to either abuse-focused cognitive behavioral therapy or nondirective supportive therapy, and assessed pre- and post-treatment using several standardized instruments. These included five measures of psychological symptomatology and four measures of child and family characteristics hypothesized to mediate treatment response. Correlational and multiple regression analyses were utilized to evaluate the impact of the following mediating factors on treatment outcome: Children's abuse-related attributions and perceptions; family cohesion and adaptability; parental support of the child; and parental emotional reaction to the child's abuse. RESULTS: Children's abuse-related attributions and perceptions and parental support of the child were strong predictors of treatment outcome in this population. CONCLUSIONS: Therapeutic attention to children's sexual abuse-related attributions and to enhancing parental support may be important factors in optimizing treatment outcome in 8- to 14-year-old sexually abused children.
RCT Entities:
PROBLEM: This study evaluated the impact of child and family characteristics on treatment outcome of sexually abused children. METHOD: Forty-nine recently sexually abused 7- to 14-year-old children were randomly assigned to either abuse-focused cognitive behavioral therapy or nondirective supportive therapy, and assessed pre- and post-treatment using several standardized instruments. These included five measures of psychological symptomatology and four measures of child and family characteristics hypothesized to mediate treatment response. Correlational and multiple regression analyses were utilized to evaluate the impact of the following mediating factors on treatment outcome: Children's abuse-related attributions and perceptions; family cohesion and adaptability; parental support of the child; and parental emotional reaction to the child's abuse. RESULTS:Children's abuse-related attributions and perceptions and parental support of the child were strong predictors of treatment outcome in this population. CONCLUSIONS: Therapeutic attention to children's sexual abuse-related attributions and to enhancing parental support may be important factors in optimizing treatment outcome in 8- to 14-year-old sexually abused children.
Authors: Michael A Ramirez de Arellano; D Russell Lyman; Lisa Jobe-Shields; Preethy George; Richard H Dougherty; Allen S Daniels; Sushmita Shoma Ghose; Larke Huang; Miriam E Delphin-Rittmon Journal: Psychiatr Serv Date: 2014-05-01 Impact factor: 3.084
Authors: Shannon Dorsey; Katie A McLaughlin; Suzanne E U Kerns; Julie P Harrison; Hilary K Lambert; Ernestine C Briggs; Julia Revillion Cox; Lisa Amaya-Jackson Journal: J Clin Child Adolesc Psychol Date: 2016-10-19
Authors: Alison Salloum; John Robst; Michael S Scheeringa; Judith A Cohen; Wei Wang; Tanya K Murphy; David F Tolin; Eric A Storch Journal: Child Psychiatry Hum Dev Date: 2014-02