What Constitutes a Good Working Alliance in Therapy with Children That May Have Been Sexually Abused?

Jensen, Tine K.; Haavind, Hanne; Gulbrandsen, Wenke; Mossige, Svein; Reichelt, Sissel; Tjersland, Odd Arne

doi:10.1177/1473325010374146

Cited by 22 publications

(39 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The studies by Horowitz et al 647 and Lippert et al 648 were US-based studies, the Davies et al 665 study was a UK study and the Jensen et al 675 study was set in Norway.…”

Section: Locationmentioning

confidence: 99%

“…In the study by Horowitz et al 647 the data analysed were collected as part of a longitudinal study of the psychobiological effects of CSA (Putnam andTrickett, 1987-1988 748 ). The studies by Davies et al 665 and Jensen et al 675 used qualitative methodologies, and Lippert et al…”

Section: Methodsmentioning

confidence: 99%

“…All studies 647,648,665,675 were uncontrolled. In the study by Horowitz et al 647 the data analysed were collected as part of a longitudinal study of the psychobiological effects of CSA (Putnam andTrickett, 1987-1988 748 ).…”

Section: Methodsmentioning

confidence: 99%

“…The remainder were in Canada (four studies 170,[658][659][660][661] ), the UK (14 studies 145,169,481,511,538,[662][663][664][665][666][667][668][669][670] ) and elsewhere in Europe: the Netherlands (three studies 497,671,672 ), Norway (three studies [673][674][675] ) and Sweden (one study 676 ), with one multisite review of services 145,146,640,[665][666][667][668][669][670] across Italy, the Netherlands and the UK. A small number of studies were based outside North America and Europe: Australia (two studies 506,677 ), Brazil (one study 678 ), India (one study 679 ) and the Philippines (one study 680 ).…”

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

“…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%

See 4 more Smart Citations

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

View full text Add to dashboard Cite

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.

show abstract

“…The studies by Horowitz et al 647 and Lippert et al 648 were US-based studies, the Davies et al 665 study was a UK study and the Jensen et al 675 study was set in Norway.…”

Section: Locationmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

Section: Description Of Included Acceptability Studiesmentioning

confidence: 99%

See 3 more Smart Citations

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

View full text Add to dashboard Cite

show abstract

Survivor, family and professional experiences of psychosocial interventions for sexual abuse and violence: a qualitative evidence synthesis

Brown

Carter

Halliwell

et al. 2022

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

This is a protocol for a Cochrane Review (qualitative). The objectives are as follows:This review will gather and synthesise the experiences of interventions for survivors of sexual abuse and violence, their families, as well as the professionals who deliver them. Specifically, this review seeks to:Survivor, family and professional experiences of psychosocial interventions for sexual abuse and violence: a qualitative evidence synthesis (Protocol)

show abstract

Qualitative Evidence on Psychological Trauma

Buchanan

Keats

2016

Handbooks in Health, Work, and Disability

View full text Add to dashboard Cite

What Constitutes a Good Working Alliance in Therapy with Children That May Have Been Sexually Abused?

Cited by 22 publications

References 22 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

Survivor, family and professional experiences of psychosocial interventions for sexual abuse and violence: a qualitative evidence synthesis

Qualitative Evidence on Psychological Trauma

Contact Info

Product

Resources

About