Aggressive children in a day treatment program: Changed outcome and possible explanations

Gabel, Stewart; Swanson, Arthur J.; Shindledecker, Richard

doi:10.1016/0145-2134(90)90100-8

“…There are few studies that have looked at outcome in a systematic way and have demonstrated significant gains from therapy over more than a 12-month period. All 4 children showed increase in positive social responses and initiation Gabel, Finn, & Ahmad (1988) Psychodynamic day hospital 52 44 % placed in home Gabel, Swanson, & Shindledecker (1990) Psychodynamic day hospital 29 55 % placed in home Parish, Myers, Bradner, & Templin (1985) Therapeutic playschool 53 Improvement in development in 80 % -Mitchell (1986) Behaviour modification to reduce aggression 16 Behaviour improved and maintained at 6-month follow-up Sack, Mason, & Collins (1987) Psychodynamic day hospital 79 23 % good outcome, 35 % behaviour problems, and 42 % very poor outcome a An augmented version of Table 1 in Wolfe et al (1993) and Table 2 in Oates et al (1995).…”

Section: Sexual Abuse : Randomised Control Trialsmentioning

confidence: 99%

The Treatment of the Long‐term Sequelae of Child Abuse

Stevenson

¹

1999

Child Psychology Psychiatry

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The literature on the long-term sequelae of sexual and physical abuse is reviewed. Abused children are at risk of long-term adverse psychological sequelae related to the abuse per se and not just as a consequence of other associated background factors. There is some specificity relating the type of psychological outcome to the type of abuse experienced. Physical abuse is just as traumagenic as sexual abuse in the long-term. Whatever the efficacy of specific psychological treatments, there are broad general service measures that will prevent both abuse and re-abuse and therefore impact on long-term sequelae. The studies on the effectiveness of intervention to prevent psychological sequelae of abuse are systematically appraised. There are few well-conducted and adequately controlled studies of the efficacy of treatment for abused children. Where a corpus of studies does exist, e.g. group therapy for sexually abused children, treatment for abused children appears to be as effective for children whose problems arise from other causes. Studies have also shown that abusive parenting can be changed by training.

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“…a An augmented version of Table 2 in Finkelhor et al (1995). All 4 children showed increase in positive social responses and initiation Gabel, Finn, & Ahmad (1988) Psychodynamic day hospital 52 44 % placed in home Gabel, Swanson, & Shindledecker (1990) Psychodynamic day hospital 29 55 % placed in home Parish, Myers, Bradner, & Templin (1985) Therapeutic playschool 53 Improvement in development in 80 % -Mitchell (1986) Behaviour modification to reduce aggression 16 Behaviour improved and maintained at 6-month follow-up Sack, Mason, & Collins (1987) Psychodynamic day hospital 79 23 % good outcome, 35 % behaviour problems, and 42 % very poor outcome a An augmented version of Table 1 in Wolfe et al (1993) and Table 2 in Oates et al (1995).…”

Section: Sexual Abuse : Randomised Control Trialsmentioning

confidence: 99%

The Treatment of the Long-term Sequelae of Child Abuse

Stevenson¹

1999

J. Child Psychol. Psychiat.

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The literature on the long-term sequelae of sexual and physical abuse is reviewed. Abused children are at risk of long-term adverse psychological sequelae related to the abuse per se and not just as a consequence of other associated background factors. There is some specificity relating the type of psychological outcome to the type of abuse experienced. Physical abuse is just as traumagenic as sexual abuse in the long-term. Whatever the efficacy of specific psychological treatments, there are broad general service measures that will prevent both abuse and re-abuse and therefore impact on long-term sequelae. The studies on the effectiveness of intervention to prevent psychological sequelae of abuse are systematically appraised. There are few well-conducted and adequately controlled studies of the efficacy of treatment for abused children. Where a corpus of studies does exist, e.g. group therapy for sexually abused children, treatment for abused children appears to be as effective for children whose problems arise from other causes. Studies have also shown that abusive parenting can be changed by training.

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“…In evaluations of day treatment programs, physically abused children have exhibited improved behavior (Gabel, Swanson, & Shindledecker, 1990), gains in social-emotional and cognitive development (Culp, Richardson, & Heide, 1987), and increased peer and maternal ac.. ceptance (Culp, Little, Letts, & Lawrence, 1991). However, interpretation of results is mitigated by lack of control groups, no follow-up, and little attention to treatment specificity.…”

Section: Child Treatmentmentioning

confidence: 96%