An evaluation of a group treatment approach for children who have witnessed wife abuse

Wagar, Janet M.; Rodway, Margaret R.

doi:10.1007/bf02110994

Cited by 53 publications

(82 citation statements)

References 42 publications

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“…They draw heavily on social learning and cognitive theory to conceptualise and address maladaptive patterns of behaviour and beliefs that have developed as the result of exposure to abuse or neglect. We identified 17 [151][152][153][154][155][156][157][158][159][160][161][162][163][164][165][166][167][168] studies that assessed the effectiveness of psychoeducational interventions. …”

Section: Psychoeducationmentioning

confidence: 99%

“…Participants from all 17 [151][152][153][154][155][156][157][158][159][160][161][162][163][164][165][166][167][168] studies were recruited from a wide range of mainly government agencies, including child protection agencies, 157,160,[166][167][168] Family Services, 153,164 Family Sexual Abuse Action Centre, 163 Children's Justice Centre, 162 social services agencies, 151,154,156 local residential homes, 165 the authors' own clinics and local agencies 155 and community and shelter outreach centres. 152 Noether et al recruited participants from mothers who participated in a national, 'longitudinal study of women with histories of violence and co-occurring substance use and mental health disorders' 158 (p. 827).…”

Section: Recruitmentmentioning

confidence: 99%

“…Five [151][152][153][154]156 of the seven RCTs focused on children who had witnessed or been exposed to IPV. Graham-Bermann et al 151 reported that 30% of the children in this study had also experienced physical harm.…”

Section: Maltreatmentmentioning

confidence: 99%

“…Wagar and Rodway 156 describe the programme as aiming at helping children to modify their responses to past experiences of witnessing violence, to develop problem-solving skills for future encounters, to address interpersonal responsibilities and attitudes regarding behaviours and foster self-esteem. Psychoeducation for children who experienced sexual abuse…”

Section: Psychoeducation For Children Exposed To Intimate Partner Viomentioning

confidence: 99%

“…409 Two studies 151,156 focused on children's attitudes and beliefs about the acceptability of family violence. Graham-Bermann et al 151 assessed change in this outcome using the Attitudes About Family Violence scale, 394 whereas Wagar and Rodway 156 used a Child Witness to Violence Questionnaire (no reference provided) to assess children's knowledge of wife abuse, who children feel are responsible, and their responses and attitudes to anger, their problem-solving abilities related to safety skills.…”

Section: Relationshipsmentioning

confidence: 99%

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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

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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.

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