Evaluating Animal-Assisted Therapy in Group Treatment for Child Sexual Abuse

Dietz, Tracy J.; Davis, Diana; Pennings, Jacquelyn S.

doi:10.1080/10538712.2012.726700

Cited by 121 publications

(132 citation statements)

References 29 publications

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“…All seven activity-based interventions [199][200][201][202][203][204][205] measured psychological distress. Two studies 201,203 also reported behaviour outcomes and one study 205 reported measures of social functioning and resilience.…”

Section: Activity-based Interventionsmentioning

confidence: 99%

“…We identified six studies [199][200][201][202][203][204] that assessed the effectiveness of interventions that engaged the child in activity-based interventions, grouped as follows:…”

Section: Activity-based Therapiesmentioning

confidence: 99%

“…204 Proponents of these therapies would possibly emphasise the differences between them, as opposed to the similarities. For this reason, we provide a 'grouped but differentiated' account of the descriptive elements of the studies (designs, sample sizes, etc.)…”

Section: Activity-based Therapiesmentioning

confidence: 99%

“…Dietz et al 204 focused on children and adolescents aged 7-17 years, the majority of whom (94%) were female. Participants were recruited from CPS, law enforcement, the county district attorney's office, and the local children's hospital.…”

Section: Animal Therapymentioning

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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Section: Activity-based Interventionsmentioning

confidence: 99%

“…We identified six studies [199][200][201][202][203][204] that assessed the effectiveness of interventions that engaged the child in activity-based interventions, grouped as follows:…”

Section: Activity-based Therapiesmentioning

confidence: 99%

Section: Activity-based Therapiesmentioning

confidence: 99%

Section: Animal Therapymentioning

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

View full text Add to dashboard Cite

show abstract

“…Pet-assisted therapy for hospitalized children's with cancer has alleviated their emotional distress, facilitated their adaptation to the healing process and promoted their well-being [6]. Pet-assisted therapy on trauma symptoms for sexually abused children's have shown to decrease their trauma symptoms such as anxiety, depression, anger, post-traumatic stress disorder, dissociation, and sexual concerns [7]. Non-pet walkers are self-reported to possess risk indicators that may lead to diabetes mellitus, hypertension, hypercholesterolemia and depression compared to dog walkers [8].…”

Section: Modern Era: Sedentary Lifestylementioning

confidence: 99%

Physical activity and health: Shifting focus from modern era to Stone Age life style

Mohan¹,

Selvarajan²

2017

Phys Med Rehabil Res

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Promising Therapeutic Approaches for Children, Young People and their Families Following Online Sexual Abuse

Hanson¹

2017

Online Risk to Children

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Evaluating Animal-Assisted Therapy in Group Treatment for Child Sexual Abuse

Cited by 121 publications

References 29 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

Physical activity and health: Shifting focus from modern era to Stone Age life style

Promising Therapeutic Approaches for Children, Young People and their Families Following Online Sexual Abuse

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