Group Art Therapy with Sexually Abused Girls

Pretorius, Gertie; Pfeifer, Natascha

doi:10.1177/008124631004000107

Cited by 51 publications

(53 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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%

“…l arts therapy interventions 199,200 l play/activity interventions [201][202][203] l animal therapy. 204 Proponents of these therapies would possibly emphasise the differences between them, as opposed to the similarities.…”

Section: Activity-based Therapiesmentioning

confidence: 99%

“…Brillantes-Evangelista 199 focused on a slightly older population of both girls and boys (64% female), aged 13-18 years. Participants in both 199,200 studies were recruited from either children's homes 200 or shelters for abused children. 199 …”

Section: Arts Therapymentioning

confidence: 99%

“…One study 200 focused on girls who had been sexually abused, whereas the other study 199 focused on children who had experienced both physical and sexual abuse.…”

Section: Arts Therapymentioning

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

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: Arts Therapymentioning

confidence: 99%

“…One study 200 focused on girls who had been sexually abused, whereas the other study 199 focused on children who had experienced both physical and sexual abuse.…”

Section: Arts Therapymentioning

confidence: 99%

See 3 more Smart Citations