The efficacy of group treatment in sexually abused girls

McGain, Beverly; McKinzey, R. K.

doi:10.1016/0145-2134(95)00076-k

Cited by 46 publications

(41 citation statements)

References 16 publications

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“…Three studies 170,172,173 focused exclusively on females, and one study 171 focused solely on males. The other study 169 stipulated that the sample was 85% female.…”

Section: Gendermentioning

confidence: 99%

“…Of the five studies [169][170][171][172][173] looking at group work with children, three studies 169,170,173 looked at psychological distress outcomes, four studies [169][170][171][172] measured behaviour and four studies [169][170][171]173 measured cognitive functioning. One study 170 also looked at acceptability and one study [169][170][171] recorded parent/carer outcomes.…”

Section: Group Workmentioning

confidence: 99%

“…Five [169][170][171][172][173] studies assessed the effectiveness of therapies that used the group format as an important therapeutic mechanism of change, but which are not described as psychoeducational. …”

Section: Group Work With Childrenmentioning

confidence: 99%

“…In four [169][170][171][172] studies, participants were recruited from professional child protection agencies. Verleur et al 173 recruited participants from a group treatment centre.…”

Section: Recruitmentmentioning

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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“…Three studies 170,172,173 focused exclusively on females, and one study 171 focused solely on males. The other study 169 stipulated that the sample was 85% female.…”

Section: Gendermentioning

confidence: 99%

Section: Group Workmentioning

confidence: 99%

Section: Group Work With Childrenmentioning

confidence: 99%

“…In four [169][170][171][172] studies, participants were recruited from professional child protection agencies. Verleur et al 173 recruited participants from a group treatment centre.…”

Section: Recruitmentmentioning

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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“…O grupo oportuniza reduzir o sentimento de diferença em relação aos pares, bem como oferece espaços para que as vítimas possam relatar sentimentos referentes ao abuso; discutir crenças quanto à culpa pela experiência abusiva. Além disso, possibilita integrar e reestruturar a memória traumática, desenvolver habilidades preventivas a outras situações abusivas; e elaborar sentimentos de isolamento e estigmatização (Habigzang & Caminha, 2004;Kruczek & Vitanza, 1999;McCrone & cols., 2005;McGain & McKinzey, 1995;Smith, 1993Smith, /1996.…”

Section: F Habigzang E Colsunclassified

Avaliação de um modelo de intervenção psicológica para meninas vítimas de abuso sexual

Habigzang

Hatzenberger

Corte

et al. 2008

Psic.: Teor. e Pesq.

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RESUMO -O abuso sexual contra crianças e adolescentes é considerado um importante problema de saúde pública. Dessa forma, é necessário o desenvolvimento de estudos que avaliem a efetividade de modelos de intervenção psicológica. O presente estudo tem como objetivo avaliar um modelo de grupoterapia cognitivo-comportamental para meninas vítimas de abuso sexual. Participaram 10 meninas com idade entre 9 e 13 anos, vítimas de pelo menos um episódio de abuso sexual intrafamiliar. O tipo de abuso sexual variou entre os casos, sendo que, em sete, ocorreram manipulação de genitais e assédio e, em três, relações sexuais com penetração. O delineamento utilizado foi medidas repetidas, realizadas antes, durante e depois da intervenção. Foram avaliados sintomas de depressão, ansiedade, estresse e transtorno do estresse pós-traumático. O modelo avaliado é constituído por 20 sessões com atividades semi-estruturadas. Os resultados apontaram a redução signifi cativa dos sintomas e a reestruturação de crenças disfuncionais relacionadas ao abuso.Palavras-chave: abuso sexual; terapia cognitivo-comportamental; avaliação; infância; adolescência. Assessment of a Psychology Intervention Model Effect on Sexual Abused GirlsABSTRACT -The sexual abuse against children and adolescents is an important public health problem. In this way, it is necessary to develop studies that evaluate the models effectiveness of psychological intervention. The present study aimed to evaluate a group therapy, based on cognitive-behavioral approach to the girls who are victims of sexual abuse. Ten girls from 9 to 13 years old intrafamilial victimized by sexual abuse participated in this study. The type of sexual abuse varied among the cases: manipulation of genital and sexual harassment appeared in seven cases, and complete intercourse with penetration on the other three. The group therapy model evaluated was constituted by 20 sessions with semi-structured activities. Repeated measures were used to analyze the before, during and after intervention data on depression, anxiety, stress, and posttraumatic stress symptoms. A signifi cant reduction of those aspects was found, as well as the restructuring of faiths related to the abuse.Key words: sexual abuse; cognitive-behavioral therapy; evaluation; childhood; adolescence. O abuso sexual contra crianças e adolescentes tem sido considerado um importante problema de saúde pública devido aos altos índices de incidência e às conseqüências negativas que essa forma de violência pode ocasionar ao desenvolvimento psicológico e social das vítimas (Habigzang & Caminha, 2004;Jonzon & Lindblad, 2004;Osofsky, 1995). A intervenção terapêutica em casos de abuso sexual é complexa e precisa ser planejada, considerando o impacto dessa experiência para o desenvolvimento da vítima e da sua família, mudanças no ambiente imediato, disponibilidade de rede de apoio social e afetiva e fatores de risco e proteção associados Saywitz, Mannarino, Berliner & Cohen, 2000).Uma meta-análise sobre pesquisas publicadas em língua inglesa que avaliara...

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Promoting child and family wellness: priorities for psychological and social interventions

Prilleltensky

Nelson

2000

J. Community. Appl. Soc. Psychol.

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In order to foster the well‐being of children and families we propose a shift in the priorities of psychological and social interventions. Following a brief discussion of the concept of wellness, we present a framework for interventions to promote child and family wellness. Psychological and social intervention strategies to promote child and family wellness are then reviewed and interpreted in terms of the framework. Recommendations for changing priorities for programmes and policies are based on the framework and a review of the effectiveness of existing interventions. Copyright © 2000 John Wiley & Sons, Ltd.

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The efficacy of group treatment in sexually abused girls

Cited by 46 publications

References 16 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

Avaliação de um modelo de intervenção psicológica para meninas vítimas de abuso sexual

Promoting child and family wellness: priorities for psychological and social interventions

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