A treatment study for sexually abused preschool children: Outcome during a one-year follow-up

被引:140
作者
Cohen, JA
Mannarino, AP
机构
[1] Department of Psychiatry, Allegheny Univ. of the Hlth. Sci., Allegheny Campus, Pittsburgh, PA
[2] Ctr. Traum. Stress Children A., Allegheny General Hospital, Pittsburgh, PA
[3] Department of Psychiatry, Allegheny General Hospital, 4 Allegheny Center, Pittsburgh
关键词
child sexual abuse; preschool children; treatment outcome; mediating factors; parent interventions;
D O I
10.1097/00004583-199709000-00015
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: Treatment outcome in sexually abused preschool children was evaluated 6 and 12 months after treatment. Method: Forty-three sexually abused preschool children and their parents were evaluated 6 and 12 months after completion of either Cognitive-Behavioral Therapy for Sexually Abused Preschoolers (CBT-SAP) or nondirective supportive therapy (NST). Parents completed the Child Behavior Checklist, Child Sexual Behavior Inventory, and Weekly Behavior Report to measure a variety of symptoms in their children. Results: Repeated-measures analyses indicated that there were significant group by time interactions on several outcome measures from the beginning of the study to the end of the 12-month follow-up period, with the CBT-SAP group exhibiting significantly more improvement over time than the NST group. Clinical findings also indicated the superior effectiveness of CBT-SAP over NST in reducing sexually inappropriate behavior. Conclusions: Findings support the superior efficacy of CBT-SAP over NST in maintaining symptom reduction in the year after treatment completion. The importance of using cognitive-behavioral interventions for sexually inappropriate behaviors and including nonoffending parents in the treatment of sexually abused preschool children is discussed.
引用
收藏
页码:1228 / 1235
页数:8
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