Trauma-Focused Cognitive Behavioral Therapy: Addressing The Mental Health of Sexually Abused Children

2007 ◽  
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Sexually Abused ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Abused Children ◽  
Sexually Abused Children

Structured Trauma-Focused CBT and Unstructured Play/Experiential Techniques in the Treatment of Sexually Abused Children: A Field Study With Practicing Clinicians

2016 ◽  
Vol 22 (2) ◽  
pp. 112-120 ◽  
Author(s):  
Brian Allen ◽  
Natalie Armstrong Hoskowitz
Keyword(s):  
Posttraumatic Stress ◽  
Sexually Abused ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Abused Children ◽  
Treatment Techniques ◽  
History Of ◽  
Experiential Techniques ◽  
Sexually Abused Children

Structured, trauma-focused cognitive-behavioral therapy (CBT) techniques are widely considered an effective intervention for children who experienced sexual abuse. However, unstructured (i.e., nondirective) play/experiential techniques have a longer history of widespread promotion and are preferred by many practicing clinicians. No evidence is available, however, to determine how the integration of these techniques impacts treatment outcome. In this study, community-based clinicians who received training in a structured, trauma-focused cognitive-behavioral intervention administered pretreatment and posttreatment evaluations to 260 sexually abused children presenting with elevated posttraumatic stress. In addition, they completed a questionnaire describing the treatment techniques implemented with each child. Overall, significant improvement was observed for each of the six clinical outcomes. Regression analyses indicated that technique selection was a significant factor in posttreatment outcome for posttraumatic stress, dissociation, anxiety, and anger/aggression. In general, a greater utilization of the structured CBT techniques was related to lower posttreatment scores, whereas a higher frequency of play/experiential techniques was associated with higher posttreatment scores. However, no interaction effects were observed. The implication of these findings for clinical practice and future research are examined.

scholarly journals Maternal History of Child Sexual Abuse and Maladaptive Outcomes in Sexually Abused Children: The Role of Maternal Mental Health

2021 ◽  
pp. 088626052110139
Author(s):  
Rachel Langevin ◽  
Martine Hébert ◽  
Audrey Kern
Keyword(s):  
Mental Health ◽  
Sexual Abuse ◽  
Psychological Distress ◽  
Sexually Abused ◽  
Maternal Mental Health ◽  
Ptsd Symptoms ◽  
Abused Children ◽  
Maternal History ◽  
History Of ◽  
Sexually Abused Children

The effects of child sexual abuse (CSA) have been found to surpass generations as maternal history of CSA is associated with increased difficulties in sexually abused children. However, little is known about the mechanisms underlying this association. The present study aimed to test maternal mental health symptoms including psychological distress, post-traumatic stress disorder (PTSD) symptoms, and dissociation as mediators of the relationship between maternal CSA and children’s internalizing, externalizing, and dissociation symptoms in a large sample of sexually abused children. A total of 997 sexually abused children aged 3-14 years old and their mothers were recruited at five specialized intervention centers offering services to sexually abused children and their families. The children were divided into two groups depending on their mothers’ self-reported history of CSA. Mothers completed a series of questionnaires assessing their mental health and children’s functioning. Maternal history of CSA was associated with increased maternal psychological distress, PTSD symptoms, and dissociation following children’s disclosure of CSA. In turn, maternal psychological distress and maternal dissociation were associated with increased child internalizing, externalizing, and dissociation symptoms. Maternal PTSD symptoms were associated with child internalizing symptoms. Maternal mental health difficulties mediated the association between maternal CSA and sexually abused children’s maladaptive outcomes. Clinicians should assess for possible history of CSA in mothers of sexually abused children and determine how best to support them to cope with the aftermaths of their child’s disclosure and with their own traumatic past.

Mental Health Spillover Effects Among Cohabitating Caregivers of Sierra Leonean Youth Receiving a Cognitive Behavioral Therapy‐Based Intervention

2021 ◽  
Vol 56 (S2) ◽  
pp. 40-41
Author(s):  
Alethea Desrosiers ◽  
Carolyn Schafer ◽  
Jordan Freeman ◽  
Alpha Vandi ◽  
Miriam Hinton ◽  
...  
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Behavioral Therapy ◽  
Spillover Effects ◽  
Cognitive Behavioral ◽  
Sierra Leonean
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