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Treating sexually abused children: 1 year follow-up of a randomized controlled trial
Abstract
Objective To measure the durability of improvement in response to two alternative treatments for sexually abused children. Method Eighty-two sexually abused children ages 8-15 years old and their primary caretakers were randomly assigned to trauma-focused cognitive-behavioral therapy (TF-CBT) or non-directive supportive therapy (NST) delivered over 12 sessions; this study examines symptomatology during 12 months posttreatment. Data analysis Intent-to-treat and treatment completer repeated measures analyses were conducted. Results Intent-to-treat indicated significant group x time effects in favor of TF-CBT on measures of depression, anxiety, and sexual problems. Among treatment completers, the TF-CBT group evidenced significantly greater improvement in anxiety, depression, sexual problems and dissociation at the 6-month follow-up and in PTSD and dissociation at the 12-month follow-up. Conclusion This study provides additional support for the durability of TF-CBT effectiveness.
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“By far the most widely researched and lauded (McTavish et al. 2019a) treatment for CSA is trauma-focused cognitive behavioral therapy (TF-CBT) (Cohen et al. 2005).”
From Child Sexual Abuse as a Unique Risk Factor for the Development of Psychopathology: The Compounded Convergence of Mechanisms (2021) · cites this paper as Cohen et al. 2005
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Lee, H. B., Shin, K. M., Chung, Y. K., Kim, N., Shin, Y., Chung, U., Bae, S. M., Hong, M., & Chang, H. Y. (2018) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-018-0235-2 · Cited by 12
Chick, C. F., Singh, A., Anker, L. A., Buck, C., Kawai, M., Gould, C. E., Cotto, I., Schneider, L. D., Linkovski, O., Karna, R., et al. (2021) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.9508 · Cited by 13
Posttraumatische Belastungsstörung bei Kindern und Jugendlichen
Steil, R., & Rosner, R. (2013) · Springer eBooks · doi:10.1007/978-3-642-35068-9_19 · Cited by 12
DePrince, A. P., & Shirk, S. R. (2012) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2012.07.001 · Cited by 13
Posttraumatische Belastungsstörung bei Kindern und Jugendlichen
Steil, R., & Rosner, R. (2009) · Springer eBooks · doi:10.1007/978-3-540-88489-7_19 · Cited by 12
Metadata
- Authors
- Cohen, J. A., Mannarino, A. P., & Knudsen, K.
- Affiliations
- Allegheny General Hospital (US)
- Corresponding author
- Cohen, Judith A.
- ORCID
- Cohen, Judith A.
- Venue
- Child Abuse & Neglect
- Publisher
- Elsevier BV
- Published
- 2005-02
- Volume
- 29
- Issue
- 2
- Pages
- 135-145
- ISSN
- 0145-2134 (ISSN-L)
- OpenAlex
- W2003010493
- Cited by
- 400
- References
- 28
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 5 · 2023: 8 · 2022: 17 · 2021: 17 · 2020: 13 · 2019: 13 · 2018: 18 · 2017: 12 · 2016: 29 · 2015: 58 · 2014: 21 · 2013: 34 · 2012: 26
- FWCI
- 19.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Child Abuse & Neglect (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (90-CA-1545)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- sexually abused children, trauma-focused cognitive behavioral therapy, long-term follow-up, treatment durability, depression, anxiety, sexual dysfunction, dissociation, post-traumatic stress disorder, child sexual abuse treatment, primary caregivers, psychotherapy outcome, intention-to-treat analysis, repeated measures analysis
- MeSH terms
- Adolescent, Child, Child Abuse, Sexual, Female, Follow-Up Studies, Humans, Male, Psychological Tests, Social Support, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy, Treatment Outcome
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