COGNITIVE-BEHAVIOURAL TREATMENT OF SEXUALLY ABUSED CHILDREN: A REVIEW OF RESEARCH

1999 ◽  
Vol 27 (4) ◽  
pp. 295-309 ◽  
Author(s):  
Neville J. King ◽  
Bruce J. Tonge ◽  
Paul Mullen ◽  
Nicole Myerson ◽  
David Heyne ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Sexually Abused ◽  
Randomized Clinical Trials ◽  
Future Research ◽  
Behavioural Treatment ◽  
Abused Children ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Sexually Abused Children

Child sexual abuse is a prevalent form of child maltreatment that frequently occasions severe disturbance including posttraumatic stress disorder. This review focuses on recent cognitive-behavioural treatment initiatives designed specifically for sexually abused children, and the extent to which they are empirically supported. Our review draws on case studies, open clinical trials, multiple baseline investigations and randomized clinical trials. At first glance, the research findings are encouraging for the efficacy and acceptability of cognitive-behaviour therapy. However, more conservative conclusions are reached when stringent criteria are applied regarding evidentiary support for psychosocial interventions. Directions for future research are also explored.

Developments in Cognitive-Behaviour Therapy for Persistent Psychotic Symptoms

1994 ◽  
Vol 11 (4) ◽  
pp. 200-212 ◽  
Author(s):  
Gillian Haddock ◽  
William Sellwood ◽  
Nicholas Tarrier ◽  
Lawrence Yusupoff
Keyword(s):  
Cognitive Behaviour Therapy ◽  
Auditory Hallucination ◽  
Psychotic Symptoms ◽  
Positive Symptoms ◽  
Behaviour Therapy ◽  
Behavioural Treatment ◽  
Psychological Treatments ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour

This paper is a review of studies on psychological treatments for positive psychotic symptoms, and a detailed description of two of these studies, the Manchester Symptom Project, which aimed to decrease positive symptoms by training patients in effective coping strategies, and the Liverpool Auditory Hallucination project, which aimed to provide a cognitive-behavioural treatment for individuals with persistent and distressing voices. The results from these studies indicate that enduring positive symptoms which have not responded to neuroleptic medication can be effectively treated by psychological methods.

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.

Cognitive Behavioural Treatment of Perfectionism: A Single Case Experimental Design Series

2008 ◽  
Vol 25 (4) ◽  
pp. 245-258 ◽  
Author(s):  
Sarah J. Egan ◽  
Paula Hine
Keyword(s):  
Experimental Design ◽  
Visual Inspection ◽  
Single Case ◽  
Behaviour Therapy ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Clinically Significant

AbstractPerfectionism can maintain depression, anxiety and eating disorders, yet few studies have evaluated treatments for perfectionism. This study examined the effectiveness of individual cognitive behaviour therapy (CBT) in treating perfectionism in four adults with a diagnosis of either an anxiety disorder or depression. The study used an A-B single case experimental design series with follow-up, and a 3-week pre- and postbaseline phase. Treatment involved 8 sessions and a 2-week follow-up session. Visual inspection of data revealed downward trends in overall perfectionism and clinically significant decreases in perfectionism for two participants. No clinically significant reductions were observed in depressive or anxious symptomatology. CBT for perfectionism warrants further investigation.

Thought and Language Disorder among Sexually Abused Children in a Psychiatric Hospital

2013 ◽  
Vol 112 (2) ◽  
pp. 340-352 ◽  
Author(s):  
Francine Conway ◽  
Priyam Talreja ◽  
James McCarthy ◽  
Fiona Conway
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Sexually Abused ◽  
Logical Reasoning ◽  
Empirical Literature ◽  
Psychotic Symptoms ◽  
Future Research ◽  
Abused Children ◽  
Small Effect Size ◽  
Sexually Abused Children

The empirical literature offers evidence that childhood sexual abuse is a predictor of psychopathology in adults. However, the literature examining the relations between thought disorder and psychotic symptoms in children is sparse. Children with a history of childhood sexual abuse are expected to demonstrate more disturbances in thought relative to their peers with no childhood sexual abuse. Using the Thought and Language Index, Thematic Apperception Test (TAT) narratives for four commonly used TAT cards obtained from 39 closed charts of hospitalized children were analyzed. Narratives were assessed on seven dimensions including weakening of goals, perseveration, looseness, peculiar word usage, peculiar sentence construction, non-logical reasoning, and distractibility. Good inter-rater reliability was obtained. Sexually abused children had higher aberrant scores on card number four compared to non-abused children. Sexual abuse history was a predictive factor for non-logical reasoning, with small effect size. Implications and suggestions for future research are discussed.

Behaviour Therapy and Schizophrenia: An Introduction

1994 ◽  
Vol 11 (4) ◽  
pp. 195-199
Author(s):  
W. Kim Halford
Keyword(s):  
Behaviour Change ◽  
Cognitive Behaviour Therapy ◽  
Psychological Treatment ◽  
Behaviour Therapy ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Stress Vulnerability ◽  
Cognitive Behavioural ◽  
Vulnerability Model ◽  
Cognitive Behaviour

This brief article introduces a two-part series of special issues ofBehaviour Changeon the cognitive-behavioural treatment of schizophrenia. Two pervasive myths about schizophrenia inhibit effective psychological treatment and rehabilitation: (1) that schizophrenia inevitably has poor outcome, and (2) that drugs are effective in the management of schizophrenia. Neither of these myths is supported by available data. A stress–vulnerability model is described which provides a framework for understanding the variability in outcome of schizophrenia, and for conducting cognitive-behaviour therapy.

Cognitive-behavioural Treatment for Young People Who Have Been Sexually Abused: Developmental Considerations

2000 ◽  
Vol 17 (1) ◽  
pp. 37-47 ◽  
Author(s):  
Nicole N. Myerson ◽  
Neville J. King ◽  
Bruce J. Tonge ◽  
David A. Heyne ◽  
Dawn A. Young ◽  
...  
Keyword(s):  
Young People ◽  
Therapeutic Approach ◽  
Sexually Abused ◽  
Treatment Approach ◽  
Behavioural Therapy ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Positive Therapeutic Effect ◽  
Cognitive Behavioural

AbstractThis article describes the application of cognitive behavioural therapy to three sexually abused young people. We emphasise developmental influences and the nuances of the therapeutic approach. An exposure-based treatment approach was used with the youths. A multimodal assessment evaluation was conducted at pretreatment and posttreatment, and at a 3-month follow-up. Results on outcome measures indicated a positive therapeutic effect for the youths.

Cognitive–behavioural treatment in childhood and adolescence

2018 ◽  
Author(s):  
Manfred Döpfner ◽  
Saskia van der Oord
Keyword(s):  
Psychosocial Interventions ◽  
Skills Training ◽  
Psychosocial Treatment ◽  
Childhood And Adolescence ◽  
Behaviour Therapy ◽  
Behavioural Treatment ◽  
Cognitive Behavioural Treatment ◽  
Cognitive Behavioural ◽  
Cognitive Behaviour ◽  
Family Based

Cognitive–behavioural treatment (CBT) in children and adolescents includes: (1) psychoeducation of the patient and their parents/teachers; (2) family-based psychosocial interventions, in particular behavioural parent training; (3) psychosocial interventions in school settings (e.g. classroom interventions and teacher training; academic interventions); (4) cognitive behaviour therapy of the child/adolescent (e.g. social skills training, organizational skills training). A multimodal psychosocial treatment approach, utilizing a combination of several of the CBT interventions, is described. ADHD aims at reducing the ADHD symptoms, psychosocial impairments associated with ADHD, and the related behavioural and emotional problems. Overall, most of these interventions are empirically based interventions that have been shown to be effective in several trials.

scholarly journals Online CBT in the Treatment of Child and Adolescent Anxiety Disorders: Issues in the Development of BRAVE–ONLINE and Two Case Illustrations

2008 ◽  
Vol 36 (4) ◽  
pp. 411-430 ◽  
Author(s):  
Susan H. Spence ◽  
Caroline L. Donovan ◽  
Sonja March ◽  
Amanda Gamble ◽  
Renee Anderson ◽  
...  
Keyword(s):  
Child And Adolescent ◽  
Future Research ◽  
Controlled Trials ◽  
Behavioural Treatment ◽  
Online Delivery ◽  
Technical Aspects ◽  
Adolescent Anxiety ◽  
Cognitive Behavioural Treatment ◽  
Randomized Controlled ◽  
Cognitive Behavioural

AbstractThis paper describes the rationale for and development of an online cognitive-behavioural treatment for child and adolescent anxiety (BRAVE–ONLINE). It highlights the challenges involved in adapting a clinic-based intervention for delivery using the internet, with separate sessions for parents and their children (or adolescents). We outline strategies to ensure that young people remain engaged in online therapy, and describe techniques designed to optimize the alliance between clients and the online therapist. Two case studies are presented that illustrate the practical and technical aspects of implementing the intervention, and demonstrate the feasibility of achieving successful outcomes using online delivery of CBT for child and adolescent anxiety. However, firm conclusions regarding the efficacy of this approach cannot be drawn until the results of randomized controlled trials are available. The paper identifies directions for future research.

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