scholarly journals Treating psychological symptoms in sexually abused children

10.1192/03-99 ◽  
2003 ◽  
Vol 183 (6) ◽  
pp. 484-490
Author(s):  
Paul Ramchandani ◽  
David P. H. Jones
Keyword(s):  
Sexual Abuse ◽  
Sexually Abused ◽  
Psychiatric Symptoms ◽  
Psychological Symptoms ◽  
Psychological Treatment ◽  
Behavioural Therapy ◽  
Cognitive Behavioural ◽  
Wide Range ◽  
Randomised Controlled ◽  
Sexually Abused Children

BackgroundThe experience of having been sexually abused is associated with a wide range of psychiatric symptoms and difficulties, and these problems can persist over years. The psychological treatment of children who have experienced sexual abuse has only recently begun to be systematically investigated. An increasing number of robust studies have been conducted.AimsTo review systematically the available evidence from randomised controlled trials of psychological treatments for children who have been sexually abused, and to consider the place of these treatments in a multi-disciplinary service.MethodA systematic search of the available research was undertaken. Included trials were critically appraised and the results considered.ResultsTwelve studies were included in the review. The best evidence of efficacy for improving psychological symptoms in these children was found for cognitive–behavioural therapy, particularly for young children.ConclusionsEfficacious treatments exist to improve psychological symptoms in children who have experienced sexual abuse. Consideration is given to the place of these treatments within the response of a multi-disciplinary service.

scholarly journals Treating psychological symptoms in sexually abused children

2003 ◽  
Vol 183 (06) ◽  
pp. 484-490 ◽  
Author(s):  
Paul Ramchandani ◽  
David P. H. Jones
Keyword(s):  
Sexual Abuse ◽  
Sexually Abused ◽  
Psychiatric Symptoms ◽  
Psychological Symptoms ◽  
Psychological Treatment ◽  
Behavioural Therapy ◽  
Cognitive Behavioural ◽  
Wide Range ◽  
Randomised Controlled ◽  
Sexually Abused Children

BackgroundThe experience of having been sexually abused is associated with a wide range of psychiatric symptoms and difficulties, and these problems can persist over years. The psychological treatment of children who have experienced sexual abuse has only recently begun to be systematically investigated. An increasing number of robust studies have been conducted.AimsTo review systematically the available evidence from randomised controlled trials of psychological treatments for children who have been sexually abused, and to consider the place of these treatments in a multi-disciplinary service.MethodA systematic search of the available research was undertaken. Included trials were critically appraised and the results considered.ResultsTwelve studies were included in the review. The best evidence of efficacy for improving psychological symptoms in these children was found for cognitive–behavioural therapy, particularly for young children.ConclusionsEfficacious treatments exist to improve psychological symptoms in children who have experienced sexual abuse. Consideration is given to the place of these treatments within the response of a multi-disciplinary service.

scholarly journals Psychological interventions for mental health disorders in children with chronic physical illness: a systematic review

2015 ◽  
Vol 100 (4) ◽  
pp. 308-316 ◽  
Author(s):  
Sophie Bennett ◽  
Roz Shafran ◽  
Anna Coughtrey ◽  
Susan Walker ◽  
Isobel Heyman
Keyword(s):  
Psychiatric Symptoms ◽  
Behavioural Therapy ◽  
Physical Illness ◽  
Psychological Interventions ◽  
Chronic Physical Illness ◽  
Psychological Treatments ◽  
Symptoms Of Depression ◽  
Cognitive Behavioural ◽  
Health Disorders ◽  
Randomised Controlled

BackgroundChildren with chronic physical illness are significantly more likely to develop common psychiatric symptoms than otherwise healthy children. These children therefore warrant effective integrated healthcare yet it is not established whether the known, effective, psychological treatments for symptoms of common childhood mental health disorders work in children with chronic physical illness.MethodsEMBASE, MEDLINE, PsycINFO and CINAHL databases were searched with predefined terms relating to evidence-based psychological interventions for psychiatric symptoms in children with chronic physical illness. We included all studies (randomised and non-randomised designs) investigating interventions aimed primarily at treating common psychiatric symptoms in children with a chronic physical illness in the review. Two reviewers independently assessed the relevance of abstracts identified, extracted data and undertook quality analysis.ResultsTen studies (209 children, including 70 in control groups) met the criteria for inclusion in the review. All studies demonstrated some positive outcomes of cognitive behavioural therapy for the treatment of psychiatric symptoms in children with chronic physical illness. Only two randomised controlled trials, both investigating interventions for symptoms of depression, were found.ConclusionsThere is preliminary evidence that cognitive behavioural therapy has positive effects in the treatment of symptoms of depression and anxiety in children with chronic physical illness. However, the current evidence base is weak and fully powered randomised controlled trials are needed to establish the efficacy of psychological treatments in this vulnerable population.

Does CBT Facilitate Emotional Processing?

2011 ◽  
Vol 40 (1) ◽  
pp. 19-37 ◽  
Author(s):  
Roger Baker ◽  
Matthew Owens ◽  
Sarah Thomas ◽  
Anna Whittlesea ◽  
Gareth Abbey ◽  
...  
Keyword(s):  
Emotional Processing ◽  
Psychiatric Symptoms ◽  
Psychological Symptoms ◽  
Behavioural Therapy ◽  
Brief Symptom Inventory ◽  
Healthy Group ◽  
Emotional Change ◽  
Cognitive Behavioural ◽  
Affective Processes ◽  
Post Therapy

Background: Cognitive Behavioural Therapy (CBT) is not primarily conceptualized as operating via affective processes. However, there is growing recognition that emotional processing plays an important role during the course of therapy. Aims: The Emotional Processing Scale was developed as a clinical and research tool to measure emotional processing deficits and the process of emotional change during therapy. Method: Fifty-five patients receiving CBT were given measures of emotional functioning (Toronto Alexithymia Scale [TAS-20]; Emotional Processing Scale [EPS-38]) and psychological symptoms (Brief Symptom Inventory [BSI]) pre- and post-therapy. In addition, the EPS-38 was administered to a sample of 173 healthy individuals. Results: Initially, the patient group exhibited elevated emotional processing scores compared to the healthy group, but after therapy, these scores decreased and approached those of the healthy group. Conclusions: This suggests that therapy ostensibly designed to reduce psychiatric symptoms via cognitive processes may also facilitate emotional processing. The Emotional Processing Scale demonstrated sensitivity to changes in alexithymia and psychiatric symptom severity, and may provide a valid and reliable means of assessing change during therapy.

scholarly journals Internet-delivered exposure-based cognitive–behavioural therapy and behavioural stress management for severe health anxiety: randomised controlled trial

2014 ◽  
Vol 205 (4) ◽  
pp. 307-314 ◽  
Author(s):  
Erik Hedman ◽  
Erland Axelsson ◽  
Anders Görling ◽  
Carina Ritzman ◽  
Markus Ronnheden ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Stress Management ◽  
Cognitive Behavioural Therapy ◽  
Psychological Treatment ◽  
Controlled Trial ◽  
Health Anxiety ◽  
Behavioural Therapy ◽  
The Internet ◽  
Cognitive Behavioural ◽  
Randomised Controlled

BackgroundExposure-based cognitive–behavioural therapy (CBT) delivered via the internet has been shown to be effective for severe health anxiety (hypochondriasis) but has not been compared with an active, effective and credible psychological treatment, such as behavioural stress management (BSM).AimsTo investigate two internet-delivered treatments – exposure-based CBTv.BSM – for severe health anxiety in a randomised controlled trial (trial registration: NCT01673035).MethodParticipants (n= 158) with a principal diagnosis of severe health anxiety were allocated to 12 weeks of exposure-based CBT (n= 79) or BSM (n= 79) delivered via the internet. The Health Anxiety Inventory (HAI) was the primary outcome.ResultsInternet-delivered exposure-based CBT led to a significantly greater improvement on the HAI compared with BSM. However, both treatment groups made large improvements on the HAI (pre-to-post-treatment Cohen'sd: exposure-based CBT, 1.78; BSM, 1.22).ConclusionsExposure-based CBT delivered via the internet is an efficacious treatment for severe health anxiety.Declarations of interestNone.

scholarly journals Psychodynamic interpersonal therapy

1999 ◽  
Vol 5 (2) ◽  
pp. 135-145 ◽  
Author(s):  
Elspeth Guthrie
Keyword(s):  
Cognitive Processes ◽  
Psychological Symptoms ◽  
Psychological Treatment ◽  
Behavioural Therapy ◽  
High Quality Research ◽  
Interpersonal Therapy ◽  
The Past ◽  
Cognitive Behavioural ◽  
Treatment Models

The dramatic development of cognitive–behavioural therapy (CBT) over the past 30 years, with associated high-quality research into the evaluation of its treatment effects, is to be welcomed and applauded. This form of therapy is now a recognised psychological treatment of choice for a wide variety of psychological disorders. The role of cognitive processes in the development and prolongation of psychological symptoms has been studied, and resulted in the development of coherent and effective treatment models.

Computerised cognitive behavioural therapy: helping Ireland log on

2013 ◽  
Vol 30 (1) ◽  
pp. 29-56 ◽  
Author(s):  
C. Twomey ◽  
G. O'Reilly ◽  
M. Byrne
Keyword(s):  
Mental Health ◽  
Cognitive Behavioural Therapy ◽  
Low Cost ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Stepped Care ◽  
Post Traumatic Stress ◽  
Cognitive Behavioural ◽  
Wide Range ◽  
Randomised Controlled

ObjectivesThe aim of this article is to review and highlight evidence-based computerised cognitive behavioural therapy (cCBT) programmes that can potentially be used in Ireland for the treatment of mild-to-moderate mental health difficulties.MethodsThe authors undertook a literature search using three databases, and consulted a recognised, university-developed web portal. For a programme to be included in this review, it had to (a) have at least one randomised controlled trial demonstrating its efficacy; (b) be available on the internet; and (c) be delivered in English.FindingsTwenty-five cCBT programmes that met the inclusion criteria were profiled. Taken together, these programmes target various anxiety difficulties (i.e. generalised anxiety, panic/phobia, social anxiety and post-traumatic stress), depression (or low mood), eating problems, stress, insomnia, pain and alcohol misuse.ConclusionscCBT programmes, preferably administered as part of a stepped-care model, offer effective, low-cost and low-intensity interventions for a wide range of psychological problems. Their use could be beneficial given how underdeveloped primary care mental health services are in Ireland.

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.

Sign in / Sign up

Export Citation Format

Share Document