Meta-Analysis of Treatment for Child Sexual Behavior Problems: Practice Elements and Outcomes
Date
2008
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Publisher
Child Maltreatment
Abstract
This meta-analysis of 11 treatment outcome studies evaluated 18 specific treatments of sexual behavior problems (SBP) as a primary or secondary target. Specifically, it examines relations among child characteristics, treatment characteristics (including practice elements), and short-term outcome (including sexual and general behavior problems). Utilizing pre- and postintervention results, the overall degree of change over the course of treatment was estimated at a 0.46 and 0.49 standard deviation decline in SBP and general behavior problems, respectively. As hypothesized, the caregiver practice element Parenting/Behavior Management Skills (BPT) predicted the Child Sexual Behavior Inventory (and the Child Behavior Checklist when BPT was combined with caregiver Rules about Sexual Behaviors). In contrast, practice elements that evolved from Adult Sex Offender (ASO) treatments were not significant predictors. BPT and preschool age group provided the best model fit and more strongly predicted outcome than broad treatment type classifications (e.g., Play Therapy or Cognitive Behavior Therapy). Results question current treatments for children with SBP that are based on ASO models of treatment without caregiver involvement. (Author Abstract)
Description
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Keywords
child abuse, therapy, research, effectiveness, review
Citation
Amand, Annick St. ; Bard, David E. ; Silovsky, Jane F. (2008). Meta-Analysis of Treatment for Child Sexual Behavior Problems: Practice Elements and Outcomes. Child Maltreatment, 13(2), 145-166.