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Effects of a Psychoeducational Group Intervention for Children Victims of Sexual Abuse

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Abstract

This study evaluated the effects of a group intervention for child (6–12 years old) victims of sexual abuse. A sample of 51 children involved in a group psychoeducational intervention offered by a community center were contrasted to a sample of 39 children from a comparison group. Participants in the group intervention reported fewer anxiety and posttraumatic symptoms and relied less on avoidance coping to deal with the sexual abuse than children in the comparison group. The intervention was associated with fewer parent-reported behavior problems. Marginal effects were highlighted for depression and dissociation. Gender of the child, age group, and the type of abuse were not linked to outcomes. Children dropping out of treatment were perceived by parents as presenting higher behavioral problems at initial evaluation and were more likely to live in foster families.

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References

  • Abella, A., & Manzano, J. (2000). Les ruptures de traitement (drop-out) en pédopsychiatrie: Une revue [Treatment drop-out in child psychiatric services: A review]. Archives Suisses de Neurologie et de Psychiatrie, vn3, 86–92.

    Google Scholar 

  • Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age forms and profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, and Families.

    Google Scholar 

  • Alexander, P. C., Neimeyer, R. A., Follette, V. M., Moore, M. K., & Harter, S. (1989). A comparison of group treatments of women sexually abused as children. Journal of Consulting and Clinical Psychology, 57, 479–483.

    Article  PubMed  Google Scholar 

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.

    Google Scholar 

  • Bagley, C., & Young, L. (1998). Long-term evaluation of group counselling for women with a history of child sexual abuse: Focus on depression, self-esteem, suicidal behaviors and social support. Social Work with Groups, 21(3), 63–73.

    Article  Google Scholar 

  • Barker-Collo, S., & Read, J. (2003). Models of response to childhood sexual abuse: Their implications for treatment. Trauma, Violence, & Abuse, 4(2), 95–111.

    Article  Google Scholar 

  • Basu, A., Malone, J. C., Levendosky, A. A., & Dubay, S. (2009). Longitudinal treatment effectiveness outcomes of a group intervention for women and children exposed to domestic violence. Journal of Child and Adolescent Trauma, 2(2), 90–105.

    Article  Google Scholar 

  • Boisvert, I., Tourigny, M., & Paquette, G. (2008). Caractéristiques associées à l’abandon de la thérapie de groupe par des adolescentes victimes d’agression sexuelle [Factors linked to treatment dropout from group therapy for teenagers victims of sexual abuse]. Revue québécoise de psychologie, 29(3), 133–145.

    Google Scholar 

  • Callahan, K. L., Price, J. L., & Hilsenroth, M. J. (2004). A review of interpersonal-psychodynamic group psychotherapy outcomes for adult survivors of childhood sexual abuse. International Journal of Group Psychotherapy. 54, 491–519.

    Article  PubMed  Google Scholar 

  • Causey, D. L., & Dubow, E. F. (1992). Development of a self-report coping measure for elementary school children. Journal of Clinical Child Psychology, 21(1), 47–59.

    Article  Google Scholar 

  • Chaffin, M., & Schultz, S. K. (2001). Psychometric evaluation of the Children’s Impact of Traumatic Events Scale-Revised. Child Abuse & Neglect, 25, 401–411.

    Article  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Courtois, C. A. (1988). Healing the incest wound: Adult survivors in therapy. New York, NY: Norton. a]Daigneault, I., Hébert, M., & McDuff, P. (2009). Men’s and women’s childhood sexual abuse and victimization in adult partner relationships: A study of risk factors. Child Abuse & Neglect, 33, 638–647.

    Google Scholar 

  • De Luca, R. V., Boyes, D. A., Furer, P., Grayston, A. D., & Hiebert-Murphy D. (1992). Group treatment for child sexual abuse. Canadian Psychology, 33, 168–179.

    Article  Google Scholar 

  • De Luca, R. V., Boyes, D. A., Grayston, A. D., & Romano, E. (1995). Sexual abuse: Effects of group therapy on pre-adolescent girls. Child Abuse Review, 4(4), 263–277.

    Article  Google Scholar 

  • Dimitrov, D. M., & Rumrill, P. (2003). Pretest-posttest designs in rehabilitation research. WORK: A Journal of Prevention, Assessment, & Rehabilitation, 20(2), 159–165.

    Google Scholar 

  • Fernandez, M. A., & Eyberg, S. M. (2009). Predicting treatment and follow-up attrition in parent-child interaction therapy. Journal of Abnormal Child Psychology, 37, 431–441.

    Article  PubMed  Google Scholar 

  • Folkman, S., & Moskowitz, J. T. (2004). Coping: Pitfalls and promise. Annual Review of Psychology, 55, 745–774.

    Article  PubMed  Google Scholar 

  • Follette, V. M., Alexander, P. C., & Follette, W. C. (1991). Individual predictors of outcome in group treatment for incest survivors. Journal of Consulting and Clinical Psychology, 59(1), 150–155.

    Article  PubMed  Google Scholar 

  • Harter, S. (1985). Manual for the Perceived Competence Scale for Children. Denver, CO: University of Denver Press.

    Google Scholar 

  • Hébert, M., Daigneault, I., Collin-Vézina, D., & Cyr, M. (2007). Factors linked to distress in mothers of children disclosing sexual abuse. Journal of Nervous and Mental Disease, 195, 805–811.

    Article  PubMed  Google Scholar 

  • Hébert, M., Parent, N., & Daignault, I. V. (2007). The French-Canadian version of the Self-Report Coping Scale: Estimates of reliability, validity and development of a short form. Measurement and Evaluation in Counseling and Development, 40, 2–15.

    Google Scholar 

  • Hébert, M., & Tourigny, M. (2004). Child sexual abuse prevention: A review of evaluative studies and recommendations for program development. In S. P. Shohov (Ed.), Advances in psychology research (Vol. 32; pp. 111–143). New York, NY: Nova Science Publisher.

    Google Scholar 

  • Hébert, M. Tourigny, M., Cyr, M., McDuff, P., & Joly, J. (2009). Prevalence of childhood sexual abuse and timing of disclosure in a representative sample of adults from the province of Quebec. Canadian Journal of Psychiatry, 54, 631–636.

    Google Scholar 

  • Hébert, M., Tremblay, C., Parent, N., Daignault, I. V., & Piché, C. (2006). Correlates of behavioral outcomes in sexually abused children. Journal of Family Violence, 21(5), 287–299.

    Article  Google Scholar 

  • Hetzel-Riggin, M. D., Brausch, A. M., & Montgomery, B. S. (2007). A meta-analytic investigation of therapy modality outcomes for sexually abused children and adolescents: An exploratory study. Child Abuse and Neglect, 31(2), 125–141.

    Article  PubMed  Google Scholar 

  • Kenny, M. C., Capri, V., Thakkar-Kolar, R. R., Ryan, E. E., & Runyon, M. K. (2008). Child sexual abuse: From prevention to self-protection. Child Abuse Review, 17(1), 36–54.

    Article  Google Scholar 

  • Kessler, M. R., White, M. B., & Nelson, B. S. (2003). Group treatments for women sexually abused as children: A review of the literature and recommendations for future outcome research. Child Abuse & Neglect, 27, 1045–1061.

    Article  Google Scholar 

  • Kovacs, M. (1985). The Children’s Depression Inventory (CDI). Psychopharmocology Bulletin, 21, 995–998.

    Google Scholar 

  • Kovacs, M. (1992). Children’s Depression Inventory manual. North Tonawanda, NY: Multi-Health Systems.

    Google Scholar 

  • Lovett, B. B. (1995). Child sexual abuse: the female victim’s relationship with her nonoffending mother. Child Abuse & Neglect, 19, 729–738.

    Article  Google Scholar 

  • Malinosky-Rummell, R. R., & Hoier, T. S. (1991). Validating measures of dissociation in sexually abused and nonabused children. Behavioral Assessment, 13, 341–357.

    Google Scholar 

  • McCrone, P. R., Weeramanthri, T., Knapp, M. R. J., Rushton, A., Trowell, J., Miles, G., & Kolvin, I. (2005). Cost-effectiveness of individual versus group psychotherapy for sexually abused girls. Child and Adolescent Mental Health, 10(1), 26–31.

    Article  Google Scholar 

  • Pereda, N., Guilera, G., Forns, M., & Gomez-Benito, J. (2009). The prevalence of child sexual abuse in community and student samples: A meta-analysis. Clinical Psychology Review, 29, 328–338.

    Article  PubMed  Google Scholar 

  • Putnam, F. W. (2003). Ten-year research update review: Child sexual abuse. Journal of the American Academy of Child and Adolescent, 42(3), 269–278.

    Article  Google Scholar 

  • Putnam, F. W., Helmers, K., & Trickett, P. K. (1993). Development, reliability, and validity of a child dissociation scale. Child Abuse & Neglect, 17, 731–741.

    Article  Google Scholar 

  • Putnam, F. W., & Peterson, G. (1994). Further validation of the Child Dissociative Checklist. Dissociation, 7(4), 204–211.

    Google Scholar 

  • Ramchandani, P., & Jones, D. P. H. (2003). Treating psychological symptoms in sexually abused children: From research findings to service provision. British Journal of Psychiatry, 183, 484–490.

    Article  PubMed  Google Scholar 

  • Reeker, J., Ensing, D., & Elliott, R. (1997). A meta-analytic investigation of group treatment outcomes for sexually abused children. Child Abuse & Neglect, 21, 669–680.

    Article  Google Scholar 

  • Renk, K., Donnelly, R., Roddenberry, A., & Baksh, E. (2008). Child and adolescent sexual abuse: Prevention endeavors. In C. Hilarski, J. S. Wodarski, & M. Feit (Eds.), Handbook of social work in child and adolescent sexual abuse (pp. 229–251). Binghamton, NY: Haworth.

    Google Scholar 

  • Reynolds, C. R., & Richmond, B. O. (1985). Revised Children’s Manifest Anxiety Scale (RCMAS) manual. Los Angeles, CA: TWestern Psychological Services.

    Google Scholar 

  • Richter, N. L., Snider, E., & Gorey, K. M. (1997). Group work intervention with female survivors of childhood sexual abuse. Research on Social Work Practice, 7, 53–69.

    Google Scholar 

  • Ross, G., & O’Carroll, P. (2004). Cognitive behavioural psychotherapy intervention in childhood sexual abuse: Identifying new directions from the literature. Child Abuse Review, 13, 51–64.

    Article  Google Scholar 

  • Roth, S., & Cohen, L. J. (1986). Approach, avoidance, and coping with stress. American Psychologist, 41, 813–819.

    Article  PubMed  Google Scholar 

  • Silverman, W. K., Ortiz, C. D., Viswesvaran, C., Burns, B. J., Kolko, D. J., Putnam, F. W., & Amaya-Jackson, L. (2008). Evidence-based psychosocial treatments for children and adolescents exposed to traumatic events. Journal of Clinical Child and Adolescent Psychology, 37(1), 156–183.

    Article  PubMed  Google Scholar 

  • Simoneau, A.-C., Hébert, M., & Tourigny, M. (2008a). Recension des études évaluatives des interventions de groupe destinées aux enfants de six à douze ans victimes d’agression sexuelle [A review of evaluative studies of group interventions designed for children ages 6 to 12 victims of sexual abuse]. Revue de psychoéducation, 37(2), 245–288.

    Google Scholar 

  • Simoneau, A.-C., Hébert, M., & Tourigny, M. (2008b). Évaluation d’une intervention de groupe pour enfants de six à treize ans victimes d’agression sexuelle [Evaluation of an intervention for children ages 6 to 13 victims of sexual abuse]. Revue québécoise de psychologie, 29(3), 27–43.

    Google Scholar 

  • Sitarenios, G., & Kovacs, M. (1999). Use of the CDI. In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment (pp. 267-298). Mahwah, NJ: Erlbaum.

    Google Scholar 

  • Smithson, M. (2002). Confidence intervals: Quantitative applications in the social sciences series, No. 140. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Stevenson, J. (1999). The treatment of the long-term sequelae of child abuse. Journal of Child Psychology and Psychiatry and Allied Disciplines, 40(1), 89–111.

    Article  Google Scholar 

  • St-Laurent, L. (1990). Étude psychométriques de l’inventaire de la dépression pour enfants de Kovacs auprès d’un échantillon francophone [Psychometric properties of Kovacs’ Child Depression Inventory in a Francophone sample]. Revue Canadienne des Sciences du Comportement, 22, 377–384.

    Article  Google Scholar 

  • Tourigny, M. (1997). Efficacité des interventions pour enfants abusés sexuellement: Une recension des écrits [Efficacy of interventions for children victims of sexual abuse: A review]. Revue canadienne de psycho-éducation, 26(1), 39–69.

    Google Scholar 

  • Westbury, E., & Tutty, L. M. (1999). The efficacy of group treatment for survivors of childhood abuse. Child Abuse & Neglect, 23(1), 31–44.

    Article  Google Scholar 

  • Whiffen, V. E., & MacIntosh, H. B. (2005). Mediators of the link between childhood sexual abuse and emotional distress. Trauma, Violence, & Abuse, 6(1), 24–39.

    Article  Google Scholar 

  • Wierzbicki, M., & Pekarik, G. (1993). A meta-analysis of psychotherapy dropout. Professional Psychology, Research and Practice, 24(2), 190–195.

    Article  Google Scholar 

  • Wolfe, V. V. (1996). Measuring post-traumatic stress disorder: The Children’s Impact of Traumatic Events Scale-Revised. APSAC Advisor, 9, 25–26.

    Google Scholar 

  • Wolfe, V. V. (2002). The Children’s Impact of Traumatic Events Scale II (CITES-II). Unpublished assessment instrument. (Available from V. V. Wolfe, Child and Adolescent Centre, London Health Sciences Centre, 346 South St., London, Ontario N6A 4G5, Canada.)

    Google Scholar 

  • Wolfe, V. V. (2007). Child sexual abuse. In E. J. Mash & R. A. Barkley (Eds.), Assessment of childhood disorders (4th ed.; pp. 685–748). New York, NY: Guilford.

    Google Scholar 

  • Wolfe, V. V., Gentile, C., & Bourdeau, P. (1987). History of Victimization Form. Unpublished assessment instrument, London Health Science Centre, London, Ontario, Canada.

    Google Scholar 

  • Wolfe, V. V., Wolfe, D. A., Gentile, C., & LaRose, L. (1987). Children’s Impact of Traumatic Events Scale-Revised. Unpublished manuscript, University of Western Ontario, London, Ontario, Canada.

    Google Scholar 

  • Zlotnick, C., Shea, T. M., Rosen, K., Simpson, E., Mulrenin, K., Begin, A., & Pearlstein, T. (1997). An affect-management group for women with posttraumatic stress disorder and histories of childhood sexual abuse. Journal of Traumatic Stress, 10, 425–436.

    PubMed  Google Scholar 

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Correspondence to Martine Hébert.

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Hébert, M., Tourigny, M. Effects of a Psychoeducational Group Intervention for Children Victims of Sexual Abuse. Journ Child Adol Trauma 3, 143–160 (2010). https://doi.org/10.1080/19361521003726930

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