儿童性虐待常见后果的治疗效果：一项当前的荟萃分析。
Treatment Effects for Common Outcomes of Child Sexual Abuse: A Current Meta-Analysis.
作者信息
Trask Emily V, Walsh Kate, Dilillo David
机构信息
University of Nebraska-Lincoln, 238 Burnett Hall, Lincoln, NE 68588-0308.
出版信息
Aggress Violent Behav. 2011 Jan;16(1):6-19. doi: 10.1016/j.avb.2010.10.001.
Abstract
The present meta-analysis examined the effects of psychosocial treatments at reducing deleterious outcomes of sexual abuse. The meta-analysis included a total of 35 published and unpublished studies written in English, focusing on youth under the age of 18, and evaluating the effectiveness of treatments for the most common negative outcomes of sexual abuse: PTSD symptoms, externalizing problems, and internalizing problems. Results revealed medium effect sizes for PTSD symptoms, externalizing problems, and internalizing problems following treatment for sexual abuse. This study also examined the potential moderating effects of treatment (e.g., modality, duration, inclusion of caregiver) and participant (e.g., age, gender, ethnicity) characteristics. Results indicated that longer interventions were associated with greater treatment gains while group and individual treatments were equally effective. These findings shed new light on treatment effectiveness and provide useful information regarding the conditions under which treatment may be most effective. Future directions for research in this area are discussed.
摘要
本荟萃分析考察了心理社会治疗在减少性虐待有害后果方面的效果。该荟萃分析共纳入了35项以英文撰写的已发表和未发表研究，聚焦于18岁以下青少年，并评估了针对性虐待最常见负面后果（创伤后应激障碍症状、外化问题和内化问题）的治疗效果。结果显示，针对性虐待进行治疗后，创伤后应激障碍症状、外化问题和内化问题的效应量为中等。本研究还考察了治疗（如治疗方式、持续时间、是否纳入照顾者）和参与者（如年龄、性别、种族）特征的潜在调节作用。结果表明，干预时间越长，治疗收益越大，而团体治疗和个体治疗同样有效。这些发现为治疗效果提供了新的见解，并提供了关于治疗可能最有效的条件的有用信息。本文还讨论了该领域未来的研究方向。
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