Allen Brian, Timmer Susan G, Urquiza Anthony J
Penn State Hershey Children's Hospital, Hershey, PA, USA.
UC Davis Children's Hospital, Sacramento, CA, USA.
Child Abuse Negl. 2016 Jun;56:80-8. doi: 10.1016/j.chiabu.2016.04.008. Epub 2016 May 6.
The current study examines whether an evidence-based treatment for externalizing behavior problems may reduce sexual concerns among children with maltreatment histories. An archival analysis identified 44 children between the ages of 3 and 8 exhibiting externalizing problems and co-morbid sexual concerns who were treated using Parent-Child Interaction Therapy (PCIT). A second group of children receiving PCIT for externalizing behaviors without sexual concerns was included for comparison purposes (n=143). Wilcoxon Signed-Ranks Tests indicated significant improvement among the group with sexual concerns, with 63.6% of children no longer displaying clinically significant sexual concerns at post-treatment. In addition, these children showed a decline in general externalizing problems comparable to that observed among the group of children receiving PCIT and not displaying sexual concerns. Lastly, logistic regression analyses showed that pre-treatment posttraumatic stress scores did not moderate improvement of sexual concerns, suggesting that posttraumatic stress-related sexual concerns may improve from PCIT treatment. These findings suggest that evidence-based parent training interventions, specifically PCIT, may successfully reduce sexual concerns among children who experienced maltreatment.
本研究探讨一种针对外化行为问题的循证治疗方法是否可以减少有虐待史儿童的性相关问题。一项档案分析确定了44名年龄在3至8岁之间、表现出外化问题且伴有性相关共病问题的儿童，他们接受了亲子互动疗法（PCIT）治疗。为了进行比较，纳入了另一组接受PCIT治疗外化行为但无性相关问题的儿童（n = 143）。威尔科克森符号秩检验表明，有性相关问题的儿童组有显著改善，63.6%的儿童在治疗后不再表现出具有临床意义的性相关问题。此外，这些儿童的总体外化问题有所下降，与接受PCIT治疗且无性相关问题的儿童组观察到的情况相当。最后，逻辑回归分析表明，创伤后应激障碍的治疗前得分并未调节性相关问题的改善情况，这表明与创伤后应激障碍相关的性相关问题可能通过PCIT治疗得到改善。这些发现表明，循证的家长培训干预措施，特别是PCIT，可能成功减少经历过虐待儿童的性相关问题。
