Meta Analysis of Trauma Focused Cognitive Behavior Therapy for Reducing Child Sexual Behaviour in Sexually Abused Children

Andini Damayanti, Ike Herdiana, Ilham Nur Alfian, Rahkman Ardi

Abstract


Child sexual abuse is known to cause adverse effects for its victims, one of them is problem sexual behavior. Problem sexual behavior is sexually oriented behavior done by child aged 12 years or younger and it is developmentally inappropriate or could be harmful for themselves and others. One of the longer term effect is the victim may become sexual offenders if not treated seriously. One of the intervention that can treat problem sexual behavior is Trauma Focused Cognitive Behaviour Therapy or TF-CBT. This review aims to determine the effectivity of TF-CBT. The studies are collected from Science Direct, ProQuest, Sage Journal, Springer Link, Scopus, EBSCO and several repository. The inclusion criteria used are the studies must be RCT, subjects are child victim of sexual abuse who showed problem sexual behavior, the behavior is measured with CSBI (Child Sexual Behavior Inventory) and used TF-CBT as intervention. The result shows that the use of TF-CBT may not be effective for decreasing problem sexual behavior. There are some factors that affect the effectivity of TF-CBT, such as participant’s age, cognition, intensity of trauma and other psychological disorders. However, TF-CBT is potential for decreasing problem sexual behavior because it is directive and uses various behavioral strategies.


Full Text:

PDF

References


Allen, B. (2018). Implementing trauma-focused cognitive-behavioral therapy (TF-CBT) with preteen children displaying problematic sexual behavior. Cognitive and Behavioral Practice, 25(2), 240–249. https://doi.org/10.1016/j.cbpra.2017.07.001

Amand, A. S., Bard, D. E., & Silovsky, J. F. (2008). Meta-analysis of treatment for child sexual behavior problems: Practice elements and outcomes. Child Maltreatment, 13(2), 145–166. https://doi.org/10.1177/1077559508315353

Carpentier, M. Y., Silovsky, J. F., & Chaffin, M. (2006). Randomized trial of treatment for children with sexual behavior problems: ten-year follow-up. Journal of Consulting and Clinical Psychology, 74(3), 482. https://doi.org/10.1037/0022-006X.74.3.482

Cash, R. O. (2002). Predicting sexual abuse status among preschool-aged children using the child sexual behavior inventory (dissertation). ProQuest Information and Learning Company , Ann Arbor, MI.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Routledge: New York.

Cohen, J. A., & Mannarino, A. P. (1996). A treatment outcome study for sexually abused preschool children: Initial findings. Journal of the American Academy of Child & Adolescent Psychiatry, 35(1), 42-50. https://doi.org/10.1097/00004583-199601000-00011

Cohen, J. A., & Mannarino, A. P. (1997). A treatment study for sexually abused preschool children: Outcome during a one-year follow-up. Journal of the American Academy of Child & Adolescent Psychiatry, 36(9), 1228-1235. https://doi.org/10.1097/00004583-199709000-00015

Cohen, J. A., & Mannarino, A. P. (1998). Interventions for sexually abused children: Initial treatment outcome findings. Child maltreatment, 3(1), 17-26. https://doi.org/10.1177/1077559598003001002

Cohen, J. A., Deblinger, E., Mannarino, A. P., & Steer, R. A. (2004). A multisite, randomized controlled trial for children with sexual abuse–related ptsd symptoms. Journal of the American Academy of Child & Adolescent Psychiatry, 43(4), 393–402. https://doi.org/10.1097/00004583-200404000-00005

Cohen, J. A., Mannarino, A. P., & Knudsen, K. (2005). Treating sexually abused children: 1 year follow-up of a randomized controlled trial. Child abuse & neglect, 29(2), 135-145. https://doi.org/10.1016/j.chiabu.2004.12.005

Cohen, J. A., Berliner, L., & Mannarino, A. (2010). Trauma focused CBT for children with co-occurring trauma and behavior problems. Child abuse & neglect, 34(4), 215-224. https://doi.org/10.1016/j.chiabu.2009.12.003

Deblinger, E., Stauffer, L. B., & Steer, R. A. (2001). Comparative efficacies of supportive and cognitive behavioral group therapies for young children who have been sexually abused and their nonoffending mothers. Child Maltreatment, 6(4), 332–343.

https://doi.org/10.1177/1077559501006004006

Deeks, J., Higgins, J & Altman, D. (2019). Analysing data and undertaking meta-analyses. In: Higgins, J., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M., Welch, V (Eds). Cochrane handbook for systematic review of interventions. (pp. 241-284). Chichester: John Wiley & Sons.

Ensink, K., Godbout, N., Bigras, N., Lampron, J., Sabourin, S., & Normandin, L. (2018). Persistent and transitory sexualized behavior problems in children. Child Psychiatry & Human Development, 49(4), 621–631. https://doi.org/10.1007/s10578-017-0778-0

Kendall-Tackett, K. A., Williams, L. M., & Finkelhor, D. (1993). Impact of sexual abuse on children: A review and synthesis of recent empirical studies. Psychological Bulletin, 113(1), 164–180. https://doi.org/10.1037/0033-2909.113.1.164

Lalor, K., & Mcelvaney, R. (2010). Child sexual abuse, links to later sexual exploitation/high-risk sexual behavior, and prevention/treatment programs. Trauma, Violence, & Abuse, 11(4), 159–177. https://doi.org/10.1177/1524838010378299

Lambert, M.J & Vermeersch, D. (2002). Effectiveness of psychotheraphy. In: Hersen, M., & Sledge, W. (Eds.) Encyclopedia of psychotherapy volume 1. (pp. 709-714). Cambridge, MA: Academic Press.

Maniglio, R. (2009). The impact of child sexual abuse on health: A systematic review of reviews. Clinical Psychology Review, 29(7), 647–657. https://doi.org/10.1016/j.cpr.2009.08.003

Mesman, G. R., Harper, S. L., Edge, N. A., Brandt, T. W., & Pemberton, J. L. (2019). Problematic sexual behavior in children. Journal of Pediatric Health Care, 33(3), 323–331. https://doi.org/10.1016/j.pedhc.2018.11.002

Mohlman, J., & Gorman, J. M. (2005). The role of executive functioning in CBT: a pilot study with anxious older adults. Behaviour research and therapy, 43(4), 447-465. https://doi.org/10.1016/j.brat.2004.03.007

Narang, J., Schwannauer, M., Quayle, E., & Chouliara, Z. (2019). Therapeutic interventions with child and adolescent survivors of sexual abuse: A critical narrative review. Children and Youth Services Review, 107, 104559. https://doi.org/10.1016/j.childyouth.2019.104559

Neenan, M. (2012) Common myths and misconceptions about CBT. In: Dryden, W & Branch, R (Eds). The CBT handbook. (pp. 65-81). London: Sage Publications.

Pinandhita, V. (2020, 01 10). 2020 Kekerasan pada anak tak menurun. Diambil kembali dari lokadata.com: https://lokadata.id/artikel/2020-kekerasan-pada-anak-tak-menurun

Rumble, L., Febrianto, R. F., Larasati, M. N., Hamilton, C., Mathews, B., & Dunne, M. P. (2018). Childhood sexual violence in Indonesia: A systematic review. Trauma, Violence, & Abuse, 21(2), 284-299. https://doi.org/10.1177/1524838018767932

Sanchez-Meca, J., Rosa-Alcazar, A.I., Lopez-Soler, C. (2011). The psychological treatment of sexual abuse in children and adolescents: A meta-analysis. International Journal of Clinical and Health Psychology, 11(1), 67-93.

Sprang, G., Craig, C. D., Clark, J. J., Vergon, K., Tindall, M. S., Cohen, J., & Gurwitch, R. (2013). Factors affecting the completion of trauma-focused treatments: What can make a difference?. Traumatology, 19(1), 28-40. https://doi.org/10.1177/1534765612445931

Stoltenborgh, M., Bakermans-Kranenburg, M. J., Alink, L. R. A., & Ijzendoorn, M. H. V. (2014). The prevalence of child maltreatment across the globe: Review of a series of meta-analyses. Child Abuse Review, 24(1), 37–50. https://doi.org/10.1002/car.2353

Tarren-Sweeney, M. (2008). Predictors of problematic sexual behavior among children with complex maltreatment histories. Child Maltreatment, 13(2), 182–198. https://doi.org/10.1177/1077559508316043

Thomas, B. H., Ciliska, D., Dobbins, M., & Micucci, S. (2004). A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions. Worldviews on Evidenceâ€Based Nursing, 1(3), 176-184. https://doi.org/1545-102X1/04

Uyun, Z. (2015). Kekerasan seksual pada anak: Stres pasca trauma. Seminar Nasional Psikologi UMS (hal. 228-238). Surakarta: Fakultas Psikologi Universitas Muhammadiyah Surakarta.

Wamser-Nanney, R., & Campbell, C. L. (2019). Children’s sexual behavior problems: An ecological model using the LONGSCAN data. Child Abuse & Neglect, 96. https://doi.org/10.1016/j.chiabu.2019.104085




DOI: http://dx.doi.org/10.12928/jehcp.v11i3.23597

Refbacks

  • There are currently no refbacks.


JOURNAL OF EDUCATIONAL, HEALTH, COMMUNITY PSYCHOLOGY
Program Pascasarjana Magister Psikologi
Universitas Ahmad Dahlan Yogyakarta
Penerbit UAD Press

ISSN Printed 2088-3129 ISSN Online 2460 8467
EMAIL: jehcp@psy.uad.ac.id
 

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

View My Stats