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Treating sexually abused children: 1 year follow-up of a randomized controlled trial
Judith A Cohen1, Anthony P Mannarino, Kraig Knudsen
1Drexel University College of Medicine, Allegheny General Hospital, Department of Psychiatry, Four Allegheny Center, 8th Floor, Pittsburgh, PA 15212, USA.
Objective:
To measure the durability of improvement in response to two alternative treatments for sexually abused children.
Method:
Eighty-two sexually abused children ages 8-15 years old and their primary caretakers were randomly assigned to trauma-focused cognitive-behavioral therapy (TF-CBT) or non-directive supportive therapy (NST) delivered over 12 sessions; this study examines symptomatology during 12 months posttreatment.
Data Analysis:
Intent-to-treat and treatment completer repeated measures analyses were conducted.
Results:
Intent-to-treat indicated significant group x time effects in favor of TF-CBT on measures of depression, anxiety, and sexual problems. Among treatment completers, the TF-CBT group evidenced significantly greater improvement in anxiety, depression, sexual problems and dissociation at the 6-month follow-up and in PTSD and dissociation at the 12-month follow-up.
Conclusion:
This study provides additional support for the durability of TF-CBT effectiveness.
