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Clinical Trial
. 1997 Sep;36(9):1228-35.
doi: 10.1097/00004583-199709000-00015.

A treatment study for sexually abused preschool children: outcome during a one-year follow-up

J A Cohen  1 , A P Mannarino
Affiliations
Clinical Trial

A treatment study for sexually abused preschool children: outcome during a one-year follow-up

J A Cohen et al. J Am Acad Child Adolesc Psychiatry. 1997 Sep.

Abstract

Objective: Treatment outcome in sexually abused preschool children was evaluated 6 and 12 months after treatment.

Method: Forty-three sexually abused preschool children and their parents were evaluated 6 and 12 months after completion of either Cognitive-Behavioral Therapy for Sexually Abused Preschoolers (CBT-SAP) or nondirective supportive therapy (NST). Parents completed the Child Behavior Checklist, Child Sexual Behavior inventory, and Weekly Behavior Report to measure a variety of symptoms in their children.

Results: Repeated-measures analyses indicated that there were significant group by time interactions on several outcome measures from the beginning of the study to the end of the 12-month follow-up period, with the CBT-SAP group exhibiting significantly more improvement over time than the NST group. Clinical findings also indicated the superior effectiveness of CBT-SAP over NST in reducing sexually inappropriate behavior.

Conclusions: Findings support the superior efficacy of CBT-SAP over NST in maintaining symptom reduction in the year after treatment completion. The importance of using cognitive-behavioral interventions for sexually inappropriate behaviors and including nonoffending parents in the treatment of sexually abused preschool children is discussed.

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