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J Am Acad Child Adolesc Psychiatry. 1997 Sep;36(9):1228-35.

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

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Department of Psychiatry, Allegheny University of the Health Sciences, Pittsburgh, PA, USA.



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


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.


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.


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.

[Indexed for MEDLINE]

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