TY  - JOUR
PY  - 2016//
TI  - Structured trauma-focused CBT and unstructured play/experiential techniques in the treatment of sexually abused children: a field study with practicing clinicians
JO  - Child maltreatment
A1  - Allen, Brian
A1  - Hoskowitz, Natalie Armstrong
SP  - 112
EP  - 120
VL  - 22
IS  - 2
N2  - Structured, trauma-focused cognitive-behavioral therapy (CBT) techniques are widely considered an effective intervention for children who experienced sexual abuse. However, unstructured (i.e., nondirective) play/experiential techniques have a longer history of widespread promotion and are preferred by many practicing clinicians. No evidence is available, however, to determine how the integration of these techniques impacts treatment outcome. In this study, community-based clinicians who received training in a structured, trauma-focused cognitive-behavioral intervention administered pretreatment and posttreatment evaluations to 260 sexually abused children presenting with elevated posttraumatic stress. In addition, they completed a questionnaire describing the treatment techniques implemented with each child. Overall, significant improvement was observed for each of the six clinical outcomes. Regression analyses indicated that technique selection was a significant factor in posttreatment outcome for posttraumatic stress, dissociation, anxiety, and anger/aggression. In general, a greater utilization of the structured CBT techniques was related to lower posttreatment scores, whereas a higher frequency of play/experiential techniques was associated with higher posttreatment scores. However, no interaction effects were observed. The implication of these findings for clinical practice and future research are examined.<br><br>© The Author(s) 2016.<p />  <p>Language: en</p>
LA  - en
SN  - 1077-5595
UR  - http://dx.doi.org/10.1177/1077559516681866
ID  - ref1
ER  -