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The Effectiveness of an Individual Cognitive-Behavioral Treatment for Physically Abused Children

Abstract

The aim of this study was to describe a case series of physically abused children who received an individual cognitive-behavioral treatment program. Seven physically abused children took part in 14 weeks of twice weekly individual therapy. The treatment program was developed with a focus on gradual exposure and on cognitive and emotional processing. The children were assessed before and after treatment using measures of post-traumatic stress, anxiety, depression, anger, and attribution style. Significant improvements were found in depression, anxiety, post-traumatic stress, feeling different from peers and interpersonal distrust. The implications and limitations of this study were discussed with suggestions for future study.

keywords
physical abuse, PTSD, treatment outcome, cognitive behavioral therapy, individual therapy, case series, 신체적 학대, 외상 후 스트레스 장애, 치료 효과, 인지행동치료, 개인치료, 점진적 노출

Reference

1.

고성혜 (1992). 아동학대 개념규정 및 아동학대에 대한 모․자녀의 지각성향. 서울대학교 박사학위 청구논문.

2.

김종세 (2008). 아동인권과 아동 학대 - 아동인권수준 제고방안. 법학연구, 31, 47-76.

3.

김정준 (1987). 교사가 인식한 영세지역 새마을유치원 어린이의 학대에 관한 연구. 중앙대학교 석사학위 청구논문.

4.

김현수 (1997). 부모로부터의 학대 및 방임 경험과 아동의 또래간 공격성 및 피공격성. 서울대학교 석사학위 청구논문.

5.

김혜영, 석말숙 (2003). 아동기 학대적 경험이 자녀학대에 미치는 영향력에 관한 연구: 개인특성 및 가족관계의 매개효과를 중심으로. 한국아동복지학, 16, 71-97.

6.

남순현, 최희경 (2006). 신체학대, 공격성 및 아동기 비행간의 관계: 모녀를 중심으로. 한국심리학회지: 상담 및 심리치료, 18, 897-909.

7.

신혜영, 최혜림 (2003). 부모로부터의 학대경험과 공격성 및 대인불안간의 관계-초등학교 고학년 아동을 중심으로. 한국심리학회지: 상담 및 심리치료, 15, 295-307.

8.

여성부 (2008). 2007년 전국 가정폭력실태조사.

9.

이주연, 박성연 (1996). 아동학대유형에 따른 또래수용과 인성특성. 대한가정학회지, 34, 21-34.

10.

이지연, 오경자 (2008). 아동 학대 경험이 대학생의 데이트 폭력에 미치는 영향: 폭력에 대한 태도와 분노조절의 매개 효과. 한국심리학회 2008 연차학술대회 논문집, 586-587.

11.

중앙아동보호전문기관 (2007). 전국아동학대현황보고서. 보건복지가족부.

12.

허남순 (2001). 피학대 경험이 아동의 사회성 발달에 미치는 영향. 한림대학교 사회복지대학원 석사학위 청구논문.

13.

Ackerman, P. T., Newton, J. E. O., McPherson, W. B., Jones, J. G., & Dykman, R. A. (1998). Prevalence of post-traumatic stress disorder and other psychiatric diagnoses in three groups of abused children(sexual, physical, and both). Child Abuse & Neglect, 22, 759-774.

14.

Acton, R. G., & During, S. M. (1992). Preliminary results of aggression management training for aggressive parents. Journal of Interpersonal Violence, 7, 410-417.

15.

Briere, J. (1996). Trauma Symptom Checklist for Children, Professional Manual. Psychological Assessment Resources, Inc.

16.

Brown, E. J. & Kolko, D. J. (1999). Child victims' attributions about being physically abused: an examination of factors associated with symptom severity. Journal of abnormal child psychology, 27, 311-322.

17.

Chaffin, M., Silovsky, J. F., Funderbu가, B., Valle, L. A., Brestan, E. V., & Balachova, T. (2004). Parent-child interaction therapy with physically abusive parents: Efficacy for reducing future abuse reports. Journal of Consulting and Clinical Psychology, 72, 500-510.

18.

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 American academy child adolescent psychiatry, 43, 393-402.

19.

Cohen, J. A., & Mannarino, A. P. (2002). Addressing attributions in treating abused children, Child Maltreatment, 7, 81-84.

20.

Crittenden, P. M. (1988). Relationships at Risk. In J. Belsky & T. Nezworski (Eds.), Clinical Implications of Attachment. Lawrence Erlbaum Associates, Inc.

21.

Crouch, J. L., Milner, J. S., & Thomsen, C. (2001). Childhood physical abuse, early social support, and risk for maltreatment: Current social support as a mediator of risk for child physical abuse. Child Abuse & Neglect, 25, 93-107.

22.

Deblinger, E., & Heflin, A. H. (1996b). Treating Sexually Abused Children and Their Nonoffending Parents: A Cognitive-Behavioral Approach. SAGE Publications.

23.

Deblinger, E., Lippmann, J., & Steer, R. A. (1996). Sexually abused children suffering post-traumatic stress symptoms: initial treatment outcome findings. Child Maltreatment. 1, 310-321.

24.

Deblinger, E., Mcleer, S. V., Atkins, M. S., Ralphe, D., & Foa, E. (1989). Post-traumatic stress in sexually abused, physically abused and nonabused children. Child Abuse & Neglect, 13, 403-408.

25.

Debling, E., Steer, R. A., & Lippman, J. (1999). Two-year follow-up study of cognitive behavioral therapy for sexually abused children suffering post-traumatic stress symptoms. Child Abuse & Neglect, 23, 1371-1378.

26.

Dewitt, K. N. (1990). Psychological interventions for responses to stressful life events. California Psychologist, 22, 4-8.

27.

Famularo, R., Fenton, T., Augustyn, M., & Zuckerman, B. (1996). Persistence of pediatric post-traumatic stress disorder after two years. Child Abuse & Neglect, 20, 1245-1248.

28.

Finkelhor D. & Browne A. (1985). The traumatic impact of child sexual abuse: A conceptualization. American Journal of Orthopsychiatric, 55, 530-541.

29.

Foa, E. B., Dancu, C. V., Hembree, E. A., Jaycox, L. H., Measows, E. A., & Street, G. P. (1999). A comparison of exposure therapy, stress inoculation training, and their combination for reduced posttraumatic stress disorder in female assault victims. Journal of Consulting and Clinical Psychology, 67, 194-200.

30.

Foa, E. B., Hembree, E. A., Cahill, S. P., Rauch, S. A. M., Riggs, D. S., Feeny, N. C., & Yadin, E. (2005). Randomized trial of prolonged exposure for postraumatic stress disorder with and without cognitive restructuring: Outcome at academic and community clinics. Journal of Consulting and Clinical Psychology, 73, 953-964.

31.

Foa, E. B., Riggs, D. S., Massie, E. D., & Yarczower, M. (1995). The impact of fear activation and anger on the efficacy of exposure treatment for posttraumatic stress disorder. Behavior Therapy, 26, 487-499.

32.

Foa, E. B., Rothbaum, B. O., & Molnar, C. (1995). Cognitive behavioral therapy of post-traumatic stress disorder. Journal of Traumatic Stress, 8, 675-690.

33.

Foa, E. B., Rothbaum, B. O., Riggs, D., & Murdock, T. (1991). Treatment of post -traumatic stress disorder in rape victims: A comparison between cognitive-behavioral procedures and counseling. Journal of Consulting and Clinical Psychology, 59, 715-723.

34.

Follette, V. M., Ruzek, J. I., & Abueg, F. R. (1998). Cognitive-Behavioral Therapies for Trauma. The GuilFord Press.

35.

Friedman, M. J. (2000). Post traumatic stress disorder: The lastest assessment and treatment strategies. Kansas City, MO: Compact Clinicals.

36.

Galovski, T. E., & Resick, P. A. (2008). Cognitive processing therapy for posttraumatic stress disorder secondary to a motor vehicle accident: A single-subject report. Cognitive and Behavioral Practice, 15, 287-295.

37.

Gil, E. (1991). The Healing Power of Play: Working with Abused Children. New York: The Guilford Press.

38.

Harned, M. S., & Linehan, M. M. (2008). Integrating dialectical behavior therapy and prolonged exposure to treat co-occurring borderline personality disorder and PTSD: Two case studies. Cognitive and Behavioral Practice, 15, 263-276.

39.

Herman, J. (1992). Trauma and Recovery. Basic Books.

40.

Herrenkohl, R. C., Egolf, B. P., & Herrenkohl, E. C. (1997). Preschool antecedents of adolescent assaultive behavior: A longitudinal study. American Journal of Orthopsychiatry, 67, 422-432.

41.

Howes, C. & Espinosa, M. P. (1985). The consequences of child abuse for the formation of relationships with peers. Child Abuse & Neglect, 9, 307-404.

42.

James, B. (1989). Treating Traumatized Children: New Insight and Creative Interventions. N.Y.:The Free Press.

43.

Kolko, D. J. (1996). Individual cognitive behavioral treatment and family therapy for physically abused children and their offending parents: A comparison of clinical outcomes. Child Maltreatment, 1, 322-342.

44.

Kolko, D. J., Brown, E. J., & Berliner, L. (2002). Children's perceptions and their abusive experience: measurement and preliminary findings. Child Maltreatment, 7, 41-53.

45.

Kolko, D. J., & Swenson, C. C. (2002). Assessing and Treating Physically Abused Children and Their Families. Sage Publications.

46.

Kovacs, M., & Beck, A. T. (1977). An empirical-clinical approach toward a definition of childhood depression. In J. G. Schulterbrandt, & A. Raskin (Eds.), Depression in childhood: Diagnosis, treatment, and conceptual models. New York: Raven Press.

47.

Mannarino, A. P., Cohen, J. A., & Berman, S. R. (1994). The children's Attributions and Perceptions Scale: A New Measure of Sexual Abuse-Related Factors. Journal of Clinical Child Psychology, 23(2), 204-211.

48.

Marvasti, J. A. (1993). Play Therapy with an Abused Child. In T. Kottman & C. Schaefer (Eds.), Play Therapy in Action: A Casebook for Practitioners. Jason Aronson INC.

49.

Matsakis, A. (1998). Trust After Trauma. New Harbinger Publications.

50.

Mills, J. C. & Crowley R. J. (2001). Therapeutic Metaphors for Children and the Child within. Bruner-Routledge.

51.

Ney, P. G., Fung, T., & Wickett, A. R. (1994). The Worst combinations of child abuse and neglect. Child Abuse & Neglect, 18, 705-714.

52.

Pelcovitz, D., Kaplan, S., Goldenberg, B., Mandel, F., Lehane, J. & Guarrera, J. (1994). Post-traumatic stress disorder in physically abused children. Journal of the American Academy of the Child Psychiatry, 33, 305-312.

53.

Reder, P. & Duncan, S. (2001). Abusive relationships, care and control conflicts and insecure Attachments. Child Abuse Review, 10, 411-427.

54.

Runyon, M. K., Deblinger, E., Ryan, E. E., & Thakkar-Kolar, R. (2004). An overview of child physical abuse. Trauma, Violence, & Abuse, 5, 65-85.

55.

Runyon, M. K., Deblinger, E., & Schoroeder, C. M. (2008). Pilot evaluation of outcomes of combined parent-child cognitive-behavioral group therapy for families at risk for child physical abuse. Cognitive and Behavioral Practice, 16, 101-118

56.

Spence, S. H. (1994). Practitioner review: Cognitive therapy with children and adolescents: From theory to practice. Journal of Child Psychology and Psychiatry, 35, 1191-1928.

57.

Swenson, C. C. & Brown, E. J. (1999). Cognitive behavioral group treatment for physically abused children. Cognitive and Behavioral Practice, 6, 212-220.

58.

Verduyn, C. & Calam, R. (1999). Cognitive behavioral interventions with maltreated children and adolescents, Child Abuse & Neglect, 23, 197-207.

59.

Waldrop, A. E., & Arellano, M. A. (2004). Manualized cognitive behavioral treatment for physical abuse-related PTSD in an African Child: A case example. Cognitive and Behavioral Practice, 11, 343-352.

60.

Widom, C. S. (1989). Does violence beget violence? A critical examination of the literature. Psychological Bulletin, 106, 3-28.

61.

Wolfe, D. A., Wekerle, C., Reitzel-Jaffe, D., & Lefebvre, L. (1998). Factors associated with abusive relationships among maltreated and nonmaltreated youth. Development and Psychopathology, 10, 61-85.

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