ABSTRACT

Treatment utilization following child sexual abuse (CSA) is essential in combatting the various negative consequences of CSA. Youth may present to treatment for CSA with symptoms that cut across multiple diagnostic presentations that impact their ability to successfully engage in treatment. In particular, children who have difficulties with attention may have unique treatment needs following CSA. The purpose of this study was to examine how attention problems interplay with comorbid symptoms and how these clinical presentations impact treatment outcomes for youth who have been sexually abused. Participants included 323 families presenting to treatment for CSA. Youth were 7 to 19 years old, 78.5% female, and 76.6% identified as Caucasian/White. Results indicated that 22.9% of the youth presented with clinically elevated attention problems as collected through parent-report of the Child Behavior Checklist (CBCL). Results demonstrated that child survivors of CSA who presented with attention problems self-reported more psychological concerns (e.g., symptoms of depression, anxiety, and post-traumatic stress). At post-treatment, attention problems, interpersonal problems, and thought problems were significantly reduced for youth initially presenting with attention problems. Further implications for treatment following CSA and unique needs for youth with attention problems are discussed.

摘要

儿童性虐待 (CSA) 后的治疗利用对于对抗 CSA 的各种负面后果至关重要。青少年可能会出现 CSA 治疗，其症状跨越多个诊断表现，影响他们成功参与治疗的能力。特别是，注意力不集中的儿童在接受 CSA 后可能有独特的治疗需求。本研究的目的是检查注意力问题如何与共病症状相互作用，以及这些临床表现如何影响遭受性虐待的青少年的治疗结果。参与者包括 323 个接受 CSA 治疗的家庭。青年人为 7 至 19 岁，78.5% 为女性，76.6% 为白人/白人。结果表明，22。根据儿童行为检查表 (CBCL) 的家长报告收集的数据，9% 的青少年出现了临床注意力集中问题。结果表明，出现注意力问题的 CSA 儿童幸存者自我报告了更多的心理问题（例如，抑郁、焦虑和创伤后压力的症状）。在治疗后，最初出现注意力问题的青少年的注意力问题、人际关系问题和思维问题明显减少。讨论了 CSA 后治疗的进一步影响以及有注意力问题的青少年的独特需求。和创伤后压力）。在治疗后，最初出现注意力问题的青少年的注意力问题、人际关系问题和思维问题明显减少。讨论了 CSA 后治疗的进一步影响以及有注意力问题的青少年的独特需求。和创伤后压力）。在治疗后，最初出现注意力问题的青少年的注意力问题、人际关系问题和思维问题明显减少。讨论了 CSA 后治疗的进一步影响以及有注意力问题的青少年的独特需求。