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Predictors of Group Treatment Outcomes for Child Sexual Abuse: An Investigation of the Role of Demographic and Abuse Characteristics

Hiller, Atara; Springer, Craig; Misurell, Justin; Kranzler, Amy; Rizvi, Shireen
Research has begun to identify factors that may moderate the effects of interventions for symptomatology associated with child sexual abuse (CSA). However, there is disagreement about which factors may be important for different populations. The present investigation examined predictors of treatment outcomes among 166 predominantly economically disadvantaged and culturally diverse CSA survivors between the ages of six and ten, who were treated using game-based cognitive-behavioural therapy (GB-CBT). Predictor variables included demographic characteristics (i.e. age, gender, ethnicity, household income) and abuse-related risk factors (i.e. degree of invasiveness of abuse, frequency of instances of CSA and type of relationship to the perpetrator). Treatment outcomes included internalising and externalising symptoms, sexually inappropriate behaviours, knowledge of abuse and personal safety skills. Results indicate that participants' responsiveness to treatment was not impacted by demographic or abuse-related risk factors. Thus, group treatment appears to be effective for treating a wide range of problems following CSA, irrespective of clients' varied demographic background and abuse characteristics
ISI:000378140600003
ISSN: 1099-0852
CID: 2513292

Game-based cognitive-behavioral therapy for child sexual abuse : an innovative treatment approach

Springer, Craig; Misurell, Justin R
New York, NY : Springer Publishing Company, 2015
Extent: xx, 428 p. ; 28 cm
ISBN: 9780826130242
CID: 1448132

Group treatment for child sexual abuse: treatment referral and therapeutic outcomes

Liotta, Lindsay; Springer, Craig; Misurell, Justin R; Block-Lerner, Jennifer; Brandwein, David
A quasi-experimental design was used to compare the effectiveness of group (game-based cognitive behavioral) therapy to group-plus-individual therapy for child sexual abuse. The sample consisted predominantly of children from economically disadvantaged, African-American or Latino backgrounds. Pretreatment scores were examined in order to determine which factors influence treatment referral decisions. Results suggest that children who were referred for individual therapy in addition to group therapy report higher pretreatment levels of sexualized behavior. Posttreatment differences were also compared across therapy conditions. Results suggest that individual therapy is needed to address the sexual concerns of survivors but that it may not be needed to augment the effects of group therapy for other symptoms. Implications for treatment are discussed.
PMID: 25942283
ISSN: 1547-0679
CID: 1569342

Structured Therapeutic Games for Nonoffending Caregivers of Children Who Have Experienced Sexual Abuse

Springer, Craig I; Colorado, Giselle; Misurell, Justin R
Game-based cognitive-behavioral therapy group model for nonoffending caregivers utilizes structured therapeutic games to assist parents following child sexual abuse. Game-based cognitive-behavioral therapy group model is a manualized group treatment approach that integrates evidence-based cognitive-behavioral therapy components with structured play therapy to teach parenting and coping skills, provide psychoeducation, and process trauma. Structured therapeutic games were designed to allow nonoffending caregivers to process their children's abuse experiences and learn skills necessary to overcome trauma in a nonthreatening, fun, and engaging manner. The implementation of these techniques allow clinicians to address a variety of psychosocial difficulties that are commonly found among nonoffending caregivers of children who have experienced sexual abuse. In addition, structured therapeutic games help caregivers develop strengths and abilities that they can use to help their children cope with abuse and trauma and facilitates the development of positive posttraumatic growth. Techniques and procedures for treatment delivery along with a description of core components and therapeutic modules are discussed. An illustrative case study is provided.
PMID: 26061025
ISSN: 1547-0679
CID: 1626452

Game-Based Cognitive-Behavioral Therapy Individual Model (GB-CBT-IM) for Child Sexual Abuse: A Preliminary Outcome Study

Misurell, Justin; Springer, Craig; Acosta, Lina; Liotta, Lindsay; Kranzler, Amy
This preliminary outcome study examined the effectiveness of a game-based cognitive-behavioral therapy individual model (GB-CBT-IM) for children ages 4 to 17 years who have experienced child sexual abuse (CSA). GB-CBT-IM is an integrative approach, bridging evidenced-based structured play therapy with cognitive-behavioral therapy to improve treatment engagement and interest. Furthermore, GB-CBT-IM is a manualized, modular-based approach, which is flexible and allows for the tailoring of interventions based on the needs, interests, and preferences of children and families. The model targets a number of behavioral difficulties and symptoms commonly associated with CSA, including (a) internalizing symptoms (e. g., anxiety, depression, affective symptoms), (b) externalizing behavioral problems (e. g., oppositional behavior, anger, and disruptive behavior), (c) trauma-specific symptoms (e. g., posttraumatic stress, avoidance, arousal), and (d) sexually inappropriate behaviors. Additionally, children are provided with psychoeducation to improve their knowledge of abuse and personal safety skills. Results indicated that GB-CBT-IM was effective in improving behavioral problems and difficulties, trauma-specific symptoms, and sexually inappropriate behaviors, and enhancing children's knowledge of abuse and personal safety skills. Clinical significance testing also revealed that the majority of participants exhibited meaningful improvements. Furthermore, additional findings indicated high levels of attendance, satisfaction, and cultural competency. Overall, GB-CBT-IM represents a promising intervention for treating children and families impacted by CSA.
ISI:000336081500008
ISSN: 1942-969x
CID: 1448082

Resilience Interventions for Youth

Chapter by: Springer, Craig; Misurell, Justin; Kranzler, Amy; Liotta, Lindsay; Gillham, Jane
in: WILEY BLACKWELL HANDBOOK OF POSITIVE PSYCHOLOGICAL INTERVENTIONS by Parks, AC; Schueller, SM [Eds]
OXFORD : BLACKWELL SCIENCE PUBL, 2014
pp. 310-326
ISBN:
CID: 2513282

Game-Based Cognitive-Behavioral Therapy: A model for treating elementary school-aged survivors of child sexual abuse

Springer, Craig; Misurell, Justin R
[S.l. : s.n.], 2013
ISBN:
CID: 1448162

Developing Culturally Responsive Evidence-Based Practice: A Game-Based Group Therapy Program for Child Sexual Abuse (CSA)

Misurell, Justin R; Springer, Craig
The American Psychological Association has called for the development and dissemination of evidence-based practices (EBPs) that are culturally responsive to ethnically and socioeconomically diverse groups. Delivering culturally responsive EBPs is essential for mental health practitioners working within racially, culturally, and ethnically diverse settings and across a variety of disorders. Child sexual abuse (CSA) affects people from diverse backgrounds and results in a myriad of difficulties impacting children and families. Therefore, effective treatment for CSA must take cultural factors into consideration. The authors describe the culturally congruent elements of a Game-Based Cognitive-Behavioral Group Therapy (GB-CBT) model for CSA, which was developed within a center serving predominantly urban, economically disadvantaged, African-American and Latino families. Lessons learned from families served through the GB-CBT program are incorporated and illustrate the ongoing and dynamic process of improving cultural competence in clinical practice. Cultural and socioeconomic considerations and obstacles to treatment are discussed along with strategies and recommendations for delivering EBPs for CSA in a culturally informed manner.
ISI:000312783900013
ISSN: 1062-1024
CID: 1448092

Game-based cognitive-behavioral therapy (GB-CBT) group program for children who have experienced sexual abuse: a three-month follow-up investigation

Springer, Craig; Misurell, Justin R; Hiller, Atara
This study examined the efficacy of a game-based cognitive-behavioral group therapy program for addressing problems typically found among elementary school-aged victims of child sexual abuse immediately after treatment and at three months following treatment. It was hypothesized that positive gains would be observed among the following domains: (a) internalizing symptoms (e.g., anxiety, depression, and trauma); (b) externalizing behaviors (e.g., oppositional behavior, disobedience, and conduct disordered behavior); and (c) sexually inappropriate behaviors. Improved knowledge of abuse and personal safety skills was also predicted. Results indicated that game-based cognitive-behavioral group therapy resulted in improvements in internalizing symptoms, externalizing behavioral problems, total behavioral problems, and personal safety skills both immediately after treatment and at three-month follow-up.
PMID: 23194139
ISSN: 1053-8712
CID: 1182792

Game-Based Cognitive-Behavioral Therapy Individual Model (GB-CBT-IM) for Child Sexual Abuse

Springer, Craig; Misurell, Justin R
Game-Based Cognitive-Behavioral Therapy (GB-CBT) Individual Model for child sexual abuse (CSA) uses structured therapeutic games and activities as primary techniques to teach skills, process trauma, and assist children and their families following CSA. GB-CBT is a modular-manualized treatment that integrates empirically supported components of Trauma-Focused Cognitive-Behavioral Therapy including social skills building, psychoeducation about child sexual abuse, personal safety skills training and exposure treatment with play therapy interventions. Treatment utilizes developmentally appropriate games designed to allow children and nonoffending caregivers to process their abuse experiences and learn skills necessary to overcome trauma in a nonthreatening, fun, and engaging manner. Clinicians may select developmentally appropriate games from a menu of options in order to meet the specific therapeutic needs of children and families. The implementation of these techniques, allows clinicians to address a variety of psychosocial symptoms that are commonly found among children who have experienced sexual abuse. Techniques and procedures for treatment delivery with a description of core components and therapeutic modules are discussed. A case example is presented in order to illustrate the clinical application of using GB-CBT to treat CSA
ORIGINAL:0009420
ISSN: 1555-6824
CID: 1448112