Therapeutic interventions with child and adolescent survivors of sexual abuse: a critical narrative review

Javita Narang*, Matthias Schwannauer, Ethel Quayle, Zoe Chouliara

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

This is a narrative review of literature on therapeutic interventions with child and adolescent survivors of childhood sexual abuse (CSA). This is a step towards investigating the existing evidence-base for the therapeutic interventions, including various approaches to therapy and modalities, practiced by professionals with child and adolescent survivors of CSA. The key objective of this review was to examine treatment outcomes, established evidence-base and gaps in extant knowledge of different therapeutic interventions documented as being practiced within this population for CSA trauma. A number of individual studies, systematic reviews and meta-analyses were identified through a wide range of databases, including appropriate reference search. Findings reflected an absence of culturally-specific, clear guides to therapy for CSA survivors, particularly for child and adolescent survivors. Further, inconclusive, conflicting and contradictory evidence-base of therapeutic approaches, with limited scope and methodological flaws, was revealed. Based on these findings, it is argued that the factors that inform decisions regarding the therapeutic practice of practitioners, including mental health professionals, in real settings with child and adolescent survivors of CSA are not clearly defined and often take place in absence of a coherent and consistent evidence-base for existing therapeutic practices documented for CSA. Implications for research and practice are discussed.
Original languageEnglish
Article number104559
Number of pages11
JournalChildren and Youth Services Review
Volume107
Early online date31 Oct 2019
DOIs
Publication statusPublished - 1 Dec 2019

Fingerprint

Sex Offenses
sexual violence
Survivors
childhood
adolescent
narrative
evidence
Therapeutics
health professionals
trauma
mental health
Meta-Analysis
Mental Health
Databases
Wounds and Injuries
Research
Population

Cite this

@article{b36bd5c2b02a4503b82b3822fdaa6a69,
title = "Therapeutic interventions with child and adolescent survivors of sexual abuse: a critical narrative review",
abstract = "This is a narrative review of literature on therapeutic interventions with child and adolescent survivors of childhood sexual abuse (CSA). This is a step towards investigating the existing evidence-base for the therapeutic interventions, including various approaches to therapy and modalities, practiced by professionals with child and adolescent survivors of CSA. The key objective of this review was to examine treatment outcomes, established evidence-base and gaps in extant knowledge of different therapeutic interventions documented as being practiced within this population for CSA trauma. A number of individual studies, systematic reviews and meta-analyses were identified through a wide range of databases, including appropriate reference search. Findings reflected an absence of culturally-specific, clear guides to therapy for CSA survivors, particularly for child and adolescent survivors. Further, inconclusive, conflicting and contradictory evidence-base of therapeutic approaches, with limited scope and methodological flaws, was revealed. Based on these findings, it is argued that the factors that inform decisions regarding the therapeutic practice of practitioners, including mental health professionals, in real settings with child and adolescent survivors of CSA are not clearly defined and often take place in absence of a coherent and consistent evidence-base for existing therapeutic practices documented for CSA. Implications for research and practice are discussed.",
author = "Javita Narang and Matthias Schwannauer and Ethel Quayle and Zoe Chouliara",
year = "2019",
month = "12",
day = "1",
doi = "10.1016/j.childyouth.2019.104559",
language = "English",
volume = "107",
journal = "Children and Youth Services Review",
issn = "0190-7409",
publisher = "Elsevier Limited",

}

Therapeutic interventions with child and adolescent survivors of sexual abuse : a critical narrative review. / Narang, Javita; Schwannauer, Matthias; Quayle, Ethel; Chouliara, Zoe.

In: Children and Youth Services Review, Vol. 107, 104559, 01.12.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Therapeutic interventions with child and adolescent survivors of sexual abuse

T2 - a critical narrative review

AU - Narang, Javita

AU - Schwannauer, Matthias

AU - Quayle, Ethel

AU - Chouliara, Zoe

PY - 2019/12/1

Y1 - 2019/12/1

N2 - This is a narrative review of literature on therapeutic interventions with child and adolescent survivors of childhood sexual abuse (CSA). This is a step towards investigating the existing evidence-base for the therapeutic interventions, including various approaches to therapy and modalities, practiced by professionals with child and adolescent survivors of CSA. The key objective of this review was to examine treatment outcomes, established evidence-base and gaps in extant knowledge of different therapeutic interventions documented as being practiced within this population for CSA trauma. A number of individual studies, systematic reviews and meta-analyses were identified through a wide range of databases, including appropriate reference search. Findings reflected an absence of culturally-specific, clear guides to therapy for CSA survivors, particularly for child and adolescent survivors. Further, inconclusive, conflicting and contradictory evidence-base of therapeutic approaches, with limited scope and methodological flaws, was revealed. Based on these findings, it is argued that the factors that inform decisions regarding the therapeutic practice of practitioners, including mental health professionals, in real settings with child and adolescent survivors of CSA are not clearly defined and often take place in absence of a coherent and consistent evidence-base for existing therapeutic practices documented for CSA. Implications for research and practice are discussed.

AB - This is a narrative review of literature on therapeutic interventions with child and adolescent survivors of childhood sexual abuse (CSA). This is a step towards investigating the existing evidence-base for the therapeutic interventions, including various approaches to therapy and modalities, practiced by professionals with child and adolescent survivors of CSA. The key objective of this review was to examine treatment outcomes, established evidence-base and gaps in extant knowledge of different therapeutic interventions documented as being practiced within this population for CSA trauma. A number of individual studies, systematic reviews and meta-analyses were identified through a wide range of databases, including appropriate reference search. Findings reflected an absence of culturally-specific, clear guides to therapy for CSA survivors, particularly for child and adolescent survivors. Further, inconclusive, conflicting and contradictory evidence-base of therapeutic approaches, with limited scope and methodological flaws, was revealed. Based on these findings, it is argued that the factors that inform decisions regarding the therapeutic practice of practitioners, including mental health professionals, in real settings with child and adolescent survivors of CSA are not clearly defined and often take place in absence of a coherent and consistent evidence-base for existing therapeutic practices documented for CSA. Implications for research and practice are discussed.

U2 - 10.1016/j.childyouth.2019.104559

DO - 10.1016/j.childyouth.2019.104559

M3 - Article

VL - 107

JO - Children and Youth Services Review

JF - Children and Youth Services Review

SN - 0190-7409

M1 - 104559

ER -