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Child Maltreatment
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Meta-Analysis of Treatment for Child Sexual Behavior Problems: Practice Elements and Outcomes

Annick St. Amand

Centre de recherche JEFAR, Université Laval

David E. Bard

University of Oklahoma Health Sciences Center

Jane F. Silovsky

University of Oklahoma Health Sciences Center, 940 NE 13th, OUCPB 3B3406, Oklahoma City, OK 73104, janesilovsky{at}ouhsc.edu

This meta-analysis of 11 treatment outcome studies evaluated 18 specific treatments of sexual behavior problems (SBP) as a primary or secondary target. Specifically, it examines relations among child characteristics, treatment characteristics (including practice elements), and short-term outcome (including sexual and general behavior problems). Utilizing pre- and postintervention results, the overall degree of change over the course of treatment was estimated at a 0.46 and 0.49 standard deviation decline in SBP and general behavior problems, respectively. As hypothesized, the caregiver practice element Parenting/Behavior Management Skills (BPT) predicted the Child Sexual Behavior Inventory (and the Child Behavior Checklist when BPT was combined with caregiver Rules about Sexual Behaviors). In contrast, practice elements that evolved from Adult Sex Offender (ASO) treatments were not significant predictors. BPT and preschool age group provided the best model fit and more strongly predicted outcome than broad treatment type classifications (e.g., Play Therapy or Cognitive Behavior Therapy). Results question current treatments for children with SBP that are based on ASO models of treatment without caregiver involvement.

Key Words: child sexual behavior problems • meta-analysis • treatment • sexual abuse • Distillation and Matching Model

Child Maltreatment, Vol. 13, No. 2, 145-166 (2008)
DOI: 10.1177/1077559508315353
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