TY  - JOUR
PY  - 2022//
TI  - Child sexual abuse survivors: differential complex multimodal treatment outcomes for pre-COVID and COVID era cohorts
JO  - Child abuse and neglect
A1  - Reeson, Matthew
A1  - Polzin, Wanda
A1  - Pazderka, Hannah
A1  - Agyapong, Vincent
A1  - Greenshaw, Andrew J.
A1  - Hnatko, Gary
A1  - Wei, Yifeng
A1  - Szymanski, Laurie
A1  - Silverstone, Peter H.
SP  - e105926
EP  - e105926
VL  - 134
IS  - 
N2  - BACKGROUND: Child sexual abuse (CSA) is a form of early-life trauma that affects youth worldwide. In the midst of the current COVID-19 pandemic, it is imperative to investigate the potential impact of added stress on already vulnerable populations. <br><br>OBJECTIVE: The aim of this study was to evaluate the effectiveness of a multimodal treatment program on mental health outcomes for youth CSA survivors aged 8-17. Secondary to this, we explored the potential impact of the COVID-19 on treatment outcomes. PARTICIPANTS AND SETTING: Participants of this study were children and youth aged 8-17 who were engaged in a complex multimodal treatment program specifically designed for youth CSA survivors. <br><br>METHODS: Participants were asked to complete self-report surveys at baseline and at the end of two subsequent treatment rounds. Surveys consisted of measures pertaining to: (1) PTSD, (2) depression, (3) anxiety, (4) quality of life, and (5) self-esteem. <br><br>RESULTS: Median scores improved for all groups at all timepoints for all five domains. For the pre-Covid participants, the largest improvements in the child program were reported in depression (36.6 %, p = 0.05); in the adolescent program anxiety showed the largest improvement (-35.7 %, p = 0.006). Improvements were generally maintained or increased at the end of round two. In almost every domain, the improvements of the pre-COVID group were greater than those of the COVID-I group. <br><br>CONCLUSIONS: A complex multimodal treatment program specifically designed for youth CSA survivors has the capacity to improve a number of relevant determinants of mental health and well-being. The COVID-19 pandemic may have retraumatized participants, resulting in treatment resistance.<p />  <p>Language: en</p>
LA  - en
SN  - 0145-2134
UR  - http://dx.doi.org/10.1016/j.chiabu.2022.105926
ID  - ref1
ER  -