Objective: The main objective is to evaluate the effectiveness of the POPP-treatment program in reduction of severity of post-traumatic stress symptoms for sexually abused preschoolers. Secondary objectives are to evaluate the effectiveness of the…
ID
Source
Brief title
Condition
- Anxiety disorders and symptoms
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Posttraumatic stress disorder symptoms
Secondary outcome
secondary posttraumatic stress disorder symptoms: Anxiety, Depression,
Anger/Aggression, Dissociation, Sexual concerns;
general behavioral problems;
parental stress
Background summary
Rationale: Child Sexual Abuse (CSA) has large prevalence rates and can cause
devastating short- and long-term effects on the overall development of children
(Pereda et al, 2009, Cohen, Mannarino and Deblinger, 2012). Especially
preschoolers are highly vulnerable in this respect (Kendall-Tacket, Meyer
Williams and Finkelhor, 1993). The POPP (Power of Projection in Play)
-treatment program is established in the field of clinical practice to help
alleviate the negative consequences of sexual abuse for preschoolers. This
study is the first randomized controlled trial (RCT) in which the effects of
individual treatment on PTSD symptoms for sexually abused pre-schoolers are
studied. We hypothesize that the POPP-treatment program will lead to decreases
in PTSD and secondary symptoms in comparison with a waitlist condition.
Study objective
Objective: The main objective is to evaluate the effectiveness of the
POPP-treatment program in reduction of severity of post-traumatic stress
symptoms for sexually abused preschoolers. Secondary objectives are to evaluate
the effectiveness of the POPP-treatment program in reducing secondary symptoms:
Anxiety, Depression, Anger/Aggression, Dissociation and Sexual Concerns; the
evaluation of the effects of the POPP-treatment program on general behavioral
problems and on parental stress/the enhancement of parental efficacy.
Another objective is to explore child- parents- or trauma factors which
possibly relate to the effectiveness of the POPP-treatment program.
Study design
Randomized controlled trial with two conditions (immediate treatment vs
waitlist).
Intervention
Intervention: The POPP-treatment program is based on Trauma Focused-CBT
techniques (Cohen and Mannarino, 1996, Scheeringa et al, 2010), with a newly
described central position for projection and healing play. A maximum of 10
treatment sessions (with a maximum of 60 minutes each) is offered, along with
parental guidance. In the wait list condition, the POPP-treatment program
starts after three months.
Study burden and risks
Nature and extent of the burden and risks associated with participation,
benefit and group relatedness: The potential value of the study is that we can
offer sexually abused preschoolers a developmentally appropriate treatment
program that combines TF-CBT with play, the language of children (Landreth,
2002), along with parental guidance.
We are of the opinion that the risks associated with participation can be
considered negligible. The POPP-treatment program is based on solid grounds of
past research findings on evidence-based treatments of PTSD, and has been used
successfully in clinical practice for over ten years.
The burden is minimal; the POPP-treatment is a short-term treatment, the only
extra investment for parents is time to fill in questionnaires.
Wesselmanlaan 25a
Helmond 5707HA
NL
Wesselmanlaan 25a
Helmond 5707HA
NL
Listed location countries
Age
Inclusion criteria
- the experience of sexual abuse
- girls, aged between 3 and 6;11 years
- PTSD symptoms at clinical level (on one or more PTSD-scales of TSCYC or according to DSM5)
- PTSD symptoms are related to sexual abuse
- consent has to be given by the subject's primary caretaker(s)
- the child must have reached the developmental level of symbolic play
Exclusion criteria
- severe psychiatric conditions that require an emergency response (suicidal intent, psychotic symptoms, severe dissociations)
- lack of a long-term caretaker or severe family problems (lack of stability for the ongoing 6 months)
- the most recent episode of sexual abuse occurred more than 12 months before referral to the study
- when parent(s) are the perpetrator(s), they will not participate in the parental guidance sessions.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
In other registers
| Register | ID |
|---|---|
| CCMO | NL50473.091.14 |
| OMON | NL-OMON20992 |