However research shows that this tf cbt show

This preview shows page 10 - 13 out of 22 pages.

Therapy to be treatment approach to sexually abused youth. However, research shows that thisTF-CBT show significant evidence in reducing risky sexual behavior. This implies the greaterneed for preventative measures targeting vulnerable populations (i.e. young boys with a historyof CSA). A study by Clum et al. (2012) investigated the associations between child and adultvictimization and sexual risk behavior among 118 HIV positive women (18-24 years of age). Theauthors introduce a model wherein victimization is associated to sexual risk behavior throughtwo interceding avenues, sexual communication and affiliation with risky partners. An extensiveaudio computer assisted self-interview (ACASI) was used for baseline interviews which took 2-3hours, followed by a in person visit 6,12,18 months after, lasting about 1-2 hours. Juvenile
COMPREHENSIVE LITERATURE REVIEW 11Victimization Questionnaire Screener (JVQS) was used to assess the sexual abuse, which hasshown to be reliable (alpha of 0.8.) and rest retest reliability of 0.59. Adult victimization focusedon sexual abuse after the age of 18 and responses were gathered through the National Women’sStudy. Sexual risk behavior was assessed with the NIHM Multisite Trial Cooperative Agreementand depressive and anxiety disorders were screened through C-DISC, which is based on DSM-IVcriteria of disorders. The results indicated that child victimization was associated with adulthoodvictimization. Furthermore, the authors found that depression and anxiety was more prominent inthose with a history of sexual abuse. The authors did not find a direct association betweencondom use and child or adult victimization. However, the authors did find that adultvictimization influenced engagement in sexual risk behaviors indirectly, through poorer sexualcommunication and concurrent multiple partners. A limitation of the study is its cross-sectionalnature which limits the researcher’s ability to understand the causality of child or adult sexualabuse and risky behavior. Although this study appreciates the “rule of thumb” of having morethan 10 samples, a larger sample size may retain more confidence in the results. Future researchwill benefit from conducting a similar research with an increased sample size. The implication ofthis study suggests that prevention of childhood abuse is an important strategy for reducingmental health issues, adult victimization and HIV risk behaviors. A study by Brown et al. (2010), have examined the link between psychiatric disordersand sexual behaviors among 820 adolescents currently undergoing mental health treatment. Theauthors used The Adolescent Risk Behavior Assessment (ARBA), a computer-assisted structuredinterview design as well as parent interviews to assess adolescent’s sexual activity status,condom use and STI screening through a urine sample. Furthermore, psychiatric disorders wereassessed through C-DISC-IV, a structured audio computer-assisted diagnostic interview that
COMPREHENSIVE LITERATURE REVIEW 12screens for DSM-IV diagnoses and assessed for: MDD, GAD, PTSD, Mania, Hypomaia, ODD,

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture