Tratamiento psicológico del maltrato físico y la negligencia en niños y adolescentesuna meta-análisis

  1. Rosa Alcázar, Ana Isabel
  2. Sánchez Meca, Julio
  3. López Soler, Concepción
Revista:
Psicothema

ISSN: 0214-9915

Año de publicación: 2010

Volumen: 22

Número: 4

Páginas: 627-633

Tipo: Artículo

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Otras publicaciones en: Psicothema

Resumen

Se presentan los resultados de un meta-análisis sobre la efi cacia de los tratamientos psicológicos de menores que han sufrido maltrato físico y negligencia por parte de sus padres o tutores. Se incluyeron 16 estudios que cumplían con los criterios de selección, dando lugar a 22 grupos tratados y 8 grupos de control. Los resultados ponen de manifi esto la ausencia de diferencias claras entre los diferentes tratamientos, si bien sus efectos tienen signifi cación práctica de magnitud media-baja. Los tratamientos son más efectivos cuanto mayor es su duración y con menores que han sufrido negligencia. Las estimaciones de los efectos no parecen verse afectadas por sesgos. Finalmente, se discuten las implicaciones clínicas de los resultados para la investigación futura.

Referencias bibliográficas

  • Allin, H., Whaten, C.N., y MacMillan, H. (2005). Treatment of child neglect: A systematic review. Canadian Journal of Psychiatry, 50, 497-504.
  • Burch, G., y Mohr, V. (1980). Evaluating a child abuse intervention program. Social casework: The Journal of Contemporary Social Work, 61, 90-100.
  • Cantón, J., y Cortés, M.R. (2002). Malos tratos y abuso sexual infantil. Madrid: Siglo XXI.
  • Chaffin, M., Silovsky, J.F., Funderburk, B., Valle, L.A., Brestan, E.V., Balachova, T., Jackson, S., Lensgraf, J., y Bonner, B.L. (2004). Parent-Child interaction therapy with physically abusive parents: Efficacy for reducing future abuse reports. Journal of Consulting and Clinical Psychology, 72, 500-510.
  • Cicchetti, D., y Carlson, V. (1989). Child maltreatment: Theory and research on the causes and consequences of child abuse and neglect. Cambridge, MA: Cambridge University Press.
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
  • Cohn, A.H., y Daro, D. (1987). Is treatment too late: What ten years of evaluative research tells us. Child Abuse and Neglect, 11, 433-442.
  • Cooper, H., Hedges, L.V., y Valentine, J.C. (Eds.) (2009). The handbook of research synthesis and meta-analysis (2nd ed.). Nueva York: Russell Sage Foundation.
  • Culp, R.E., Little, V., Letts, D., y Lawrence, H. (1991). Maltreated children's self-concept: Effects of a comprehensive treatment program. American Journal of Orthopsychiatry, 61, 114-121.
  • Culp, R.E., Richardson, M.T., y Heide, J.S. (1987). Differential developmental progress of maltreated children in day treatment. Social Work, 32, 497-499.
  • Davis, S.P., y Fantuzzo, J.W. (1989). The effects of adult and peer social initiations on the social behavior of withdrawn and aggressive maltreated preschool children. Journal of Family Violence, 4, 227-248.
  • Donohue, B., y Van Hasselt, V.B. (1999). Development and description of an empirically based ecobehavioral treatment program for child maltreatment. Behavioral Interventions, 14, 55-82.
  • Elmer, E. (1986). Outcome of residential treatment for abused and high-risk infants. Child Abuse and Neglect, 10, 351-360.
  • Fantuzzo, J.W., Jurecic, L., Stovall, A., Hightower, A.D., Goins, C., y Schachtel, D. (1988). Effects of adult and peer social initiations on the social behavior withdrawn, maltreated preschool children. Journal of Consulting and Clinical Psychology, 56, 34-39.
  • Fantuzzo, J.W., Sutton-Smith, B., Atkins, M., Meyers, R., Stevenson, H., Coolahan, K., et al. (1996). Community-based resilient peer treatment of withdrawn, maltreated preschool children. Journal of Consulting and Clinical Psychology, 64, 1377-1386.
  • Gaudin, J.M., Wodarski, J.S., Arkinson, M.K., y Avery, L.S. (1990). Remedying child neglect: Effectiveness of social network interventions. Journal of Applied Social Sciences, 15, 97-123.
  • Geeraert, L., Van den Noortgate, W., Grietens, H., y Onghena, P. (2004). The effects of early prevention programs for families with young children at risk for physical child abuse and neglect: A meta-analysis. Child Maltreatment, 9, 277-291.
  • Gracia, E., y Musitu, G. (1993). El maltrato infantil. Un análisis de los factores de riesgo. Madrid: Ministerio de Asuntos Sociales.
  • Guterman, N.B. (1997). Early prevention of physical child abuse and neglect: Existing evidence and future directions. Child Maltreatment, 2, 12-34.
  • Hetzel-Riggin, M.D., Brausch, A.M., y Montgomery, B.S. (2007). A meta-analytic investigation of therapy modality outcomes for sexually abused children and adolescents: An exploratory study. Child Abuse and Neglect, 31, 125-141.
  • Kolko, D.J. (1996). Individual cognitive behavioral treatment and family therapy for physically abused children and their offending parents: A comparison of clinical outcomes. Child Maltreatment, 1, 322-342.
  • Kolko, D.J., Baumann, B.L., y Caldwell, N. (2003). Child abuse victims' involvement in community agency treatment: Service correlates, short-term outcomes and relationship to reabuse. Child Maltreatment, 8, 273-287.
  • MacLeod, J., y Nelson, G. (2000). Programs for the promotion of family wellness and the prevention of child maltreatment: A meta-analytic review. Child Abuse and Neglect, 24, 1127-1149.
  • Meezan, W., y O'Keefe, M. (1998). Multifamily group therapy: Impact on family functioning and child behavior. Families in Society: The Journal of Contemporary Human Services, 79, 32-44.
  • Oates, R.K., y Bross, D.C. (1995). What have we learned about treating child physical abuse? A literature review of the last decade. Child Abuse and Neglect, 19, 463-473.
  • Reams, R., y Friedrich, W. (1994). The efficacy of time-limited play therapy with maltreated preschoolers. Journal of Clinical Psychology, 50, 889-899.
  • Reeker, J., Ensing, D., y Elliott, R. (1997). A meta-analytic investigation of group treatment outcomes for sexually abused children. Child Abuse and Neglect, 21, 669-680.
  • Sankey, C.G., Elmer, E., Halechko, A.D., y Schulberg, P. (1985). The development of abused and high-risk infants in different modalities: Residential versus in-home care. Child Abuse and Neglect, 9, 237-243.
  • Skowron, E., y Reinemann, D.H.S. (2005). Effectiveness of psychological interventions for child maltreatment: A meta-analysis. Psychotherapy: Theory, Research, Practice, Training, 42, 52-71.
  • Soriano Faura, F.J., y Grupo PrevInfad/PAPPS Infancia y Adolescencia (2009). Promoción del buen trato y prevención del maltrato en el ámbito de la Atención Primaria. Revista Pediatría de Atención Primaria, 11, 121-144.
  • Sterne, J.A.C., y Egger, M. (2005). Regression methods to detect publication and their bias in meta-analysis. En H.R. Rothstein, A.J. Sutton y M. Borenstein (Eds.): Publication bias in meta-analysis: Prevention, assessment and adjustments (pp. 99-100). Chichester, UK: Wiley.
  • Udwin, O. (1983). Imaginative play training as an intervention method with institutionalised preschool children. British Journal of Educational Psychology, 53, 32-39.
  • U.S. Department of Health and Human Services (2002). Child maltreatment perpetrators: A 54-month analysis of recidivism. Child Abuse and Neglect, 25, 1093-1108.
Fuente de los datos: Dialnet