{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T02:01:23Z","timestamp":1777514483681,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,12,9]],"date-time":"2016-12-09T00:00:00Z","timestamp":1481241600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Child Maltreat"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:p>Structured, trauma-focused cognitive-behavioral therapy (CBT) techniques are widely considered an effective intervention for children who experienced sexual abuse. However, unstructured (i.e., nondirective) play\/experiential techniques have a longer history of widespread promotion and are preferred by many practicing clinicians. No evidence is available, however, to determine how the integration of these techniques impacts treatment outcome. In this study, community-based clinicians who received training in a structured, trauma-focused cognitive-behavioral intervention administered pretreatment and posttreatment evaluations to 260 sexually abused children presenting with elevated posttraumatic stress. In addition, they completed a questionnaire describing the treatment techniques implemented with each child. Overall, significant improvement was observed for each of the six clinical outcomes. Regression analyses indicated that technique selection was a significant factor in posttreatment outcome for posttraumatic stress, dissociation, anxiety, and anger\/aggression. In general, a greater utilization of the structured CBT techniques was related to lower posttreatment scores, whereas a higher frequency of play\/experiential techniques was associated with higher posttreatment scores. However, no interaction effects were observed. The implication of these findings for clinical practice and future research are examined.<\/jats:p>","DOI":"10.1177\/1077559516681866","type":"journal-article","created":{"date-parts":[[2016,12,10]],"date-time":"2016-12-10T05:28:43Z","timestamp":1481347723000},"page":"112-120","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Structured Trauma-Focused CBT and Unstructured Play\/Experiential Techniques in the Treatment of Sexually Abused Children: A Field Study With Practicing Clinicians"],"prefix":"10.1177","volume":"22","author":[{"given":"Brian","family":"Allen","sequence":"first","affiliation":[{"name":"Center for the Protection of Children, Penn State Children\u2019s Hospital, Hershey, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie Armstrong","family":"Hoskowitz","sequence":"additional","affiliation":[{"name":"Sam Houston State University, Huntsville, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,12,9]]},"reference":[{"key":"bibr1-1077559516681866","doi-asserted-by":"publisher","DOI":"10.1177\/1077559513518097"},{"key":"bibr2-1077559516681866","doi-asserted-by":"publisher","DOI":"10.1177\/1077559511426333"},{"key":"bibr3-1077559516681866","doi-asserted-by":"publisher","DOI":"10.1037\/e533652013-130"},{"key":"bibr4-1077559516681866","doi-asserted-by":"publisher","DOI":"10.1177\/1077559511418220"},{"key":"bibr35-1077559516681866","doi-asserted-by":"publisher","DOI":"10.1037\/a0036533"},{"key":"bibr5-1077559516681866","volume-title":"Play therapy","author":"Axline V.","year":"1947"},{"key":"bibr6-1077559516681866","volume-title":"Dibs in search of self","author":"Axline V.","year":"1964"},{"key":"bibr7-1077559516681866","first-page":"349","volume-title":"Multi-level theory, research, and methods in organizations: Foundations, extensions, and new directions","author":"Bliese P. 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