Problematic Sexual Behavior > Phase-based Treatment (PBT) For Problematic Sexual Behavior Of Preteen Children
Phase-Based Treatment for Problematic Sexual Behavior
Recruiting in Palo Alto (17 mi)
Age: < 18
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Milton S. Hershey Medical Center
Disqualifiers: Age, CSBI score, Caregiver participation, others
No Placebo Group
Trial Summary
What is the purpose of this trial?This trial tests a new treatment called Phase-Based Treatment (PBT) for preteen children with problematic sexual behavior. PBT aims to help children understand and change their behaviors using the latest research. The trial will compare PBT to usual treatments to see if it works better.
Do I need to stop my child's current medications for this trial?
The trial information does not specify whether participants need to stop taking their current medications.
What data supports the effectiveness of the treatment Phase-Based Treatment (PBT) for Problematic Sexual Behavior of Preteen Children?
Research suggests that early intervention for youth with problematic sexual behavior (PSB) shows strong promise, and established interventions may be effective for treating PSB. A meta-analysis found that treatments focusing on caregiver involvement, like Parenting/Behavior Management Skills, were effective in reducing sexual and general behavior problems in children.
12345How is Phase-Based Treatment for Problematic Sexual Behavior of Preteen Children different from other treatments?
Phase-Based Treatment for Problematic Sexual Behavior of Preteen Children is unique because it is specifically designed to address the developmental and psychological needs of preteen children with problematic sexual behavior, using a structured approach that incorporates insights from developmental psychopathology, social learning theory, and trauma-related symptoms. Unlike other treatments, it provides a tailored treatment planning algorithm to guide clinicians in selecting the most effective interventions for each child.
12367Eligibility Criteria
This trial is for children aged 4-12 displaying problematic sexual behavior, with a caregiver willing to participate. Children must have certain scores on the CSBI and KBIT-2 tests and be proficient in English. It's not for those outside this age range, lacking English proficiency, or if the caregiver is suspected of abuse.Inclusion Criteria
Child proficient in spoken English
Child earns a scaled score above 69 on the Kaufman Brief Intelligence Test (KBIT-2)
My child is between 4 and 12 years old.
+3 more
Exclusion Criteria
Child not proficient in spoken English
Caregiver reports a score on the CSBI lower than 4
My child is either under 4 years old or over 12 years old.
+4 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
2-4 weeks
Treatment
Participants receive Phase-Based Treatment (PBT) or Treatment-as-Usual (TAU) for Problematic Sexual Behavior of Preteen Children
12 weeks
Follow-up
Participants are monitored for safety and effectiveness after treatment
4 weeks
Participant Groups
The study compares Phase-based Treatment (PBT) against usual treatments for preteen problematic sexual behavior. This first randomized controlled trial will test if PBT is more effective than standard approaches used currently.
2Treatment groups
Experimental Treatment
Active Control
Group I: Experimental TreatmentExperimental Treatment1 Intervention
The experimental treatment is Phase-Based Treatment (PBT) for Problematic Sexual Behavior of Preteen Children, an innovative intervention demonstrating promise in preliminary testing.
Group II: Control TreatmentActive Control1 Intervention
The Control Treatment will utilize a Treatment-as-Usual (TAU) condition designed to mimic the types of treatment generally provided in the community for mental health concerns of children.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Penn State Hershey Medical Center-TLC Research and Treatment CenterHarrisburg, PA
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Who Is Running the Clinical Trial?
Milton S. Hershey Medical CenterLead Sponsor
References
Early identification of youth with problematic sexual behavior: A qualitative study. [2021]Early intervention efforts designed for youth with problematic sexual behavior (PSB) have strong promise. Prompt identification of youth with PSB is critical to ensuring early intervention and effective response.
Psychometric evaluation of a single-item screening tool for the presence of problematic sexual behavior among preteen children. [2023]Preteen children with problematic sexual behavior (PSB) are increasingly coming to the attention of mental health professionals. However, efforts to provide clinical care to these children are hampered by the limited dissemination and implementation of effective screening procedures.
Etiological Perspectives on Problematic Sexual Behavior of Preteen Children: Implications for Treatment. [2023]Problematic sexual behavior (PSB) among preteen children is a poorly understood clinical phenomenon that may leave even the most skilled and knowledgeable of clinicians at a loss when attempting to develop an evidence-based treatment approach. Much of this lack of practical direction can be credited to the relatively scarce clinical trial research examining this outcome. Nonetheless, the etiological research on PSB provides clearer directions and suggests the implementation of already well-established interventions may be effective. This paper reviews the current state of the etiological research pertaining to PSB and places these findings within developmental psychopathology, social learning theory, and post-traumatic stress disorder symptomatology frameworks. Specific treatment directives derived from these three viewpoints are then reviewed, including a review of the current evidence base for the treatment of PSB. Finally, a treatment planning algorithm is specified to help clinicians identify the most beneficial approach to treating PSB in a given case.
Meta-analysis of treatment for child sexual behavior problems: practice elements and outcomes. [2019]This meta-analysis of 11 treatment outcome studies evaluated 18 specific treatments of sexual behavior problems (SBP) as a primary or secondary target. Specifically, it examines relations among child characteristics, treatment characteristics (including practice elements), and short-term outcome (including sexual and general behavior problems). Utilizing pre- and postintervention results, the overall degree of change over the course of treatment was estimated at a 0.46 and 0.49 standard deviation decline in SBP and general behavior problems, respectively. As hypothesized, the caregiver practice element Parenting/Behavior Management Skills (BPT) predicted the Child Sexual Behavior Inventory (and the Child Behavior Checklist when BPT was combined with caregiver Rules about Sexual Behaviors). In contrast, practice elements that evolved from Adult Sex Offender (ASO) treatments were not significant predictors. BPT and preschool age group provided the best model fit and more strongly predicted outcome than broad treatment type classifications (e.g., Play Therapy or Cognitive Behavior Therapy). Results question current treatments for children with SBP that are based on ASO models of treatment without caregiver involvement.
Treatment outcome and criminal offending by youth with sexual behavior problems. [2021]Children and adolescents treated for general delinquency problems and rated by caregivers as having sexual behavior problems (SBP; N = 696) were compared with youth from the same sample with no sexual behavior problems (NSBP; N = 1,185). Treatment outcome through 12-months posttreatment and criminal offending through an average 48-month posttreatment were compared for both groups. It was hypothesized that both groups would improve over time; however, the SBP group would evidence greater psychopathology at follow-up, and these hypotheses were supported. It was further hypothesized that youth with SBP would not differ from youth with NSBP in rates of future sexual or nonsexual offenses. These hypotheses were also supported. SBP group membership was not a significant predictive factor in analyses modeling future offending (any) or future person offenses. Few youth in either group had sexual offenses. The importance of these findings for clinical and policy decision making is discussed.
Developing a trauma focused cognitive behavioral therapy application for adolescents with problematic sexual behaviors: A conceptual framework. [2023]Sexual abuse (SA) perpetration is a significant public health problem; SA perpetration is most likely to emerge during adolescence and youth ages 13 to 17 account for a significant portion of all child sexual abuse. While research shows that these youth have high rates of adversity, once they have engaged in problem sexual behavior (PSB), their own trauma histories are often ignored with treatment primarily focused on reducing risk for reoffending. Although sexual re-offense rates among adolescents with PSB are very low, the rates of non-sexual recidivism are considerably higher; with almost half of known youth have reoffended non-sexually, requiring development, implementation, and testing of therapeutic interventions responsive to the indicated risks and unmet needs of adolescents who have engaged in a range of problematic sexual behaviors (PSB-A) and their families. Yet, there are no empirically supported interventions designed specifically to address PSB-A with trauma histories. This article introduces how Trauma-Focused Cognitive Behavioral Therapy can be applied to PSB-A and provides implications for practice and future research.
Preliminary findings of problematic sexual behavior-cognitive-behavioral therapy for adolescents in an outpatient treatment setting. [2021]The lack of empirical support for interventions commonly used to treat adolescents with problematic sexual behaviors (PSB) has led to restrictive policies and interventions largely based on perceptions of these youth as younger versions of adult sex offenders, without consideration for developmental and etiological differences between populations.