Victims of child abuse dropping out of trauma‑focused treatment: A meta‑analysis of risk factors

A substantial number of children who experienced child maltreatment drop out of evidence-based trauma-focused treatments (TF-CBT). Identifying child, family, and treatment-related factors associated with treatment dropout is important to be able to prevent this from happening and to effectively treat children’s trauma-related symptoms. Methods: A quantitative review was performed based on a systematic synthesis of the literature on potential risk factors for dropout of trauma-focused treatment in maltreated children. Results: Eight studies were included, that examined TF-CBT, reporting on 139 effects of potential risk factors for dropout. Each factor was classified into one of ten domains. Small but significant effects were found for the “Demographic and Family” risk domain (r=.121), with factors including being male, child protective services involvement or placement, and minority status, and for the “Youth Alliance” risk domain (r=.207), with factors including low therapist-child support and low youth perception of parental approval. Moderator analyses suggested that family income and parental education may better predict the risk for TF-CBT dropout than other variables in the “Demographic and Family” domain. Conclusions: Our results provide a first overview of risk factors for dropout of trauma-focused treatments (TF-CBT) after child maltreatment, and highlight the role of the therapeutic relationship in this

Components associated with the effect of home visiting programs on child maltreatment: A meta-analytic review

Background: Home visiting programs are widely endorsed for preventing child maltreatment. Yet, knowledge is lacking on what and how individual program components are related to the effectiveness of these programs. Objective: The aim of this meta-analysis was to increase this knowledge by summarizing findings on effects of home visiting programs on child maltreatment and by examining potential moderators of this effect, including a range of program components and delivery techniques. Methods: A literature search yielded 77 studies (N=48,761) examining the effectiveness of home visiting programs, producing 174 effect sizes. In total, 35 different program components and delivery techniques were coded. Results: A small but significant overall effect was found (d=0.135, 95 % CI (0.084, 0.187), p<0.001). Programs that focused on improving parental expectations of the child or parenthood in general (d = 0.308 for programs with this component versus d = 0.112 for programs without this component), programs targeting parental responsiveness or sensitivity to a child's needs (d = 0.238 versus d = 0.064), and programs using video-based feedback (d = 0.397 versus d = 0.124) yielded relatively larger effects. Providing practical and instrumental assistance was ne

The association between psychopathy and delinquency in juveniles: A three-level meta-analysis

Background: Psychopathy has repeatedly been linked with delinquency and criminal recidivism of adults. With the increase of studies examining psychopathic traits in juveniles, it is important to also study this association in juveniles to increase the effectiveness of preventive interventions for juvenile delinquency. Purpose: The primary aim of the present meta-analysis was to examine the association between psychopathic traits and delinquency in juveniles. The second aim was to examine which factors (i.e., type of delinquency, type of psychopathic trait, and other study- and participant characteristics,) moderate the association between psychopathy and juvenile delinquent behavior. Method: The data were analyzed in three-level meta-analytic models. Results: In total, 87 studies were included, which used 74 independent samples and reported on 358 effect sizes. Psychopathy was moderately and positively associated with juvenile delinquency (r = .24, p < .0001). This overall association was not influenced by type of delinquency. However, stronger effect sizes were found for impulsivity traits than for callous unemotional traits. Conclusion: Psychopathy in juveniles is associated with current and future offense behavior. Therefore, assessing psychopathy in juveniles is important for strengthening intervention efforts targeting juvenile delinquency