Vil Du?! incorporation of a serious game in therapy for sexually abused children and adolescents.
Child sexual abuse
Evaluation
Mixed-methods triangulation design
Psychotherapy
Serious games
Journal
Child and adolescent psychiatry and mental health
ISSN: 1753-2000
Titre abrégé: Child Adolesc Psychiatry Ment Health
Pays: England
ID NLM: 101297974
Informations de publication
Date de publication:
25 May 2021
25 May 2021
Historique:
received:
20
11
2020
accepted:
06
05
2021
entrez:
26
5
2021
pubmed:
27
5
2021
medline:
27
5
2021
Statut:
epublish
Résumé
Talking about experiences of sexual abuse in therapy is difficult for children and adolescents, amongst others due to a lack of vocabulary to describe the situation, avoidance, or feelings of shame, fear, and self-blame. The serious game Vil Du?! was developed to help children open up about sexual experiences. Vil Du?! is a non-verbal communication game, which resembles a dress-up game, in which children can show the therapist what happened to them. The current study examined how and for which therapy components Vil Du?! was used by therapists. We used a mixed-methods triangulation design. Therapists filled out online surveys about the use of Vil Du?! with 23 clients (M Merged qualitative and quantitative data revealed that therapists acknowledged the usefulness of Vil Du?! mostly for the therapy components trauma narration and processing, and psycho-education about sexuality. In addition, Vil Du?! might be most useful for clients who have difficulty with disclosing sexual abuse experiences, due to limited verbal abilities or feelings of guilt, shame, avoidance, and tension. Recommendations from this study were incorporated in a user manual as a first step toward more systematic and broad implementation of Vil Du?! in the treatment of young sexual abuse victims. A next step is to test whether implementing Vil Du?! in therapy is effective in reducing the negative mental health consequences of sexual abuse for children and adolescents.
Sections du résumé
BACKGROUND
BACKGROUND
Talking about experiences of sexual abuse in therapy is difficult for children and adolescents, amongst others due to a lack of vocabulary to describe the situation, avoidance, or feelings of shame, fear, and self-blame. The serious game Vil Du?! was developed to help children open up about sexual experiences. Vil Du?! is a non-verbal communication game, which resembles a dress-up game, in which children can show the therapist what happened to them. The current study examined how and for which therapy components Vil Du?! was used by therapists.
METHODS
METHODS
We used a mixed-methods triangulation design. Therapists filled out online surveys about the use of Vil Du?! with 23 clients (M
RESULTS
RESULTS
Merged qualitative and quantitative data revealed that therapists acknowledged the usefulness of Vil Du?! mostly for the therapy components trauma narration and processing, and psycho-education about sexuality. In addition, Vil Du?! might be most useful for clients who have difficulty with disclosing sexual abuse experiences, due to limited verbal abilities or feelings of guilt, shame, avoidance, and tension.
CONCLUSIONS
CONCLUSIONS
Recommendations from this study were incorporated in a user manual as a first step toward more systematic and broad implementation of Vil Du?! in the treatment of young sexual abuse victims. A next step is to test whether implementing Vil Du?! in therapy is effective in reducing the negative mental health consequences of sexual abuse for children and adolescents.
Identifiants
pubmed: 34034787
doi: 10.1186/s13034-021-00377-3
pii: 10.1186/s13034-021-00377-3
pmc: PMC8147575
doi:
Types de publication
Journal Article
Langues
eng
Pagination
25Subventions
Organisme : Fonds Wetenschappelijk Onderzoek Seksualiteit
ID : 18.015
Organisme : K.F. Hein fonds
ID : K.F. Hein fonds
Références
J Am Acad Child Adolesc Psychiatry. 1994 Mar-Apr;33(3):313-9
pubmed: 8169175
Behav Ther. 2011 Sep;42(3):475-84
pubmed: 21658529
Pediatrics. 2018 Sep;142(3):
pubmed: 30126932
Psychiatr Serv. 2001 Sep;52(9):1190-7
pubmed: 11533392
J Consult Clin Psychol. 2007 Feb;75(1):33-42
pubmed: 17295561
Child Abuse Negl. 2007 Nov-Dec;31(11-12):1201-31
pubmed: 18023872
Dev Rev. 2012 Sep 1;32(3):165-180
pubmed: 23144526
J Am Acad Child Adolesc Psychiatry. 2000 Nov;39(11):1347-55
pubmed: 11068889
Psychiatr Bull (2014). 2014 Oct;38(5):204-10
pubmed: 25285217
Child Maltreat. 2011 May;16(2):79-101
pubmed: 21511741
Depress Anxiety. 2011 Jan;28(1):67-75
pubmed: 20830695
Games Health J. 2017 Jun;6(3):127-135
pubmed: 28628385
J Am Acad Child Adolesc Psychiatry. 2006 Dec;45(12):1474-84
pubmed: 17135993
Aggress Violent Behav. 2011 Jan;16(1):6-19
pubmed: 21603060
J Am Acad Child Adolesc Psychiatry. 2003 Mar;42(3):269-78
pubmed: 12595779
Am Psychol. 2008 Apr;63(3):146-59
pubmed: 18377105
Pediatrics. 2011 Feb;127(2):e319-29
pubmed: 21242221
Front Psychiatry. 2020 Feb 06;11:36
pubmed: 32116851
Front Psychol. 2014 Feb 04;5:73
pubmed: 24550880
Child Abuse Negl. 2000 Jun;24(6):733-52
pubmed: 10888015
Psychol Violence. 2016 Jan;6(1):112-123
pubmed: 28936363
J Consult Clin Psychol. 1991 Oct;59(5):682-91
pubmed: 1955603
Clin Psychol Psychother. 2010 May-Jun;17(3):240-9
pubmed: 20013756
Clin Psychol Rev. 2000 Apr;20(3):359-78
pubmed: 10779899
Trauma Violence Abuse. 2019 Apr;20(2):131-148
pubmed: 29333990
Psychol Bull. 1993 Jan;113(1):164-80
pubmed: 8426874
Curr Psychiatry Rep. 2012 Dec;14(6):599-607
pubmed: 23011785
J Am Acad Psychoanal. 2001 Summer;29(2):213-30
pubmed: 11685988
Behav Ther. 2009 Dec;40(4):337-45
pubmed: 19892079