Group Psychotherapy in Women With a History Of Sexual Abuse
Topic: Assessing Client Families
NURS - 6650N
Psychotherapy with Groups and Families
Introduction of The Article
Women that are abused sexually is one of the national concern.
Women are the most victims during childhood and adulthood.
Psychotherapy is the treatment usually used in treating sexually abuse women.
Use of group psychotherapy has shown some reduction in their mental symptoms on victims.
Sexually abused women has some psychological effects in their life and can cause them to have some mental disorder. Most of the victims are women and mostly in both child and adulthood. The preferred modality treatment use in treating sexually abused women is psychotherapy because its aim is to assist the women in healing their traumatic issues that can help them both physically and emotionally. Using group psychotherapy for women that have experienced sexual abuse has shown some decrease in the symptoms such as depression, anxiety, and any past trauma that they have got through. This therapy can be used both immediate and short term therapy.
Type of group
“Sexual abuse of women is a global concern that has many psychologically effects and can cause psychiatric illness and group psychotherapy is one of the preferred treatment modalities” (Sayın, Candansayar, & Welkin, 2013).
participants in the group and study design
Design: Is a prospective cohort study
Participants: The researches selected women that have history of childhood or adulthood sexual abuse
The Mean age is 31.74 who were recruited weekly for twelve sessions in a group therapy.
They selected depending on their application from different areas.
This study was conducted as a way of finding out the benefits and effectiveness of group psychotherapy for women that have history of sexually abused. The forty-seven women that were selected have history of sexual abuse during their childhood or adulthood. The were given twelve sessions which they meet weekly for twelve weeks. This session last for about 90 minutes each time they meet. These group of people were selected according to their application from inpatient, outpatient, residence such as domestic violence shelter and were also clients of the researchers.
participants in the group and study design (cont.)
Instruments: The researchers use different tools during their research.
Instruments include the Hamilton depression rating scales, clinician administered Post traumatic stress disorder (PTSD), and other instruments.
They were given group therapeutic factor questionnaires to evaluate their success.
The assessment tools used by the researchers include Hamilton Depression Rating Scale, the Hamilton Anxiety Scale, the Clinician Administered PTSD Scale, and the Dissociative Childhood Trauma Questionnaire. The researchers also used group therapeutic factors questionnaire were given to the clients to evaluate their baseline maladaptation coping skills and their symptoms during the week of the sessions such as week six, twelve, and six month follow up (Sayın, Candansayar, & Welkin, 2013).
Participants Exclusion Criteria
This study include women younger than 16 years of age
Women having some mental disorder
Not able to complete the consent.
The exclusion criteria that the researchers used for the participants include adding clients that are younger than 16 years old, participants with mental disorder which includes psychotic disorder, actively using substance, alcohol dependency, mental retardation, intense suicidal ideation, and clients that are not able to complete the informed consent.
Use of group psychotherapy to client with mental and psychological symptoms from sexual abuse.
Find a therapeutic factors to help the clients to observe the differences and the similarities compared to other countries.
To find out if culture has a role for clients coping with sexual abuse.
The use of group psychotherapy to treat clients that are sexually abuse and have symptoms of mental disorder and psychological symptoms. Also allowing them to explore the treatment results in Turkish women. Finding a therapeutic factors that can help the clients know the differences and similarities of sexual abuse responses in Turkish women using group psychotherapy and to compare with other countries. Also the researchers wants to know if culture has any roles in sexually abuse clients coping skills.
How Group Psychotherapy is Applied
Use of different methods in group psychotherapy for trauma clients
How sexual trauma effects interpersonally and psychological was discussed in group sessions 1 to 3.
How the group shared their sexual abuse stories were discussed in group sessions 4 to 7.
The depth themes and their commonality were discussed in group sessions 8 to 10.
Group sessions 11 to 12 talks about the way the therapy provided a closure for the clients.
The researchers used the group psychotherapy study to employ different methods such as cognitive behavioral therapy, interpersonal therapy, narrative therapy, psychoeducation, expressive techniques that are used to focus on the trauma experience. In different sessions the researchers used different techniques which were discussed in different sessions to accomplish the group goals. During group sessions 1 to 3, the researchers formatted rules, the safety issues, use of relation techniques, and how the sexual trauma effects their well being and psychologically. During sessions 4 to 7, the participants shared their sexual abuse stories. Sessions 8 to 10 the participants talks about their commonalities and the sessions 11 to 12 summaries everything including the feedback and plan for future.
Benefits of Group Psychotherapy
Group psychotherapy is used as an ideal plan option for women that have experienced sexual abuse.
Assuring the sexually abuse women safety and support from their peers help with healing
It helps to reduce the feelings of slow self esteem and providing them ways to have the opportunity to have positive learning.
Group psychotherapy is an effective therapy to be used for women with history of sexual abuse in making sure the clients have safety and support from the peers to help with healing. This method helps because when they hear it from their peers they believe and understand their situation and the settings that are in. it reduces their feelings of low self esteem, loneliness and shame when in the group therapy. It helps them to have positive learning and good therapeutic coping skills.
Conclusion and Results
Group psychotherapy is an effective therapy for women that are sexually abuse
It reduces the symptoms of depression, anxiety, PTSD, and other mental illness according to the 12 sessions research done
It reduces shame, increases self esteem, and isolating themselves
Also knowing the cultural differences will be considered during the use of this plan.
Group psychotherapy had showed that is is effective for women that are sexually abuse as evidenced by the women showing reduction of depression symptoms, anxiety, PTSD, and other mental illness after the researchers completed the 12 sessions in 12 weeks. It also reduces self-esteem, shame and loneliness in clients without looking at the client's cultural differences and the size of the group. In my practicum site, use of group psychotherapy for this group of clients will be used and further researched to have an effective outcome and will benefit the clients in a long run. Cultural background will also be investigated due to its effect on clinical practice and the treatment effective ness.
Bryant-Davis T,., Chung, H., & Tilman, S., (2009). From margins to the center: Ethnic minority women and the mental effects of sexual assault. Trauma, Violence, and Abuse 10, 330-357.
National Sexual Assault Hotline, (2018). RAINN. Retrieved from https://www.rain.org/statistics/victims-sexual-violence
Sayın, A., Candansayar, S., & Welkin, L. (2013). Group psychotherapy in women with a history of sexual abuse: What did they find helpful? Journal of Clinical Nursing, 22(23/24), 3249–3258. doi:10.1111/jocn.12168
Ziaaddini, H., Ebrahim-Nejad, B., & Nakhaee, N. (2013). The effectiveness of group therapy on the family functioning of individuals under methadone treatment: A clinical trial. Addiction & health, 5(1-2), 1.
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Group psychotherapy in women with a history of sexual abuse: what did they find helpful?Aslıhan Sayın, Selçuk Candansayar, Leyla Welkin format_quote CITE © 2013 John Wiley & Sons Ltd https://doi-org.ezp.waldenulibrary.org/10.1111/jocn.12168 Published inJournal of Clinical Nursing ISSN0962-1067 eISSN1365-2702 Accepted31 October 2012 Published8 November 2013 Volume22 Issue23-24 Pages3249 - 3258 Aims and objectives
To define the effects of group psychotherapy in women with a history of sexual abuse, to find possible predictors for dropout and treatment outcome rates and to find which therapeutic factors of group psychotherapy are perceived by group members to be most helpful.Background
Sexual abuse of women is a global concern and causes many psychiatric and psychological sequelae. Group psychotherapy is one of the preferred treatment modalities.Design
Prospective cohort study.Methods
Forty‐seven women with a history of childhood and/or adulthood sexual abuse were recruited for weekly 12‐session group psychotherapy. Subjects were given the Hamilton Depression Rating Scale, the Hamilton Anxiety Rating Scale, the Clinician Administered Post‐traumatic Stress Disorder Scale, the Dissociative Experiences Scale, the Childhood Trauma Questionnaire and the Group Therapeutic Factors Questionnaire. Re‐evaluations were made after the 6th and 12th session and also at a six‐month follow‐up session.Results
Group psychotherapy significantly reduced participants' levels of depression (screening/12th session mean scores, 22·45/11·10), anxiety (15·45/4·32) and symptoms of post‐traumatic stress disorder (42·27/9·32), and this decline became statistically significant at the 6th session and tended to persist at the six‐month follow‐up. Higher levels of dissociative symptoms at baseline were associated with less response to treatment, but higher levels of attendance at group sessions. Group members rated existential factors (41·40 ± 12·39), cohesiveness (37·42 ± 8·32) and universalism (37·56 ± 7·11) as the most helpful therapeutic factors.Conclusion
Group psychotherapy was significantly effective in reducing levels of depression, anxiety and posttraumatic stress disorder symptoms in this sample of women. Dissociation had a significant effect on both treatment outcome and treatment adherence. For this sample of women, group psychotherapy was most helpful for reducing feelings of stigma, isolation and shame.Relevance to clinical practice
Group psychotherapy can be used as a preferred treatment method for women from different cultural backgrounds with a history of sexual abuse.sentiment_very_dissatisfied This publication does not have an outline.
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