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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
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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.
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