Kessler Mindi R Higgins, White Mark B, Nelson Briana S
Family Service and Guidance Center, 2029 SW Western, Topeka, KS, USA.
Child Abuse Negl. 2003 Sep;27(9):1045-61. doi: 10.1016/s0145-2134(03)00165-0.
Adults with a history of sexual abuse often suffer many long-term consequences. It is important that therapists be able to provide effective treatment to address the host of issues that are presented in therapy by adult survivors of childhood sexual abuse (CSA). In order to provide the best possible treatment, therapists should know which treatments are most effective.
This paper provides a critique of the outcome research of 13 studies (six uncontrolled and seven controlled) on the treatment of adults who suffered childhood sexual abuse and discusses specific methodological strategies that can enhance the quality of such research in the future.
Although many of the studies contain methodological limitations, the results generally indicate that group treatment helps reduce symptomatology in the short-term and at follow-up.
Although outcome research has not been published on specific individual or conjoint treatment approaches for adult survivors of CSA, several outcome studies have found group treatment to be effective in the recovery of female CSA survivors.
有性虐待史的成年人常常遭受诸多长期后果。治疗师能够提供有效的治疗以解决童年期性虐待（CSA）成年幸存者在治疗中出现的一系列问题，这一点很重要。为了提供尽可能最佳的治疗，治疗师应该了解哪些治疗方法最有效。
本文对13项关于遭受童年期性虐待的成年人治疗的研究（6项无对照研究和7项对照研究）的结果研究进行了批判，并讨论了未来可提高此类研究质量的具体方法策略。
尽管许多研究存在方法学上的局限性，但结果总体表明团体治疗有助于在短期和随访中减轻症状。
尽管尚未发表关于CSA成年幸存者特定个体或联合治疗方法的结果研究，但一些结果研究发现团体治疗对女性CSA幸存者的康复有效。
