Hernandez Annette, Ruble Cameron, Rockmore Lori, McKay Mary, Messam Taiwanna, Harris Meghan, Hope Stephanie
Mount Sinai School of Medicine.
Soc Work Ment Health. 2009 Nov 1;7(6):533-555. doi: 10.1080/15332980802301440.
Childhood sexual abuse has been associated with a number of serious physical and psychological consequences throughout childhood and into adulthood for both child victims and their families. This paper describes the preliminary outcomes of a pilot group program to treat non-offending parents of sexually abused children. This group program is integrative in its approach combining elements of trauma-focused cognitive-behavioral and psychoeducational/supportive interventions to treat non-offending parents of sexually abused children. This study also focuses on outcomes in terms of parental post-traumatic distress and general family functioning.A small group of non-offending parents was recruited from a local child advocacy agency. Parents attended the twelve-week group program and outcomes such as parent post-traumatic stress and family dysfunction were examined. Measures of overall satisfaction and intervention feasibility were also examined at the end of the group intervention.Favorable outcomes included a decrease in parent self-report of post-traumatic stress and select aspects of family dysfunction. Seventy five percent of parents completed the group program. Satisfaction questionnaire responses demonstrated highly favorable perceptions of the group's content, leaders, and helpfulness.This study served as an initial step in the development of larger family-focused interventions involving parallel parent and child groups and focused family sessions. Outcomes may begin to shed some light on the need for more parent- and family-focused interventions in families that have been affected by sexual abuse.
童年期遭受性虐待会给儿童受害者及其家庭带来一系列严重的身心后果,这些后果会贯穿童年期并持续至成年期。本文描述了一个试点小组项目的初步成果,该项目旨在治疗遭受性虐待儿童的非犯罪方父母。该小组项目采用综合方法,将创伤聚焦认知行为疗法和心理教育/支持性干预的要素结合起来,以治疗遭受性虐待儿童的非犯罪方父母。本研究还关注父母创伤后应激反应和家庭整体功能方面的结果。一小群非犯罪方父母从当地一家儿童维权机构招募而来。父母们参加了为期十二周的小组项目,并对诸如父母创伤后应激反应和家庭功能失调等结果进行了检查。在小组干预结束时,还对总体满意度和干预可行性的指标进行了检查。良好的结果包括父母自我报告的创伤后应激反应以及家庭功能失调的某些方面有所减少。75%的父母完成了小组项目。满意度调查问卷的回复显示,父母们对小组的内容、领导者以及帮助程度给予了高度好评。本研究是开展更大规模的以家庭为重点的干预措施的第一步,这些措施包括平行的父母和儿童小组以及聚焦家庭的会议。研究结果可能会为受性虐待影响的家庭中开展更多以父母和家庭为重点的干预措施的必要性提供一些启示。