Karatzias Thanos, Ferguson Sandra, Chouliara Zoë, Gullone Angela, Cosgrove Katie, Douglas Anne
Int J Group Psychother. 2014 Oct;64(4):492-514. doi: 10.1521/ijgp.2014.64.4.492.
There has been limited published research on the effectiveness of manualized psychoeducational approaches for the mental health and behavioral problems of child sexual abuse (CSA) survivors. The present study aims to add to the evidence base for the effectiveness and acceptability of such interventions. A total of 37 enrolled into a brief psychoeducation program (i.e., 10 sessions) aiming to help stabilize mental health and behavioral outcomes (e.g., self-harm), while on the waiting list for mental health services. Participants completed a set of self-rated measures at baseline, pre-intervention, post-intervention and 3-month follow-up. Although there was no change over time with regard to general distress, traumatic symptomatology, depression, anxiety, self-esteem, and life satisfaction, completers were less likely to report self-harm and presented with decreased rates of smoking, alcohol and substance misuse, and involvement in illegal and antisocial behaviors at post-treatment and follow-up. Qualitative data also suggested that overall the program is well tolerated by participants, despite the high attrition rate (43%). Although further research is required to establish the efficacy of this intervention, preliminary results indicate that the new intervention may be useful for stabilizing behavioral problems at post-treatment and follow-up. Strategies to improve attrition rates in future research and clinical practice are discussed.
关于针对儿童性虐待(CSA)幸存者心理健康和行为问题的手册化心理教育方法的有效性,已发表的研究有限。本研究旨在为这类干预措施的有效性和可接受性增加证据基础。共有37名等待心理健康服务的参与者参加了一个简短的心理教育项目(即10次课程),该项目旨在帮助稳定心理健康和行为结果(如自我伤害)。参与者在基线、干预前、干预后和3个月随访时完成了一系列自评量表。尽管在一般痛苦、创伤症状、抑郁、焦虑、自尊和生活满意度方面随时间没有变化,但完成项目的参与者报告自我伤害的可能性较小,并且在治疗后和随访时吸烟、酗酒、药物滥用以及参与非法和反社会行为的发生率降低。定性数据还表明,尽管脱落率较高(43%),但总体而言该项目参与者耐受性良好。尽管需要进一步研究来确定这种干预措施的疗效,但初步结果表明,这种新的干预措施可能有助于在治疗后和随访时稳定行为问题。本文讨论了在未来研究和临床实践中提高脱落率的策略。