丹麦儿童性虐待幸存者的治疗——一项队列研究
Treatment of Danish Survivors of Child Sexual Abuse-A Cohort Study.
作者信息
Elklit Ask
机构信息
Department of Psychology, University of Southern Denmark, Campusvej 55, DK-5230 Odense M, Denmark.
出版信息
Behav Sci (Basel). 2015 Dec 11;5(4):589-601. doi: 10.3390/bs5040589.
OBJECTIVE
To investigate the changes in psychological and social domains associated with treatment in survivors of child sexual abuse.
METHOD
Participants from four centers were assessed at baseline and were followed up after six and 12 months. The battery covered posttraumatic and general distress symptoms, attachment, coping styles, self-worth, and social support.
RESULTS
The estimated prevalence of Posttraumatic Stress Disorder (PTSD) was 78% at baseline; this rate declined to 40% after one year. There were no differences in outcome measures across the different centers or between the individual and group treatments. Half of the PTSD variation at 12 months was explained by four factors: education, avoidance attachment, emotional coping, and social support.
CONCLUSION
The findings in this study indicated a substantial reduction in mental health problems in survivors following 12 months of treatment and identified personality and social factors important for recovery.
目的
调查儿童性虐待幸存者治疗相关的心理和社会领域变化。
方法
来自四个中心的参与者在基线时接受评估，并在6个月和12个月后进行随访。测评内容包括创伤后和一般痛苦症状、依恋、应对方式、自我价值和社会支持。
结果
创伤后应激障碍（PTSD）的估计患病率在基线时为78%；一年后该比率降至40%。不同中心之间或个体与团体治疗之间的结果指标没有差异。12个月时PTSD变异的一半由四个因素解释：教育、回避依恋、情绪应对和社会支持。
结论
本研究结果表明，治疗12个月后，幸存者的心理健康问题大幅减少，并确定了对康复重要的人格和社会因素。
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