Department of Psychology, Murray State University.
Department of Psychiatry and Behavioral Sciences, Psychiatric Research Institute, University of Arkansas for Medical Sciences.
Psychol Trauma. 2020 Mar;12(3):300-305. doi: 10.1037/tra0000504. Epub 2019 Aug 8.
Survivors Healing from Abuse: Recovery through Exposure (SHARE) is a group treatment for incarcerated women that targets sexual abuse sequelae. Previous research on SHARE found significant reductions in posttraumatic stress disorder (PTSD), depression, and generalized anxiety disorder (GAD) symptoms among completers. However, evidence for SHARE has been limited to open pilot studies conducted in one prison. Therefore, this study sought to replicate the results of previous SHARE studies in a separate facility.
Thirty-two women incarcerated in a minimum-security prison participated in an open trial of SHARE. Six separate groups were conducted, each consisting of eight 1.5-hr sessions.
Pre- to posttreatment symptom reductions in PTSD, depression, and GAD were statistically significant with large effect sizes. Moreover, 21-37% of treatment completers evidenced reliable change in their symptom reduction during the course of treatment. Most women who did not evidence reliable change were already below the clinical cutoff on the corresponding symptom measure at pre-treatment and remained below by post-treatment.
These results are consistent with prior studies of SHARE and provide additional support for the positive outcomes of this brief, targeted trauma-focused treatment for incarcerated women. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
创伤后幸存者治愈:暴露康复(SHARE)是一种针对被监禁女性的团体治疗方法,针对性虐待后遗症。之前对 SHARE 的研究发现,完成治疗的患者的创伤后应激障碍(PTSD)、抑郁和广泛性焦虑障碍(GAD)症状显著减少。然而,SHARE 的证据仅限于在一所监狱进行的开放性试点研究。因此,本研究旨在在另一个设施中复制之前 SHARE 研究的结果。
32 名被监禁在最低安全级别的监狱中的女性参加了 SHARE 的开放性试验。共进行了 6 个单独的小组,每个小组由 8 个 1.5 小时的会议组成。
PTSD、抑郁和 GAD 的治疗前至治疗后症状减少具有统计学意义,且具有较大的效应量。此外,21%-37%的治疗完成者在治疗过程中表现出可靠的症状减轻。大多数没有表现出可靠变化的女性在治疗前就已经低于相应症状测量的临床临界值,且在治疗后仍然低于该值。
这些结果与 SHARE 的先前研究一致,为这种针对被监禁女性的简短、有针对性的创伤焦点治疗的积极结果提供了额外的支持。(美国心理协会,2020)。