Leslie W. Miles, DNP, PMHNP-BC, Brigham Young University College of Nursing, Provo, UT, USA.
Julie L. Valentine, PhD, RN, SANE-A, FAAN, University of Utah, Salt Lake City, UT, USA.
J Am Psychiatr Nurses Assoc. 2024 May-Jun;30(3):480-502. doi: 10.1177/10783903231216138. Epub 2023 Dec 26.
Sexual assault (SA) is a serious crime that is a prevalent mental and public health problem.
Addressing the needs of SA victims and providing appropriate treatment are essential to reduce potential adverse short- and long-term outcomes.
Our team undertook an extensive systematic literature review (published between January 2006 and July 2021) to provide evidence-based mental health intervention recommendations for adolescent and adult victims of SA. Where SA-specific research was limited, the literature and clinical practice guidelines on treatments for trauma-induced post-traumatic stress disorder (PTSD) were reviewed to provide additional information to formulate recommendations.
Findings strongly support several primary psychotherapy treatments: cognitive behavioral therapy, cognitive processing therapy, eye movement desensitization and reprocessing, narrative exposure therapy, and prolonged exposure therapy. Complementary (aerobic exercise, art, drama, and music therapy) and pharmacological treatments were explored.
Mental health nurses who provide services for victims of SA can utilize this overview to guide recommendations for treatment of SA trauma and related PTSD symptoms to mitigate the short- and long-term negative impacts after a traumatic event. When victims of SA receive optimal mental health treatments, our communities benefit as victims heal and recover.
性侵犯(SA)是一种严重的犯罪,也是一个普遍存在的心理和公共卫生问题。
满足 SA 受害者的需求并提供适当的治疗对于减少潜在的短期和长期不良后果至关重要。
我们的团队进行了广泛的系统文献回顾(发表于 2006 年 1 月至 2021 年 7 月之间),为青少年和成年 SA 受害者提供基于证据的心理健康干预建议。在 SA 特定研究有限的情况下,审查了创伤后应激障碍(PTSD)治疗的文献和临床实践指南,以提供额外的信息来制定建议。
研究结果强烈支持几种主要的心理治疗方法:认知行为疗法、认知加工疗法、眼动脱敏与再加工疗法、叙事暴露疗法和延长暴露疗法。还探讨了补充治疗(有氧运动、艺术、戏剧和音乐疗法)和药物治疗。
为 SA 受害者提供服务的心理健康护士可以利用本综述为治疗 SA 创伤和相关 PTSD 症状提供建议,以减轻创伤事件后的短期和长期负面影响。当 SA 受害者接受最佳的心理健康治疗时,我们的社区将受益于受害者的康复和恢复。