Molero-Zafra Milagros, Fernández-García Olga, Mitjans-Lafont María Teresa, Pérez-Marín Marián, Hernández-Jiménez María Jesús
Faculty of Psychology, University of Valencia, Valencia, Spain.
Health Sciences Area, Valencian International University, Valencia, Spain.
Front Psychiatry. 2024 May 29;15:1360388. doi: 10.3389/fpsyt.2024.1360388. eCollection 2024.
Childhood sexual abuse persists as a painful societal reality, necessitating responses from institutions and healthcare professionals to prevent and address its severe long-term consequences in victims. This study implements an intervention comprising two psychotherapeutic approaches recommended by the WHO and international clinical guidelines for addressing short-, medium-, and long-term posttraumatic symptomatology: Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and Eye Movement Desensitization and Reprocessing (EMDR). Both approaches are adapted from group formats for implementation in small online groups via Zoom.
The impact of both therapeutic approaches on trauma improvement was assessed in a sample of 19 women who were victims of childhood sexual abuse through a Randomized Clinical Trial comparing EMDR Psychotherapy and Trauma-Focused Cognitive Behavioral Therapy after a baseline period. Intra and inter comparison were made using statistics appropriate to the sample.
Both therapeutic approaches significantly reduced symptomatology across various evaluated variables, suggesting their efficacy in improving the quality of life for these individuals. Following CBT-FT treatment, patients exhibited enhanced emotional regulation, reduced reexperiencing, and avoidance. The EMDR group, utilizing the G-TEP group protocol, significantly improved dissociation, along with other crucial clinical variables and the perception of quality of life.
Although the limitations of this study must be taken into account due to the size of the sample and the lack of long-term follow-up, the results align with existing scientific literature, underscoring the benefits of trauma-focused psychological treatments. The online group format appears promising for enhancing the accessibility of psychological treatment for these women. Furthermore, the differential outcomes of each treatment support recent research advocating for the inclusion of both approaches for individuals with trauma-related symptomatology.
The study has been approved by the Ethics Committee of the Valencian International University (VIU) (Valencia, Spain) (Ref. CEID2021_07). The results will be submitted for publication in peer-reviewed journals and disseminated to the scientific community.
https://clinicaltrials.gov/ct2/show/NCT04813224, identifier NCT04813224.
儿童期性虐待仍然是一个痛苦的社会现实，这就需要机构和医疗保健专业人员做出应对，以预防和解决其对受害者造成的严重长期后果。本研究实施了一种干预措施，该措施包含世界卫生组织和国际临床指南推荐的两种心理治疗方法，用于解决创伤后短期、中期和长期症状：创伤聚焦认知行为疗法（TF-CBT）和眼动脱敏再处理疗法（EMDR）。这两种方法均改编自团体治疗形式，以便通过Zoom在小型在线团体中实施。
通过一项随机临床试验，在19名儿童期性虐待受害者女性样本中评估了这两种治疗方法对创伤改善的影响，该试验在基线期后比较了EMDR心理治疗和创伤聚焦认知行为疗法。使用适合该样本的统计方法进行组内和组间比较。
两种治疗方法均显著降低了各评估变量的症状，表明它们在改善这些个体的生活质量方面具有有效性。接受CBT-FT治疗后，患者的情绪调节能力增强，再体验和回避行为减少。使用G-TEP团体方案的EMDR组在解离以及其他关键临床变量和生活质量感知方面有显著改善。
尽管由于样本量和缺乏长期随访，必须考虑本研究的局限性，但结果与现有科学文献一致，强调了以创伤为重点的心理治疗的益处。在线团体形式对于提高这些女性获得心理治疗的可及性似乎很有前景。此外，每种治疗的不同结果支持了最近的研究，该研究主张将这两种方法纳入有创伤相关症状的个体的治疗中。
该研究已获得巴伦西亚国际大学（VIU）（西班牙巴伦西亚）伦理委员会的批准（参考文献CEID2021_07）。研究结果将提交至同行评审期刊发表，并向科学界传播。
https://clinicaltrials.gov/ct2/show/NCT04813224，标识符NCT04813224。
