Foschiera Laura Nichele, de Freitas Clarissa Pinto Pizarro, Luft Caroline Zilli, Godoi Aline Ruoso, Dupont Melina Friedrich, Habigzang Luísa Fernanda
Escola de Ciências da Saúde E da Vida/Programa de Pós-Graduação Em Psicologia, Pontifícia Universidade Católica Do Rio Grande Do Sul, Porto Alegre, Brazil.
Departamento de Psicologia/Programa de Pós-Graduação Em Psicologia Clínica, Pontifícia Universidade Católica Do Rio de Janeiro, Rio de Janeiro, Brazil.
Trends Psychol. 2022 Jul 18:1-20. doi: 10.1007/s43076-022-00213-3.
This study aims to evaluate the therapeutic effects of the cognitive behavioral psychotherapy protocol for women with a history of intimate partner violence 6 months after the end of the intervention. The study employed a mixed method with pre-experimental design. Fifteen women (M = 36.67 years; SD = 11.89; 22 to 60 years) who had completed the intervention participated in the study. The majority of the participants were white, divorced, with complete higher education, and employed. Data collection was carried out from May 2019 to September 2020 in person at Psychology Practice and Research Service (-SAPP) of the university with 7 participants, and online with 8 participants. Instruments applied aim to assess levels of self-esteem, life satisfaction, anxiety, depression, post-traumatic stress disorder, post-traumatic beliefs, and complex trauma. The instruments were applied at pretest, post-test, and follow-up. A structured interview was applied only at the follow-up. Descriptive analyses of frequencies were carried out, Friedman's test to verify differences between the evaluation times, analyses with JT method to evaluate individual differences, and clinical significance. Content analysis was also carried out from the structured interviews. The intervention reduced symptoms of depression (Cohen's = 0.45), post-traumatic stress disorder (Cohen's = 0.33), and complex trauma (Cohen's = 0.57), which were maintained at follow-up. Participants showed higher levels of self-esteem and life satisfaction after the intervention, when comparing pretest and follow-up evaluations ( < 0.005). In the interviews, participants indicated that the psychotherapy process contributed to better quality of life. The study results indicate the potential of the intervention for the replication in mental health services for women with a history of intimate partner violence. Cognitive-behavioral therapy is an effective approach and it can be a tool to reduce negative mental health outcomes in long-term process.
本研究旨在评估针对有亲密伴侣暴力史女性的认知行为心理治疗方案在干预结束6个月后的治疗效果。该研究采用了带有预实验设计的混合方法。15名完成干预的女性（M = 36.67岁；SD = 11.89；年龄在22至60岁之间）参与了研究。大多数参与者为白人、离异、拥有完整高等教育且有工作。2019年5月至2020年9月期间，7名参与者在大学的心理学实践与研究服务中心（-SAPP）进行了面对面数据收集，8名参与者通过网络进行数据收集。所应用的工具旨在评估自尊水平、生活满意度、焦虑、抑郁、创伤后应激障碍、创伤后信念以及复杂创伤情况。这些工具在预测试、后测试和随访时使用。仅在随访时进行了结构化访谈。进行了频率的描述性分析、使用弗里德曼检验来验证评估时间之间的差异、使用JT方法进行分析以评估个体差异和临床意义。还对结构化访谈进行了内容分析。干预减轻了抑郁症状（科恩系数 = 0.45）、创伤后应激障碍症状（科恩系数 = 0.33）和复杂创伤症状（科恩系数 = 0.57），这些症状在随访时得以维持。与预测试和随访评估相比，干预后参与者表现出更高的自尊水平和生活满意度（< 0.005）。在访谈中，参与者表示心理治疗过程有助于提高生活质量。研究结果表明该干预措施在为有亲密伴侣暴力史女性的心理健康服务中具有可复制的潜力。认知行为疗法是一种有效的方法，它可以成为在长期过程中减少负面心理健康结果 的一种工具。
