Group psychotherapy in women with a history of sexual abuse: what did they find helpful?
Identifieur interne : 000F40 ( Istex/Corpus ); précédent : 000F39; suivant : 000F41Group psychotherapy in women with a history of sexual abuse: what did they find helpful?
Auteurs : Asl Han Say N ; Selçuk Candansayar ; Leyla WelkinSource :
- Journal of Clinical Nursing [ 0962-1067 ] ; 2013-12.
Abstract
To define the effects of group psychotherapy in women with a history of sexual abuse, to find possible predictors for dropout and treatment outcome rates and to find which therapeutic factors of group psychotherapy are perceived by group members to be most helpful.
Url:
DOI: 10.1111/jocn.12168
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ISTEX:B5BEEC7DBC3CB313BD23B30A51B2079E92BEE6ACLe document en format XML
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Telephone: +90 532 5840438.</affiliation></author><author xml:id="author-2"><persName><forename type="first">Selçuk</forename><surname>Candansayar</surname></persName><roleName type="degree">MD</roleName><note type="biography">Professor</note><affiliation>Professor</affiliation><affiliation>Psychiatry Department, Gazi University Hospital, Ankara, Turkey</affiliation></author><author xml:id="author-3"><persName><forename type="first">Leyla</forename><surname>Welkin</surname></persName><roleName type="degree">PhD</roleName><note type="biography">Independent Scholar</note><affiliation>Independent Scholar</affiliation><affiliation>Pomegranate Connection Program, Ankara, Turkey</affiliation></author></analytic><monogr><title level="j">Journal of Clinical Nursing</title><title level="j" type="abbrev">J Clin Nurs</title><idno type="pISSN">0962-1067</idno><idno type="eISSN">1365-2702</idno><idno type="DOI">10.1111/(ISSN)1365-2702</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><date type="published" when="2013-12"></date><biblScope unit="volume">22</biblScope><biblScope unit="issue">23-24</biblScope><biblScope unit="page" from="3249">3249</biblScope><biblScope unit="page" to="3258">3258</biblScope></imprint></monogr><idno type="istex">B5BEEC7DBC3CB313BD23B30A51B2079E92BEE6AC</idno><idno type="DOI">10.1111/jocn.12168</idno><idno type="ArticleID">JOCN12168</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2012-11-27</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>To define the effects of group psychotherapy in women with a history of sexual abuse, to find possible predictors for dropout and treatment outcome rates and to find which therapeutic factors of group psychotherapy are perceived by group members to be most helpful.</p></abstract><abstract><p>Sexual abuse of women is a global concern and causes many psychiatric and psychological sequelae. Group psychotherapy is one of the preferred treatment modalities.</p></abstract><abstract><p>Prospective cohort study.</p></abstract><abstract><p>Forty‐seven women with a history of childhood and/or adulthood sexual abuse were recruited for weekly 12‐session group psychotherapy. Subjects were given the Hamilton Depression Rating Scale, the Hamilton Anxiety Rating Scale, the Clinician Administered Post‐traumatic Stress Disorder Scale, the Dissociative Experiences Scale, the Childhood Trauma Questionnaire and the Group Therapeutic Factors Questionnaire. Re‐evaluations were made after the 6th and 12th session and also at a six‐month follow‐up session.</p></abstract><abstract><p>Group psychotherapy significantly reduced participants' levels of depression (screening/12th session mean scores, 22·45/11·10), anxiety (15·45/4·32) and symptoms of post‐traumatic stress disorder (42·27/9·32), and this decline became statistically significant at the 6th session and tended to persist at the six‐month follow‐up. Higher levels of dissociative symptoms at baseline were associated with less response to treatment, but higher levels of attendance at group sessions. Group members rated existential factors (41·40 ± 12·39), cohesiveness (37·42 ± 8·32) and universalism (37·56 ± 7·11) as the most helpful therapeutic factors.</p></abstract><abstract><p>Group psychotherapy was significantly effective in reducing levels of depression, anxiety and posttraumatic stress disorder symptoms in this sample of women. Dissociation had a significant effect on both treatment outcome and treatment adherence. For this sample of women, group psychotherapy was most helpful for reducing feelings of stigma, isolation and shame.</p></abstract><abstract><p>Group psychotherapy can be used as a preferred treatment method for women from different cultural backgrounds with a history of sexual abuse.</p></abstract><textClass><keywords scheme="keyword"><list><head>keywords</head><item><term>dissociation</term></item><item><term>group psychotherapy</term></item><item><term>post‐traumatic stress disorder</term></item><item><term>sexual abuse</term></item><item><term>therapeutic factors</term></item><item><term>women</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article-category</head><item><term>Adolescent and female sexuality</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2012-10-31">Registration</change><change when="2012-11-27">Created</change><change when="2013-12">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/B5BEEC7DBC3CB313BD23B30A51B2079E92BEE6AC/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="jocn12168" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1365-2702</doi><issn type="print">0962-1067</issn><issn type="electronic">1365-2702</issn><idGroup><id type="product" value="JOCN"></id></idGroup><titleGroup><title sort="JOURNAL OF CLINICAL NURSING" type="main">Journal of Clinical Nursing</title><title type="short">J Clin Nurs</title></titleGroup></publicationMeta><publicationMeta level="part" position="12124"><doi origin="wiley">10.1111/jocn.2013.22.issue-23pt24</doi><titleGroup><title type="specialIssueTitle">Special issue on Sexual reproduction and health</title></titleGroup><copyright ownership="publisher">Copyright © 2013 John Wiley & Sons Ltd</copyright><numberingGroup><numbering type="journalVolume" number="22">22</numbering><numbering type="journalIssue">23-24</numbering></numberingGroup><coverDate startDate="2013-12">December 2013</coverDate></publicationMeta><publicationMeta level="unit" position="40" status="forIssue" type="article"><doi>10.1111/jocn.12168</doi><idGroup><id type="unit" value="JOCN12168"></id></idGroup><countGroup><count number="10" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Adolescent and female sexuality</title><title type="tocHeading1">Adolescent and female sexuality</title></titleGroup><copyright ownership="publisher">© 2013 John Wiley & Sons Ltd</copyright><eventGroup><event date="2012-10-31" type="manuscriptAccepted"></event><event agent="SPS" date="2012-11-27" type="xmlCreated"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.2.6 mode:FullText" date="2013-11-08"></event><event type="publishedOnlineEarlyUnpaginated" date="2013-10-11"></event><event type="firstOnline" date="2013-10-11"></event><event type="publishedOnlineFinalForm" date="2013-11-08"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-04"></event></eventGroup><numberingGroup><numbering type="pageFirst">3249</numbering><numbering type="pageLast">3258</numbering></numberingGroup><correspondenceTo><lineatedText><line><b>Correspondence:</b> Aslıhan Sayın, Associate Professor, Psychiatry Department, Gazi University Hospital, Beşevler, Ankara 06500, Turkey. Telephone: +90 532 5840438.</line><line><b>E‐mail:</b> <email>aslihansayin@gmail.com</email></line></lineatedText></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JOCN.JOCN12168.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Group psychotherapy in women with a history of sexual abuse: what did they find helpful?</title><title type="shortAuthors">A Sayın et al.</title></titleGroup><creators><creator affiliationRef="#jocn12168-aff-0001" corresponding="yes" creatorRole="author" xml:id="jocn12168-cr-0001"><personName><givenNames>Aslıhan</givenNames> <familyName>Sayın</familyName> <degrees>MD</degrees></personName><jobTitle>Associate Professor</jobTitle></creator><creator affiliationRef="#jocn12168-aff-0001" creatorRole="author" xml:id="jocn12168-cr-0002"><personName><givenNames>Selçuk</givenNames> <familyName>Candansayar</familyName> <degrees>MD</degrees></personName><jobTitle>Professor</jobTitle></creator><creator affiliationRef="#jocn12168-aff-0002" creatorRole="author" xml:id="jocn12168-cr-0003"><personName><givenNames>Leyla</givenNames> <familyName>Welkin</familyName> <degrees>PhD</degrees></personName><jobTitle>Independent Scholar</jobTitle></creator></creators><affiliationGroup><affiliation countryCode="TR" type="organization" xml:id="jocn12168-aff-0001"><orgDiv>Psychiatry Department</orgDiv> <orgName>Gazi University Hospital</orgName> <address><city>Ankara</city> <country>Turkey</country></address></affiliation><affiliation countryCode="TR" type="organization" xml:id="jocn12168-aff-0002"><orgName>Pomegranate Connection Program</orgName> <address><city>Ankara</city> <country>Turkey</country></address></affiliation></affiliationGroup><keywordGroup type="author"><keyword xml:id="jocn12168-kwd-0001">dissociation</keyword><keyword xml:id="jocn12168-kwd-0002">group psychotherapy</keyword><keyword xml:id="jocn12168-kwd-0003">post‐traumatic stress disorder</keyword><keyword xml:id="jocn12168-kwd-0004">sexual abuse</keyword><keyword xml:id="jocn12168-kwd-0005">therapeutic factors</keyword><keyword xml:id="jocn12168-kwd-0006">women</keyword></keywordGroup><abstractGroup><abstract type="main" xml:id="jocn12168-abs-0001"><section xml:id="jocn12168-sec-0001"><title type="main">Aims and objectives</title><p>To define the effects of group psychotherapy in women with a history of sexual abuse, to find possible predictors for dropout and treatment outcome rates and to find which therapeutic factors of group psychotherapy are perceived by group members to be most helpful.</p></section><section xml:id="jocn12168-sec-0002"><title type="main">Background</title><p>Sexual abuse of women is a global concern and causes many psychiatric and psychological sequelae. Group psychotherapy is one of the preferred treatment modalities.</p></section><section xml:id="jocn12168-sec-0003"><title type="main">Design</title><p>Prospective cohort study.</p></section><section xml:id="jocn12168-sec-0004"><title type="main">Methods</title><p>Forty‐seven women with a history of childhood and/or adulthood sexual abuse were recruited for weekly 12‐session group psychotherapy. Subjects were given the Hamilton Depression Rating Scale, the Hamilton Anxiety Rating Scale, the Clinician Administered Post‐traumatic Stress Disorder Scale, the Dissociative Experiences Scale, the Childhood Trauma Questionnaire and the Group Therapeutic Factors Questionnaire. Re‐evaluations were made after the 6th and 12th session and also at a six‐month follow‐up session.</p></section><section xml:id="jocn12168-sec-0005"><title type="main">Results</title><p>Group psychotherapy significantly reduced participants' levels of depression (screening/12th session mean scores, 22·45/11·10), anxiety (15·45/4·32) and symptoms of post‐traumatic stress disorder (42·27/9·32), and this decline became statistically significant at the 6th session and tended to persist at the six‐month follow‐up. Higher levels of dissociative symptoms at baseline were associated with less response to treatment, but higher levels of attendance at group sessions. Group members rated existential factors (41·40 ± 12·39), cohesiveness (37·42 ± 8·32) and universalism (37·56 ± 7·11) as the most helpful therapeutic factors.</p></section><section xml:id="jocn12168-sec-0006"><title type="main">Conclusion</title><p>Group psychotherapy was significantly effective in reducing levels of depression, anxiety and posttraumatic stress disorder symptoms in this sample of women. Dissociation had a significant effect on both treatment outcome and treatment adherence. For this sample of women, group psychotherapy was most helpful for reducing feelings of stigma, isolation and shame.</p></section><section xml:id="jocn12168-sec-0007"><title type="main">Relevance to clinical practice</title><p>Group psychotherapy can be used as a preferred treatment method for women from different cultural backgrounds with a history of sexual abuse.</p></section></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Group psychotherapy in women with a history of sexual abuse: what did they find helpful?</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Group psychotherapy in women with a history of sexual abuse: what did they find helpful?</title></titleInfo><name type="personal"><namePart type="given">Aslıhan</namePart><namePart type="family">Sayın</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Psychiatry Department, Gazi University Hospital, Ankara, Turkey</affiliation><affiliation>Aslıhan Sayın, Associate Professor, Psychiatry Department, Gazi University Hospital, Beşevler, Ankara 06500, Turkey. Telephone: +90 532 5840438.</affiliation><affiliation>E-mail: aslihansayin@gmail.com</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Associate Professor</description></name><name type="personal"><namePart type="given">Selçuk</namePart><namePart type="family">Candansayar</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Psychiatry Department, Gazi University Hospital, Ankara, Turkey</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Professor</description></name><name type="personal"><namePart type="given">Leyla</namePart><namePart type="family">Welkin</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Pomegranate Connection Program, Ankara, Turkey</affiliation><role><roleTerm type="text">author</roleTerm></role><description>Independent Scholar</description></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2013-12</dateIssued><dateCreated encoding="w3cdtf">2012-11-27</dateCreated><dateValid encoding="w3cdtf">2012-10-31</dateValid><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>To define the effects of group psychotherapy in women with a history of sexual abuse, to find possible predictors for dropout and treatment outcome rates and to find which therapeutic factors of group psychotherapy are perceived by group members to be most helpful.</abstract><abstract>Sexual abuse of women is a global concern and causes many psychiatric and psychological sequelae. Group psychotherapy is one of the preferred treatment modalities.</abstract><abstract>Prospective cohort study.</abstract><abstract>Forty‐seven women with a history of childhood and/or adulthood sexual abuse were recruited for weekly 12‐session group psychotherapy. Subjects were given the Hamilton Depression Rating Scale, the Hamilton Anxiety Rating Scale, the Clinician Administered Post‐traumatic Stress Disorder Scale, the Dissociative Experiences Scale, the Childhood Trauma Questionnaire and the Group Therapeutic Factors Questionnaire. Re‐evaluations were made after the 6th and 12th session and also at a six‐month follow‐up session.</abstract><abstract>Group psychotherapy significantly reduced participants' levels of depression (screening/12th session mean scores, 22·45/11·10), anxiety (15·45/4·32) and symptoms of post‐traumatic stress disorder (42·27/9·32), and this decline became statistically significant at the 6th session and tended to persist at the six‐month follow‐up. Higher levels of dissociative symptoms at baseline were associated with less response to treatment, but higher levels of attendance at group sessions. Group members rated existential factors (41·40 ± 12·39), cohesiveness (37·42 ± 8·32) and universalism (37·56 ± 7·11) as the most helpful therapeutic factors.</abstract><abstract>Group psychotherapy was significantly effective in reducing levels of depression, anxiety and posttraumatic stress disorder symptoms in this sample of women. Dissociation had a significant effect on both treatment outcome and treatment adherence. For this sample of women, group psychotherapy was most helpful for reducing feelings of stigma, isolation and shame.</abstract><abstract>Group psychotherapy can be used as a preferred treatment method for women from different cultural backgrounds with a history of sexual abuse.</abstract><subject><genre>keywords</genre><topic>dissociation</topic><topic>group psychotherapy</topic><topic>post‐traumatic stress disorder</topic><topic>sexual abuse</topic><topic>therapeutic factors</topic><topic>women</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Clinical Nursing</title></titleInfo><titleInfo type="abbreviated"><title>J Clin Nurs</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Adolescent and female sexuality</topic></subject><identifier type="ISSN">0962-1067</identifier><identifier type="eISSN">1365-2702</identifier><identifier type="DOI">10.1111/(ISSN)1365-2702</identifier><identifier type="PublisherID">JOCN</identifier><part><date>2013</date><detail type="title"><title>Special issue on Sexual reproduction and health</title></detail><detail type="volume"><caption>vol.</caption><number>22</number></detail><detail type="issue"><caption>no.</caption><number>23-24</number></detail><extent unit="pages"><start>3249</start><end>3258</end><total>10</total></extent></part></relatedItem><identifier type="istex">B5BEEC7DBC3CB313BD23B30A51B2079E92BEE6AC</identifier><identifier type="DOI">10.1111/jocn.12168</identifier><identifier type="ArticleID">JOCN12168</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 John Wiley & Sons Ltd© 2013 John Wiley & Sons Ltd</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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|type= RBID
|clé= ISTEX:B5BEEC7DBC3CB313BD23B30A51B2079E92BEE6AC
|texte= Group psychotherapy in women with a history of sexual abuse: what did they find helpful?
}}
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