Shame, Guilt, and Posttraumatic Stress Disorder in Adult Survivors of Childhood Sexual Abuse at Risk for Human Immunodeficiency Virus: Outcomes of a Randomized Clinical Trial of Group Psychotherapy Treatment
Identifieur interne : 001C56 ( Main/Exploration ); précédent : 001C55; suivant : 001C57Shame, Guilt, and Posttraumatic Stress Disorder in Adult Survivors of Childhood Sexual Abuse at Risk for Human Immunodeficiency Virus: Outcomes of a Randomized Clinical Trial of Group Psychotherapy Treatment
Auteurs : Karni Ginzburg [Israël] ; Lisa D. Butler [États-Unis] ; Janine Giese-Davis [États-Unis, Canada] ; Courtenay E. Cavanaugh ; Eric Neri [États-Unis] ; Cheryl Koopman [États-Unis] ; Catherine C. Classen [Canada] ; David Spiegel [États-Unis]Source :
- The Journal of nervous and mental disease [ 0022-3018 ] ; 2009.
Descripteurs français
- Pascal (Inist)
- Honte, Culpabilité, Etat de stress posttraumatique, Stress, Survivant, Enfant maltraité, Abus sexuel, Facteur risque, Virus immunodéficience humaine, Essai thérapeutique contrôlé, Psychothérapie groupe, Traitement groupe, Traumatisme infantile, Etude comparative, Modalité traitement, Efficacité traitement, Etude longitudinale, Adulte, Adulte jeune.
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
- Adult, Application method, Child abuse, Comparative study, Controlled therapeutic trial, Early traumatism, Follow up study, Group psychotherapy, Group treatment, Guilt, Human immunodeficiency virus, Posttraumatic stress disorder, Risk factor, Sexual abuse, Shame, Stress, Survivor, Treatment efficiency, Young adult.
Abstract
This study evaluated the effectiveness of group psychotherapy in reducing levels of shame and guilt in adult survivors of childhood sexual abuse at risk for HIV, and whether such reductions would mediate the effects of treatment on posttraumatic stress disorder (PTSD) symptoms. One hundred sixty-six women were randomized into 3 conditions: a trauma-focused group, a present-focused group, and a waitlist group. Women received 6 months of treatment and were assessed at pretreatment (T1), immediately posttreatment (T2), and 6 months posttreatment (T3). Both treatment conditions resulted in reduced shame and guilt. The treatment effect on PTSD symptoms was mediated by changes in shame, but it was not associated with changes in guilt. These findings suggest that, when treating childhood sexual abuse survivors' PTSD, it is important to address the negative self-appraisals, such as shame, that commonly accompany such symptoms.
Affiliations:
- Canada, Israël, États-Unis
- Alberta, Californie, Ontario, État de New York
- Buffalo (New York), Calgary, Toronto
- Université d'État de New York à Buffalo, Université de Calgary, Université de Toronto
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Le document en format XML
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Butler</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine</s1><s2>Stanford, California</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>School of Social Work, University at Buffalo, The State University of New York</s1><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>School of Social Work, University at Buffalo, The State University of New York</wicri:noRegion><orgName type="university">Université d'État de New York à Buffalo</orgName><placeName><settlement type="city">Buffalo (New York)</settlement><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Giese Davis, Janine" sort="Giese Davis, Janine" uniqKey="Giese Davis J" first="Janine" last="Giese-Davis">Janine Giese-Davis</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine</s1><s2>Stanford, California</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Department of Oncology, Division of Psychosocial Oncology, University of Calgary</s1><s2>Calgary</s2><s3>CAN</s3><sZ>3 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName><orgName type="university">Université de Calgary</orgName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Division of Psychosocial Resources, Tom Baker Center</s1><s2>Calgary</s2><s3>CAN</s3><sZ>3 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Calgary</wicri:noRegion></affiliation></author><author><name sortKey="Cavanaugh, Courtenay E" sort="Cavanaugh, Courtenay E" uniqKey="Cavanaugh C" first="Courtenay E." last="Cavanaugh">Courtenay E. Cavanaugh</name><affiliation><inist:fA14 i1="06"><s1>Department of Psychiatry, Yale School of Medicine</s1><s2>Connecticut</s2><s3>INC</s3><sZ>4 aut.</sZ></inist:fA14><wicri:noCountry>INC</wicri:noCountry></affiliation></author><author><name sortKey="Neri, Eric" sort="Neri, Eric" uniqKey="Neri E" first="Eric" last="Neri">Eric Neri</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine</s1><s2>Stanford, California</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Koopman, Cheryl" sort="Koopman, Cheryl" uniqKey="Koopman C" first="Cheryl" last="Koopman">Cheryl Koopman</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine</s1><s2>Stanford, California</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Classen, Catherine C" sort="Classen, Catherine C" uniqKey="Classen C" first="Catherine C." last="Classen">Catherine C. Classen</name><affiliation wicri:level="4"><inist:fA14 i1="07"><s1>Department of Psychiatry, University of Toronto</s1><s3>CAN</s3><sZ>7 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Spiegel, David" sort="Spiegel, David" uniqKey="Spiegel D" first="David" last="Spiegel">David Spiegel</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine</s1><s2>Stanford, California</s2><s3>USA</s3><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j" type="main">The Journal of nervous and mental disease</title><title level="j" type="abbreviated">J. nerv. ment. dis.</title><idno type="ISSN">0022-3018</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The Journal of nervous and mental disease</title><title level="j" type="abbreviated">J. nerv. ment. dis.</title><idno type="ISSN">0022-3018</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Application method</term><term>Child abuse</term><term>Comparative study</term><term>Controlled therapeutic trial</term><term>Early traumatism</term><term>Follow up study</term><term>Group psychotherapy</term><term>Group treatment</term><term>Guilt</term><term>Human immunodeficiency virus</term><term>Posttraumatic stress disorder</term><term>Risk factor</term><term>Sexual abuse</term><term>Shame</term><term>Stress</term><term>Survivor</term><term>Treatment efficiency</term><term>Young adult</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Honte</term><term>Culpabilité</term><term>Etat de stress posttraumatique</term><term>Stress</term><term>Survivant</term><term>Enfant maltraité</term><term>Abus sexuel</term><term>Facteur risque</term><term>Virus immunodéficience humaine</term><term>Essai thérapeutique contrôlé</term><term>Psychothérapie groupe</term><term>Traitement groupe</term><term>Traumatisme infantile</term><term>Etude comparative</term><term>Modalité traitement</term><term>Efficacité traitement</term><term>Etude longitudinale</term><term>Adulte</term><term>Adulte jeune</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study evaluated the effectiveness of group psychotherapy in reducing levels of shame and guilt in adult survivors of childhood sexual abuse at risk for HIV, and whether such reductions would mediate the effects of treatment on posttraumatic stress disorder (PTSD) symptoms. One hundred sixty-six women were randomized into 3 conditions: a trauma-focused group, a present-focused group, and a waitlist group. Women received 6 months of treatment and were assessed at pretreatment (T1), immediately posttreatment (T2), and 6 months posttreatment (T3). Both treatment conditions resulted in reduced shame and guilt. The treatment effect on PTSD symptoms was mediated by changes in shame, but it was not associated with changes in guilt. These findings suggest that, when treating childhood sexual abuse survivors' PTSD, it is important to address the negative self-appraisals, such as shame, that commonly accompany such symptoms.</div></front></TEI><affiliations><list><country><li>Canada</li><li>Israël</li><li>États-Unis</li></country><region><li>Alberta</li><li>Californie</li><li>Ontario</li><li>État de New York</li></region><settlement><li>Buffalo (New York)</li><li>Calgary</li><li>Toronto</li></settlement><orgName><li>Université d'État de New York à Buffalo</li><li>Université de Calgary</li><li>Université de Toronto</li></orgName></list><tree><noCountry><name sortKey="Cavanaugh, Courtenay E" sort="Cavanaugh, Courtenay E" uniqKey="Cavanaugh C" first="Courtenay E." last="Cavanaugh">Courtenay E. Cavanaugh</name></noCountry><country name="Israël"><noRegion><name sortKey="Ginzburg, Karni" sort="Ginzburg, Karni" uniqKey="Ginzburg K" first="Karni" last="Ginzburg">Karni Ginzburg</name></noRegion></country><country name="États-Unis"><region name="Californie"><name sortKey="Butler, Lisa D" sort="Butler, Lisa D" uniqKey="Butler L" first="Lisa D." last="Butler">Lisa D. Butler</name></region><name sortKey="Butler, Lisa D" sort="Butler, Lisa D" uniqKey="Butler L" first="Lisa D." last="Butler">Lisa D. Butler</name><name sortKey="Giese Davis, Janine" sort="Giese Davis, Janine" uniqKey="Giese Davis J" first="Janine" last="Giese-Davis">Janine Giese-Davis</name><name sortKey="Koopman, Cheryl" sort="Koopman, Cheryl" uniqKey="Koopman C" first="Cheryl" last="Koopman">Cheryl Koopman</name><name sortKey="Neri, Eric" sort="Neri, Eric" uniqKey="Neri E" first="Eric" last="Neri">Eric Neri</name><name sortKey="Spiegel, David" sort="Spiegel, David" uniqKey="Spiegel D" first="David" last="Spiegel">David Spiegel</name></country><country name="Canada"><region name="Alberta"><name sortKey="Giese Davis, Janine" sort="Giese Davis, Janine" uniqKey="Giese Davis J" first="Janine" last="Giese-Davis">Janine Giese-Davis</name></region><name sortKey="Classen, Catherine C" sort="Classen, Catherine C" uniqKey="Classen C" first="Catherine C." last="Classen">Catherine C. Classen</name><name sortKey="Giese Davis, Janine" sort="Giese Davis, Janine" uniqKey="Giese Davis J" first="Janine" last="Giese-Davis">Janine Giese-Davis</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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