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 : 000135 ( PascalFrancis/Corpus ); précédent : 000134; suivant : 000136Shame, 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 ; Lisa D. Butler ; Janine Giese-Davis ; Courtenay E. Cavanaugh ; Eric Neri ; Cheryl Koopman ; Catherine C. Classen ; David SpiegelSource :
- 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.
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.
Notice en format standard (ISO 2709)
Pour connaître la documentation sur le format Inist Standard.
pA |
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Format Inist (serveur)
NO : | PASCAL 09-0399126 INIST |
---|---|
ET : | 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 |
AU : | GINZBURG (Karni); BUTLER (Lisa D.); GIESE-DAVIS (Janine); CAVANAUGH (Courtenay E.); NERI (Eric); KOOPMAN (Cheryl); CLASSEN (Catherine C.); SPIEGEL (David) |
AF : | Shapell School of Social Work, Tel Aviv University/Tel Aviv/Israël (1 aut.); Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine/Stanford, California/Etats-Unis (2 aut., 3 aut., 5 aut., 6 aut., 8 aut.); School of Social Work, University at Buffalo, The State University of New York/Etats-Unis (2 aut.); Department of Oncology, Division of Psychosocial Oncology, University of Calgary/Calgary/Canada (3 aut.); Division of Psychosocial Resources, Tom Baker Center/Calgary/Canada (3 aut.); Department of Psychiatry, Yale School of Medicine/Connecticut/Inconnu (4 aut.); Department of Psychiatry, University of Toronto/Canada (7 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | The Journal of nervous and mental disease; ISSN 0022-3018; Coden JNMDAN; Etats-Unis; Da. 2009; Vol. 197; No. 7; Pp. 536-542; Bibl. 3/4 p. |
LA : | Anglais |
EA : | 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. |
CC : | 002B18I05D |
FD : | 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 |
FG : | Lentivirus; Retroviridae; Virus; Homme; Affect affectivité; Trouble anxieux; Victimologie; Traitement |
ED : | Shame; Guilt; Posttraumatic stress disorder; Stress; Survivor; Child abuse; Sexual abuse; Risk factor; Human immunodeficiency virus; Controlled therapeutic trial; Group psychotherapy; Group treatment; Early traumatism; Comparative study; Application method; Treatment efficiency; Follow up study; Adult; Young adult |
EG : | Lentivirus; Retroviridae; Virus; Human; Affect affectivity; Anxiety disorder; Victimology; Treatment |
SD : | Vergúenza; Culpabilidad; Trastorno de estrés posttraumático; Estrés; Sobreviviente; Niño maltratado; Abuso sexual; Factor riesgo; Human immunodeficiency virus; Ensayo terapéutico controlado; Psicoterapia grupal; Tratamiento grupo; Traumatismo infantil; Estudio comparativo; Modalidad tratamiento; Eficacia tratamiento; Estudio longitudinal; Adulto; Adulto joven |
LO : | INIST-6582.354000187518010100 |
ID : | 09-0399126 |
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Pascal:09-0399126Le document en format XML
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<series><title level="j" type="main">The Journal of nervous and mental disease</title>
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<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>
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<keywords scheme="Pascal" xml:lang="fr"><term>Honte</term>
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<term>Facteur risque</term>
<term>Virus immunodéficience humaine</term>
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<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>
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<fC03 i1="03" i2="X" l="ENG"><s0>Posttraumatic stress disorder</s0>
<s2>NM</s2>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Trastorno de estrés posttraumático</s0>
<s2>NM</s2>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Stress</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Stress</s0>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Estrés</s0>
<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Survivant</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Survivor</s0>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Sobreviviente</s0>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Enfant maltraité</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Child abuse</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Niño maltratado</s0>
<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Abus sexuel</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Sexual abuse</s0>
<s5>07</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Abuso sexual</s0>
<s5>07</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Facteur risque</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Risk factor</s0>
<s5>08</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Factor riesgo</s0>
<s5>08</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Virus immunodéficience humaine</s0>
<s2>NW</s2>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Human immunodeficiency virus</s0>
<s2>NW</s2>
<s5>09</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Human immunodeficiency virus</s0>
<s2>NW</s2>
<s5>09</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Essai thérapeutique contrôlé</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Controlled therapeutic trial</s0>
<s5>10</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Ensayo terapéutico controlado</s0>
<s5>10</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE"><s0>Psychothérapie groupe</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG"><s0>Group psychotherapy</s0>
<s5>11</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA"><s0>Psicoterapia grupal</s0>
<s5>11</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE"><s0>Traitement groupe</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG"><s0>Group treatment</s0>
<s5>12</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA"><s0>Tratamiento grupo</s0>
<s5>12</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE"><s0>Traumatisme infantile</s0>
<s5>13</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG"><s0>Early traumatism</s0>
<s5>13</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA"><s0>Traumatismo infantil</s0>
<s5>13</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE"><s0>Etude comparative</s0>
<s5>14</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG"><s0>Comparative study</s0>
<s5>14</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA"><s0>Estudio comparativo</s0>
<s5>14</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE"><s0>Modalité traitement</s0>
<s5>15</s5>
</fC03>
<fC03 i1="15" i2="X" l="ENG"><s0>Application method</s0>
<s5>15</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA"><s0>Modalidad tratamiento</s0>
<s5>15</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE"><s0>Efficacité traitement</s0>
<s5>16</s5>
</fC03>
<fC03 i1="16" i2="X" l="ENG"><s0>Treatment efficiency</s0>
<s5>16</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA"><s0>Eficacia tratamiento</s0>
<s5>16</s5>
</fC03>
<fC03 i1="17" i2="X" l="FRE"><s0>Etude longitudinale</s0>
<s5>17</s5>
</fC03>
<fC03 i1="17" i2="X" l="ENG"><s0>Follow up study</s0>
<s5>17</s5>
</fC03>
<fC03 i1="17" i2="X" l="SPA"><s0>Estudio longitudinal</s0>
<s5>17</s5>
</fC03>
<fC03 i1="18" i2="X" l="FRE"><s0>Adulte</s0>
<s5>18</s5>
</fC03>
<fC03 i1="18" i2="X" l="ENG"><s0>Adult</s0>
<s5>18</s5>
</fC03>
<fC03 i1="18" i2="X" l="SPA"><s0>Adulto</s0>
<s5>18</s5>
</fC03>
<fC03 i1="19" i2="X" l="FRE"><s0>Adulte jeune</s0>
<s5>19</s5>
</fC03>
<fC03 i1="19" i2="X" l="ENG"><s0>Young adult</s0>
<s5>19</s5>
</fC03>
<fC03 i1="19" i2="X" l="SPA"><s0>Adulto joven</s0>
<s5>19</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Lentivirus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Lentivirus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Lentivirus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Retroviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Retroviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Retroviridae</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Virus</s0>
<s2>NW</s2>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Homme</s0>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Human</s0>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Hombre</s0>
</fC07>
<fC07 i1="05" i2="X" l="FRE"><s0>Affect affectivité</s0>
<s5>37</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG"><s0>Affect affectivity</s0>
<s5>37</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA"><s0>Afecto afectividad</s0>
<s5>37</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE"><s0>Trouble anxieux</s0>
<s5>38</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG"><s0>Anxiety disorder</s0>
<s5>38</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA"><s0>Trastorno ansiedad</s0>
<s5>38</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE"><s0>Victimologie</s0>
<s5>39</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG"><s0>Victimology</s0>
<s5>39</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA"><s0>Victimologia</s0>
<s5>39</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE"><s0>Traitement</s0>
<s5>40</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG"><s0>Treatment</s0>
<s5>40</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>40</s5>
</fC07>
<fN21><s1>292</s1>
</fN21>
</pA>
</standard>
<server><NO>PASCAL 09-0399126 INIST</NO>
<ET>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</ET>
<AU>GINZBURG (Karni); BUTLER (Lisa D.); GIESE-DAVIS (Janine); CAVANAUGH (Courtenay E.); NERI (Eric); KOOPMAN (Cheryl); CLASSEN (Catherine C.); SPIEGEL (David)</AU>
<AF>Shapell School of Social Work, Tel Aviv University/Tel Aviv/Israël (1 aut.); Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine/Stanford, California/Etats-Unis (2 aut., 3 aut., 5 aut., 6 aut., 8 aut.); School of Social Work, University at Buffalo, The State University of New York/Etats-Unis (2 aut.); Department of Oncology, Division of Psychosocial Oncology, University of Calgary/Calgary/Canada (3 aut.); Division of Psychosocial Resources, Tom Baker Center/Calgary/Canada (3 aut.); Department of Psychiatry, Yale School of Medicine/Connecticut/Inconnu (4 aut.); Department of Psychiatry, University of Toronto/Canada (7 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>The Journal of nervous and mental disease; ISSN 0022-3018; Coden JNMDAN; Etats-Unis; Da. 2009; Vol. 197; No. 7; Pp. 536-542; Bibl. 3/4 p.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B18I05D</CC>
<FD>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</FD>
<FG>Lentivirus; Retroviridae; Virus; Homme; Affect affectivité; Trouble anxieux; Victimologie; Traitement</FG>
<ED>Shame; Guilt; Posttraumatic stress disorder; Stress; Survivor; Child abuse; Sexual abuse; Risk factor; Human immunodeficiency virus; Controlled therapeutic trial; Group psychotherapy; Group treatment; Early traumatism; Comparative study; Application method; Treatment efficiency; Follow up study; Adult; Young adult</ED>
<EG>Lentivirus; Retroviridae; Virus; Human; Affect affectivity; Anxiety disorder; Victimology; Treatment</EG>
<SD>Vergúenza; Culpabilidad; Trastorno de estrés posttraumático; Estrés; Sobreviviente; Niño maltratado; Abuso sexual; Factor riesgo; Human immunodeficiency virus; Ensayo terapéutico controlado; Psicoterapia grupal; Tratamiento grupo; Traumatismo infantil; Estudio comparativo; Modalidad tratamiento; Eficacia tratamiento; Estudio longitudinal; Adulto; Adulto joven</SD>
<LO>INIST-6582.354000187518010100</LO>
<ID>09-0399126</ID>
</server>
</inist>
</record>
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