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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 : 000136

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

Auteurs : Karni Ginzburg ; Lisa D. Butler ; Janine Giese-Davis ; Courtenay E. Cavanaugh ; Eric Neri ; Cheryl Koopman ; Catherine C. Classen ; David Spiegel

Source :

RBID : Pascal:09-0399126

Descripteurs français

English descriptors

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  
A01 01  1    @0 0022-3018
A02 01      @0 JNMDAN
A03   1    @0 J. nerv. ment. dis.
A05       @2 197
A06       @2 7
A08 01  1  ENG  @1 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
A11 01  1    @1 GINZBURG (Karni)
A11 02  1    @1 BUTLER (Lisa D.)
A11 03  1    @1 GIESE-DAVIS (Janine)
A11 04  1    @1 CAVANAUGH (Courtenay E.)
A11 05  1    @1 NERI (Eric)
A11 06  1    @1 KOOPMAN (Cheryl)
A11 07  1    @1 CLASSEN (Catherine C.)
A11 08  1    @1 SPIEGEL (David)
A14 01      @1 Shapell School of Social Work, Tel Aviv University @2 Tel Aviv @3 ISR @Z 1 aut.
A14 02      @1 Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine @2 Stanford, California @3 USA @Z 2 aut. @Z 3 aut. @Z 5 aut. @Z 6 aut. @Z 8 aut.
A14 03      @1 School of Social Work, University at Buffalo, The State University of New York @3 USA @Z 2 aut.
A14 04      @1 Department of Oncology, Division of Psychosocial Oncology, University of Calgary @2 Calgary @3 CAN @Z 3 aut.
A14 05      @1 Division of Psychosocial Resources, Tom Baker Center @2 Calgary @3 CAN @Z 3 aut.
A14 06      @1 Department of Psychiatry, Yale School of Medicine @2 Connecticut @3 INC @Z 4 aut.
A14 07      @1 Department of Psychiatry, University of Toronto @3 CAN @Z 7 aut.
A20       @1 536-542
A21       @1 2009
A23 01      @0 ENG
A43 01      @1 INIST @2 6582 @5 354000187518010100
A44       @0 0000 @1 © 2009 INIST-CNRS. All rights reserved.
A45       @0 3/4 p.
A47 01  1    @0 09-0399126
A60       @1 P
A61       @0 A
A64 01  1    @0 The Journal of nervous and mental disease
A66 01      @0 USA
C01 01    ENG  @0 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.
C02 01  X    @0 002B18I05D
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C03 01  X  ENG  @0 Shame @5 01
C03 01  X  SPA  @0 Vergúenza @5 01
C03 02  X  FRE  @0 Culpabilité @5 02
C03 02  X  ENG  @0 Guilt @5 02
C03 02  X  SPA  @0 Culpabilidad @5 02
C03 03  X  FRE  @0 Etat de stress posttraumatique @2 NM @5 03
C03 03  X  ENG  @0 Posttraumatic stress disorder @2 NM @5 03
C03 03  X  SPA  @0 Trastorno de estrés posttraumático @2 NM @5 03
C03 04  X  FRE  @0 Stress @5 04
C03 04  X  ENG  @0 Stress @5 04
C03 04  X  SPA  @0 Estrés @5 04
C03 05  X  FRE  @0 Survivant @5 05
C03 05  X  ENG  @0 Survivor @5 05
C03 05  X  SPA  @0 Sobreviviente @5 05
C03 06  X  FRE  @0 Enfant maltraité @5 06
C03 06  X  ENG  @0 Child abuse @5 06
C03 06  X  SPA  @0 Niño maltratado @5 06
C03 07  X  FRE  @0 Abus sexuel @5 07
C03 07  X  ENG  @0 Sexual abuse @5 07
C03 07  X  SPA  @0 Abuso sexual @5 07
C03 08  X  FRE  @0 Facteur risque @5 08
C03 08  X  ENG  @0 Risk factor @5 08
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C03 09  X  FRE  @0 Virus immunodéficience humaine @2 NW @5 09
C03 09  X  ENG  @0 Human immunodeficiency virus @2 NW @5 09
C03 09  X  SPA  @0 Human immunodeficiency virus @2 NW @5 09
C03 10  X  FRE  @0 Essai thérapeutique contrôlé @5 10
C03 10  X  ENG  @0 Controlled therapeutic trial @5 10
C03 10  X  SPA  @0 Ensayo terapéutico controlado @5 10
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C03 11  X  ENG  @0 Group psychotherapy @5 11
C03 11  X  SPA  @0 Psicoterapia grupal @5 11
C03 12  X  FRE  @0 Traitement groupe @5 12
C03 12  X  ENG  @0 Group treatment @5 12
C03 12  X  SPA  @0 Tratamiento grupo @5 12
C03 13  X  FRE  @0 Traumatisme infantile @5 13
C03 13  X  ENG  @0 Early traumatism @5 13
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C03 14  X  FRE  @0 Etude comparative @5 14
C03 14  X  ENG  @0 Comparative study @5 14
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C03 15  X  ENG  @0 Application method @5 15
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C03 16  X  FRE  @0 Efficacité traitement @5 16
C03 16  X  ENG  @0 Treatment efficiency @5 16
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C03 18  X  FRE  @0 Adulte @5 18
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C03 19  X  FRE  @0 Adulte jeune @5 19
C03 19  X  ENG  @0 Young adult @5 19
C03 19  X  SPA  @0 Adulto joven @5 19
C07 01  X  FRE  @0 Lentivirus @2 NW
C07 01  X  ENG  @0 Lentivirus @2 NW
C07 01  X  SPA  @0 Lentivirus @2 NW
C07 02  X  FRE  @0 Retroviridae @2 NW
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C07 02  X  SPA  @0 Retroviridae @2 NW
C07 03  X  FRE  @0 Virus @2 NW
C07 03  X  ENG  @0 Virus @2 NW
C07 03  X  SPA  @0 Virus @2 NW
C07 04  X  FRE  @0 Homme
C07 04  X  ENG  @0 Human
C07 04  X  SPA  @0 Hombre
C07 05  X  FRE  @0 Affect affectivité @5 37
C07 05  X  ENG  @0 Affect affectivity @5 37
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N21       @1 292

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

Links to Exploration step

Pascal:09-0399126

Le document en format XML

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<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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<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>
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<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>
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   |texte=   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
}}

Wicri

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