Sexually abused women after multimodal group therapy: a long-term follow-up study.
ABSTRACT This study reports a long-term follow-up of 38 of 54 (70%) women who had participated in time-limited multimodal group treatment for the psychological sequelae of sexual abuse. The women had been highly symptomatic at the onset and were generally improved following treatment and at follow-up (M = 4.7, SD = 2.0 years). Nonetheless, many remained moderately symptomatic. Previous therapy and pre-therapy level of symptoms predicted a higher level of post-treatment symptoms, while better post-treatment status and younger age predicted fewer symptoms at the time of follow-up. Interpersonal functioning at follow-up was predicted by post-treatment interpersonal functioning. On the whole, clients perceived their interpersonal functioning as better at follow-up than it had been after treatment. Their use of any mental health services was modest in the follow-up period. In general, the long-term follow-up status of these women was encouragingly positive.
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ABSTRACT: Abstract There are few empirical outcome studies of psychotherapies with women exposed to childhood sexual abuse (CSA). The aims of this review were to examine designs and outcomes of such studies. Several publication databases were searched for studies based on defined inclusion criteria. Meta-analysis with weighted standardized effect sizes was performed on 12 controlled studies, and unweighted effect sizes were calculated for pre-post treatment gains of 11 noncontrolled studies. Persistence of gains from posttreatment to follow-up was mostly found in 9 follow-up studies. Fifteen studies examined short-term group (≤20 sessions) psychotherapies. All studies examined treatment effectiveness, and they mostly had a low quality of design. For posttreatment gains, mean total effect size was .63 in controlled studies. Effect sizes for noncontrolled studies were somewhat higher. Minimal changes from posttreatment to follow-up were observed. Multicenter studies with better design are needed, but the theoretical underpinnings for specific therapies in women with CSA should first be reexamined.Psychotherapy Research 07/2005; 15(3):304-15. DOI:10.1080/10503300500091835 · 1.75 Impact Factor