Sexually abused women after multimodal group therapy: A long-term follow-up study
Tønsberg Psychiatric Center, Ørsnesalle, Norway.Nordic Journal of Psychiatry (Impact Factor: 1.34). 02/2002; 56(3):215-21. DOI: 10.1080/080394802317607200
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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- "It is noteworthy that the ratio of deteriorated clients obtained in this study stays within the range of deterioration noted across therapy outcome studies (Lambert & Ogles, 2004). Therapy gains are generally maintained at one-year follow-up, which is frequently seen across outcome studies of therapy for abused clients (Vaa et al., 2002). Overall, since the total sample of respondents having a history of multiple co-occurring types of trauma still achieved signifi cant change, the results of this study are promising . "
ABSTRACT: The New Experience for Survivors of Trauma (NEST) is a group psychotherapy intervention for clients traumatized by consequences of abuse, neglect, and pregnancy loss. This multiple site study is the first investigation of its effectiveness. Ninety outpatients from a naturalistic setting completed the Symptom Checklist and the Sense of Coherence questionnaire at baseline, end of treatment, and one-year follow-up. Effectiveness was tested with statistical significance, effect size, and clinical significance. Clients from the total sample as well as from the abortion subsample showed improvement at the end of treatment and at follow-up. Lack of a control group is balanced to some extent by the high ecological validity. The findings suggest that the NEST treatment may be beneficial for traumatized clients and call for further research.
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- "Nine of 14 studies had relevant follow-up data (Table V). Twelve studies had follow-up time up to one year and two had long-term follow-up (Bagley & Young, 1998; Vaa et al., 2002), and frequently data on attrition rates and additional treatment were missing. "
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.
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