Cargando…

Rape-related symptoms in adolescents: short- and long-term outcome after cognitive behavior group therapy

BACKGROUND: Efficacy studies on treatment in adolescent victims of single rape are lacking, even though sexual victimization is most likely to occur during adolescence and despite the fact that adolescents are at risk to develop subsequent posttraumatic stress disorder. AIM: The aim of this prospect...

Descripción completa

Detalles Bibliográficos
Autores principales: Bicanic, Iva, de Roos, Carlijn, van Wesel, Floryt, Sinnema, Gerben, van de Putte, Elise
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4048594/
https://www.ncbi.nlm.nih.gov/pubmed/24936285
http://dx.doi.org/10.3402/ejpt.v5.22969
_version_ 1782480553804562432
author Bicanic, Iva
de Roos, Carlijn
van Wesel, Floryt
Sinnema, Gerben
van de Putte, Elise
author_facet Bicanic, Iva
de Roos, Carlijn
van Wesel, Floryt
Sinnema, Gerben
van de Putte, Elise
author_sort Bicanic, Iva
collection PubMed
description BACKGROUND: Efficacy studies on treatment in adolescent victims of single rape are lacking, even though sexual victimization is most likely to occur during adolescence and despite the fact that adolescents are at risk to develop subsequent posttraumatic stress disorder. AIM: The aim of this prospective observational study was to evaluate the short- and long-term outcomes of a nine-session cognitive behavior group therapy (STEPS), including a parallel six-session parents’ group on rape-related symptomatology in female adolescents (13–18 years). STEPS includes psychoeducation, exposure in sensu as well as in vivo, cognitive restructuring, and relapse prevention. METHODS: Fifty-five female adolescents with mental health problems due to single rape, but without prior sexual trauma, received STEPS while their parents participated in a support group. Subjects were assessed on posttraumatic stress (PTS) and comorbid symptoms using self-report questionnaires prior to and directly after treatment, and at 6 and 12 months follow-up. RESULTS: Repeated measures analysis showed a significant and large decrease in symptoms of PTS, anxiety, depression, anger, dissociation, sexual concerns, and behavior problems directly after treatment, which maintained at 12 months follow-up. Time since trauma did not influence the results. Dropout during STEPS was 1.8%. CONCLUSIONS: The results potentially suggest that the positive treatment outcomes at short- and long-term may be caused by STEPS. The encouraging findings need confirmation in future controlled studies on the effectiveness of STEPS because it may be possible that the treatment works especially well for more chronic symptoms, while the less chronic part of the sample showed considerable improvement on its own.
format Online
Article
Text
id pubmed-4048594
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Co-Action Publishing
record_format MEDLINE/PubMed
spelling pubmed-40485942014-06-16 Rape-related symptoms in adolescents: short- and long-term outcome after cognitive behavior group therapy Bicanic, Iva de Roos, Carlijn van Wesel, Floryt Sinnema, Gerben van de Putte, Elise Eur J Psychotraumatol Basic Research Article BACKGROUND: Efficacy studies on treatment in adolescent victims of single rape are lacking, even though sexual victimization is most likely to occur during adolescence and despite the fact that adolescents are at risk to develop subsequent posttraumatic stress disorder. AIM: The aim of this prospective observational study was to evaluate the short- and long-term outcomes of a nine-session cognitive behavior group therapy (STEPS), including a parallel six-session parents’ group on rape-related symptomatology in female adolescents (13–18 years). STEPS includes psychoeducation, exposure in sensu as well as in vivo, cognitive restructuring, and relapse prevention. METHODS: Fifty-five female adolescents with mental health problems due to single rape, but without prior sexual trauma, received STEPS while their parents participated in a support group. Subjects were assessed on posttraumatic stress (PTS) and comorbid symptoms using self-report questionnaires prior to and directly after treatment, and at 6 and 12 months follow-up. RESULTS: Repeated measures analysis showed a significant and large decrease in symptoms of PTS, anxiety, depression, anger, dissociation, sexual concerns, and behavior problems directly after treatment, which maintained at 12 months follow-up. Time since trauma did not influence the results. Dropout during STEPS was 1.8%. CONCLUSIONS: The results potentially suggest that the positive treatment outcomes at short- and long-term may be caused by STEPS. The encouraging findings need confirmation in future controlled studies on the effectiveness of STEPS because it may be possible that the treatment works especially well for more chronic symptoms, while the less chronic part of the sample showed considerable improvement on its own. Co-Action Publishing 2014-06-03 /pmc/articles/PMC4048594/ /pubmed/24936285 http://dx.doi.org/10.3402/ejpt.v5.22969 Text en © 2014 Iva Bicanic et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Basic Research Article
Bicanic, Iva
de Roos, Carlijn
van Wesel, Floryt
Sinnema, Gerben
van de Putte, Elise
Rape-related symptoms in adolescents: short- and long-term outcome after cognitive behavior group therapy
title Rape-related symptoms in adolescents: short- and long-term outcome after cognitive behavior group therapy
title_full Rape-related symptoms in adolescents: short- and long-term outcome after cognitive behavior group therapy
title_fullStr Rape-related symptoms in adolescents: short- and long-term outcome after cognitive behavior group therapy
title_full_unstemmed Rape-related symptoms in adolescents: short- and long-term outcome after cognitive behavior group therapy
title_short Rape-related symptoms in adolescents: short- and long-term outcome after cognitive behavior group therapy
title_sort rape-related symptoms in adolescents: short- and long-term outcome after cognitive behavior group therapy
topic Basic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4048594/
https://www.ncbi.nlm.nih.gov/pubmed/24936285
http://dx.doi.org/10.3402/ejpt.v5.22969
work_keys_str_mv AT bicaniciva raperelatedsymptomsinadolescentsshortandlongtermoutcomeaftercognitivebehaviorgrouptherapy
AT derooscarlijn raperelatedsymptomsinadolescentsshortandlongtermoutcomeaftercognitivebehaviorgrouptherapy
AT vanweselfloryt raperelatedsymptomsinadolescentsshortandlongtermoutcomeaftercognitivebehaviorgrouptherapy
AT sinnemagerben raperelatedsymptomsinadolescentsshortandlongtermoutcomeaftercognitivebehaviorgrouptherapy
AT vandeputteelise raperelatedsymptomsinadolescentsshortandlongtermoutcomeaftercognitivebehaviorgrouptherapy