对于在成年期经历的强奸和性侵犯幸存者的心理社会干预
Lorna O'Doherty1,2, Maxine Whelan1, Grace J Carter1
1Institute for Health and Wellbeing, Coventry University, Coventry, UK.
The Cochrane database of systematic reviews
|October 5, 2023
概括
在性暴力的成年幸存者中,心理社会干预显著减少了PTSD和抑郁症症状. 这些疗法是安全的,不会增加退学率,提供短期的心理健康改善.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 创伤研究 创伤研究
背景情况:
- 性侵犯和虐待对心理健康有持久的后果.
- 常见的干预措施包括长期暴露 (PE),认知处理疗法 (CPT) 和EMDR.
- 新兴的基于非暴露的方法也在被探索.
研究的目的:
- 评估心理社会干预对强奸,性侵犯或性虐待的成年幸存者的有效性.
- 评估对心理健康和福祉的影响.
主要方法:
- 随机对照试验的系统审查.
- 搜索了多个数据库和试验注册到2022年1月.
- 包括比较心理社会干预与非活动对照的研究.
主要成果:
- 心理社会干预措施在治疗后减少PTSD和抑郁症症状方面表现出很大,有益的影响 (低确定性证据).
- 与对照组相比,治疗中断或不良事件没有显著增加.
- 几项研究中注意到存在偏差的高风险,特别是在随机化和缺失数据方面.
结论:
- 心理社会干预,特别是基于行为和认知性治疗的干预,为性暴力幸存者提供短期改善.
- 个人需求和偏好对于选择合适的治疗方法至关重要.
- 需要进一步研究长期影响和对不同干预措施的对比.
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