Journal of behavior therapy and experimental psychiatry · 2011
Efficacy of a two-session program of cognitive restructuring and imagery modification to reduce the feeling of being contaminated in adult survivors of childhood sexual abuse: a pilot study.
Клиническое исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Steil Regina, Jung Kerstin, Stangier Ulrich
Аннотация
BACKGROUND AND OBJECTIVES: Cognitive restructuring and imagery modification (CRIM) to reduce the feeling of being contaminated (FBC) was tailored to adult survivors of childhood sexual abuse (CSA) suffering from this distressing feeling. A cognitive model of maladaptive appraisal and two factor learning theory can explain the development and maintenance of the FBC. CRIM combines cognitive interventions with imagery modification in a two-session treatment.
METHODS: To evaluate CRIMs feasibility and efficacy, we consecutively treated 9 women suffering from chronic CSA-related posttraumatic stress disorder (PTSD) plus the FBC. Ratings regarding intensity, vividness, and uncontrollability of this feeling, and related distress as well as the Posttraumatic Diagnostic Scale (PDS) were administered prior to (t0), post (t1), and six weeks after (t2) treatment.
RESULTS: When comparing t0 and t2 Cohen's d was large for intensity of the FBC (d = 2.23; p < .01), its vividness (d = 1.83; p < .01), uncontrollability (d = 2.79; p < .01), and the related distress (d = 2.45; p < .01), as well as for PDS scores (d = .99; p < .05).
LIMITATIONS: Results are limited by the lack of a control group.
CONCLUSIONS: Data suggest that CRIM has the potential to reduce the FBC as well as PTSD symptoms after CSA.
METHODS: To evaluate CRIMs feasibility and efficacy, we consecutively treated 9 women suffering from chronic CSA-related posttraumatic stress disorder (PTSD) plus the FBC. Ratings regarding intensity, vividness, and uncontrollability of this feeling, and related distress as well as the Posttraumatic Diagnostic Scale (PDS) were administered prior to (t0), post (t1), and six weeks after (t2) treatment.
RESULTS: When comparing t0 and t2 Cohen's d was large for intensity of the FBC (d = 2.23; p < .01), its vividness (d = 1.83; p < .01), uncontrollability (d = 2.79; p < .01), and the related distress (d = 2.45; p < .01), as well as for PDS scores (d = .99; p < .05).
LIMITATIONS: Results are limited by the lack of a control group.
CONCLUSIONS: Data suggest that CRIM has the potential to reduce the FBC as well as PTSD symptoms after CSA.