Development and Refinement of a Targeted Sexual Risk Reduction Intervention for Women With a History of Childhood Sexual Abuse.
Development and Refinement of a Targeted Sexual Risk Reduction Intervention for Women With a History of Childhood Sexual Abuse.
复制标题
DOI：
10.1016/j.cbpra.2016.12.001
复制
发表时间：
2017-11
影响因子：
2.9
通讯作者：
Carey MP
中科院分区：
文献类型：
--
作者：
Senn TE;Braksmajer A;Hutchins H;Carey MP
Childhood sexual abuse (CSA) is associated with sexual risk behavior in adulthood. Traditional sexual risk reduction interventions do not meet the unique needs of women who have been sexually abused. In the current paper, we describe the four-stage process we followed to develop and refine a targeted sexual risk reduction intervention for this population. First, initial quantitative work revealed that the intervention should address how maladaptive thoughts related to traumatic sexualization, trust, powerlessness, and guilt/shame (traumagenic dynamics constructs) influence current sexual behavior. Second, qualitative interviews with 10 women who reported a history of CSA (M age = 34 years; 90% African American) as well as current sexual risk behavior provided support for targeting maladaptive thoughts associated with these traumagenic dynamics constructs. Third, based on the qualitative and quantitative results, we developed a 5-session, group-delivered intervention to address the maladaptive thoughts that occurred as a result of CSA, as well as the cognitive-behavioral determinants of sexual risk behavior. This intervention drew heavily on cognitive behavioral techniques to address cognitions associated with CSA and the links between these cognitions and current sexual risk behavior. Techniques from trauma-based therapies, as well as motivational techniques, were also incorporated into the intervention. Finally, we refined the intervention with 24 women (M age = 33 years; 79% African American), and assessed feasibility and acceptability. These women reported high levels of satisfaction with the intervention. The resultant intervention is currently being evaluated in a small, randomized controlled trial.
登录
查看更多内容
在探索研究中，儿童性虐待与MSM之间的艾滋病毒冒险行为和感染高度相关。
DOI：
10.1097/qai.0b013e3181a24b38
发表时间：
2009-07-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Mimiaga MJ;Noonan E;Donnell D;Safren SA;Koenen KC;Gortmaker S;O'Cleirigh C;Chesney MA;Coates TJ;Koblin BA;Mayer KH
通讯作者：
Mayer KH
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
DOI：
10.1097/01.qai.0000194495.15309.47
发表时间：
2006-04-15
影响因子：
3.6
作者：
Johnson, BT;Carey, MP;Reid, AE
通讯作者：
Reid, AE
影响因子：
3.5
作者：
Beadnell, Blair;Baker, Sharon A.;Stoner, Susan
通讯作者：
Stoner, Susan
影响因子：
2.3
作者：
Hall, Tricia;Hogben, Matthew;Koumans, Emilia H.
通讯作者：
Koumans, Emilia H.