EFFECTS OF GROUP THERAPY FOR SEXUALLY ABUSED ADOLESCENTS

这项研究正在实施第一个对照治疗结果研究 对遭受性虐待的少女进行集体治疗 大约105个女孩 目前正在住院治疗的将是这些群体的成员， 年龄从12岁到19岁不等 其中约70%将随机 分为立即治疗或延迟治疗对照 组 分组治疗为20周封闭入组治疗组 重点是性虐待及其后果 带着认知- 行为创伤处理模型，它使用群体动力学来促进 女孩们对受害记忆的情绪处理及其 感知效果。 将有预处理，后处理， 问题行为、不当性行为、 攻击性，与男性和女性同龄人的关系，抑郁症， 焦虑、睡眠障碍、离家出走、滥用药物、进食 问题、自尊、自杀姿势和创伤后应激障碍症状。 这些 措施的目的是评估创伤的影响范围， 性侵害 除了通常的统计分析外， 对照治疗结局研究，生存分析将用于 调查成员问题行为恶化的趋势 在治疗期间，他们改善，并调查时间和 关键治疗后问题行为的变化程度 经验，如广泛披露一个人的受害。 其他 分析将测试某些类型的客户是否更有可能 改善，如那些有更严重性受害者，那些 更多的社会支持，或那些更乐观的归因风格。

This study is implementing the first controlled treatment outcome study of group therapy for sexually abused adolescent girls. About 105 girls currently in residential treatment will be members of these groups, ranging in age from 12 to 19. Approximately 70% of them will be randomly divided into either immediate treatment or a delayed treatment control group. The group treatment is a 20-week closed enrollment therapy group that is focused on sexual abuse and its ramifications. With a cognitive- behavioral trauma-processing model, it uses group dynamics to facilitate the girls' emotional processing of their victimization memories and its perceived effects. There will pre-treatment, post-treatment, and follow-up measures of problem behaviors, inappropriate sexual behavior, aggression, relationships with male and female peers, depression, anxiety, sleeping disturbances, running away, substance abuse, eating problems, self-esteem, suicide gestures, and PTSD symptoms. These measures are designed to assess the range of the traumagenic effects of sexual victimization. In addition to the usual statistical analyses for controlled treatment outcome studies, survival analyses will be used to investigate the tendency for members' problematic behaviors to get worse during treatment before they improve and to investigate the timing and extent of changes in problematic behaviors after crucial therapy experiences, such as extensively disclosing one's victimization. Other analyses will test whether certain kinds of clients are more likely to improve, such as those with more severe sexual victimization, those with more social support, or those with more optimistic attributional styles.