EFFECTS OF GROUP THERAPY FOR SEXUALLY ABUSED ADOLESCENTS

这项研究正在实施首个对照治疗结果研究 性虐待青春期女孩的团体治疗。大约105个女孩 目前正在接受住院治疗的人将是这些团体的成员， 年龄从12岁到19岁不等。大约70%的人将是随机的 分为立即治疗或延迟治疗对照 一群人。该组治疗是一个为期20周的封闭登记治疗组 它的重点是性虐待及其后果。有一种认知上的- 行为创伤处理模型，它使用群体动力学来促进 女生受害记忆的情绪加工及其影响因素 感知到的影响。有治疗前，治疗后，和 问题行为、不当性行为、 攻击性，与男女同龄人的关系，抑郁， 焦虑、睡眠障碍、逃跑、滥用药物、进食 问题、自尊、自杀手势和创伤后应激障碍症状。这些 这些措施旨在评估以下因素的创伤影响范围 性侵害。除了通常的统计分析外， 对照治疗结果研究，生存分析将用于 调查会员的问题行为恶化的趋势 在治疗期间，他们才会好转，并调查治疗的时机和 关键治疗后问题行为改变的程度 经历，例如广泛披露自己的受害情况。其他 分析将测试某些类型的客户是否更有可能 改善，比如性侵害更严重的人，有 更多的社会支持，或具有更乐观的归因风格的人。

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.