Imagery Rescripting: A New Treatment for Survivors of Childhood Sexual Abuse Suffering From Posttraumatic Stress

Smucker, Mervin R.; Dancu, Constance V.; Foa, Edna B.; Niederee, Jan

doi:10.1891/0889-8391.9.1.3

Cited by 201 publications

(116 citation statements)

References 28 publications

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“…The identification of these schemas may also be important in treating persons who present specifically with maltreatmentrelated concerns. Such a focus is certainly consistent with therapies for adult survivors of childhood sexual abuse (Chard, Weaver, & Resick, 1997;Smucker, Dancu, Foa, & Niederee, 1995).…”

Section: Discussionmentioning

confidence: 67%

Cognitive mediation of childhood maltreatment and adult depression in recent crime victims

et al. 2005

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Childhood maltreatment has been linked to adult depressive disorders. However, few studies have examined mechanisms through which childhood maltreatment may contribute to adult depression. Thus, we examined the role of one potential mechanism of this relationship, maladaptive cognitions, in a recently traumatized sample. Participants were adult women who had been recently raped (n = 133) or physically assaulted (n = 73). We examined whether maladaptive self-and other-cognitions mediated relationships between childhood sexual, physical, and emotional abuse and current depression. Relationships between childhood sexual abuse and both current depression symptoms and diagnosis were mediated by maladaptive cognitions about self. Relationships between both childhood sexual abuse and childhood physical abuse and adult depressive symptoms were mediated by maladaptive cognitions about others.

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Section: Discussionmentioning

confidence: 67%

Cognitive mediation of childhood maltreatment and adult depression in recent crime victims

et al. 2005

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“…A diferencia de otros estudios previos centrados exclusivamente en el trastorno de estrés postraumático Foa y Rothbaum, 1998;Resnick y Newton, 1992;Smucker et al, 1995), el objetivo de esta investigación ha sido la mejoría terapéutica de las víctimas en un espectro de conductas más amplio (trastorno de estrés postraumático, malestar emocional y conductas de evitación sexual), tal como se ha manifestado también en otros estudios (Martsolf y Draucker, 2005;Pearson, 1994;Peleikis y Dahl, 2005; y Taylor y Harvey, 2010).…”

Section: Discusión Y Conclusionesunclassified

Tratamiento psicológico de mujeres adultas víctimas de abuso sexual en la infancia: resultados a largo plazo

Sarasua¹,

Zubizarreta²,

Corral

et al. 2013

analesps

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Resumen: El abuso sexual (ASI) constituye la victimización más frecuente en la infancia. Los efectos del ASI en la vida adulta pueden afectar al funcionamiento, físico, psicológico y social y generar alteraciones psicopatoló-gicas. El objetivo de este estudio fue evaluar un programa individual cognitivo-conductual, de 12 sesiones, en el tratamiento de mujeres adultas vícti-mas del ASI, llevado a cabo durante 20 años en un marco comunitario. La muestra constó finalmente de 121 sujetos que participaron voluntariamente en el estudio. Se utilizó un diseño de medidas repetidas con seguimientos de 1, 3, 6 y 12 meses. La tasa de éxitos en el tratamiento del trastorno de estrés postraumático fue del 90.7% en las víctimas que completaron el tratamiento. A pesar de la pérdida de pacientes en los seguimientos (25.58%), los resultados se mantuvieron en las pacientes evaluadas en los cuatro periodos establecidos (un 74.42% al cabo de 12 meses), con una alta reducción de las recaídas. Sin embargo, hubo un nivel más bien alto de rechazos y de abandonos. Una conclusión es que hay que desarrollar estrategias motivacionales para mantener a las víctimas en el tratamiento. Se comentan las implicaciones de este estudio para la práctica clínica y para la investigación. Palabras clave: Abuso sexual infantil; mujeres víctimas adultas del ASI; tratamiento psicológico; seguimiento a largo plazo.Title: Psychological treatment of adult female survivors of childhood sexual abuse: long term results. Abstract: Child sexual abuse (CSA) is one the most common forms of child victimization. The effects of CSA can extend into adulthood, impacting on physical, psychological, and social functioning and contributing to adult psychopathology. The aim of this paper was to evaluate an individual 12 sessions cognitive-behavioral programme in the treatment of female adult survivors of CSA after implementing it for twenty years in a community setting. The sample consisted of 121 subjects who voluntarily participated in the study. A design with repeated measures (pre-treatment, posttreatment and 1-, 3-, 6-and 12-month follow-up) was used. The success rate regarding posttraumatic stress disorder was of 90.7% in the treatment completers. In spite of the lost patients in the follow-ups (25.58%), the results were maintained in the contacted patients at follow-up (74.42% in the 12-month-follow-up), with a high impact on reducing recidivism. However, the rate of refusals and drop-outs of the treatment was rather high. Therefore it is necessary to develop strategies to improve motivation for treatment. Implications of this study for clinical practice and future research in this field are commented upon.

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“…The SUDS levels inform the clinician of the patient's subjective discomfort experience at any given point in time during the exposure [35]. This instrument has been widely used by clinicians during imaginal exposure treatments and PTSD research [21,29,30].…”

Section: Instrumentsmentioning

confidence: 99%

Early versus Delayed Imaginal Exposure for the Treatment of Posttraumatic Stress Disorder Following Accidental Upper Extremity Injury

Weis

Grunert

Christianson

2012

Hand (New York, N,Y.)

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Background The consequences following work-related injuries are far reaching, which are in part due to unrecognized and untreated posttraumatic stress disorder (PTSD). Imaginal exposure is a frequently used cognitive behavioral approach for the treatment of PTSD. This study examined the impact of early versus delayed treatment with imaginal exposure on amelioration of PTSD symptomatology in individuals who suffered upper extremity injuries. Methods Sixty individuals who suffered severe workrelated injuries received standard, non-randomly assigned psychological treatment for PTSD (e.g., prolonged imaginal exposure) either early (30-60 days) or delayed (greater than 120 days) following severe work-related upper extremity injury. Nine measures of various components of PTSD symptomatology were administered at onset of treatment, end of treatment, and at 6-month follow-up evaluations. Results Patients showed significant treatment outcomes at all three measurement intervals in both the early and delayed groups demonstrating that Prolonged Imaginal Exposure is an appropriate treatment for persons diagnosed with PTSD.In addition, there was no difference in return to work status between the early and the delayed treatment groups. However, the early treatment group required significantly fewer treatment sessions than the delayed treatment group. Conclusions Results supported the utility of imaginal exposure and the need for early assessment and referral for those diagnosed with PTSD following upper extremity injuries.

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Imagery Rescripting: A New Treatment for Survivors of Childhood Sexual Abuse Suffering From Posttraumatic Stress

Cited by 201 publications

References 28 publications

Cognitive mediation of childhood maltreatment and adult depression in recent crime victims

Cognitive mediation of childhood maltreatment and adult depression in recent crime victims

Tratamiento psicológico de mujeres adultas víctimas de abuso sexual en la infancia: resultados a largo plazo

Early versus Delayed Imaginal Exposure for the Treatment of Posttraumatic Stress Disorder Following Accidental Upper Extremity Injury

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