Psychosocial interventions for survivors of rape and sexual assault experienced during adulthood

Brown, Sarah; Khasteganan, Nazanin; Brown, Katherine; Hegarty, Kelsey; Carter, Grace J; Tarzia, Laura; Feder, Gene; O’Doherty, Lorna

doi:10.1002/14651858.cd013456

Cited by 16 publications

(13 citation statements)

References 116 publications

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“…Interventions designed for alleviating the suffering caused by sexual IPV are extensively based on how we understand and conceptualize the consequences and harm experienced (Brown et al, 2019). Various psychosocial intervention programs-either through interpersonal or informational activities, techniques, or strategies-aim to improve survivor well-being by focusing on behavioral, cognitive, emotional, interpersonal, social, or environmental factors.…”

Section: Discussionmentioning

confidence: 99%

“…Another methodological challenge of this systematic review was that the true rate of intimate sexual violence is unknown, limiting our understanding of the utility, effectiveness, and generalizability of the treatment models analyzed in this article. Stigma, trauma, and shame might prevent survivors from coming forward with their experiences and lead to widespread underreporting (Brown et al, 2019). Furthermore, in many cultures, cultural norms, values, beliefs, gender roles, and expectations shape individuals' attitudes and behaviors toward sexuality and how they view sexual coercion (Gul & Schuster, 2020).…”

Section: Limitations and Future Researchmentioning

confidence: 99%

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Systematic review and data synthesis on the treatment of sexual violence victimization by an intimate partner

Karakurt,

Baier,

Bowling

et al. 2023

J Marital Family Therapy

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This study aims to conduct a systematic review and synthesis on the treatment of sexual violence victimization by an intimate partner evaluating specifically the impact of treatment on mental health outcomes of female sexual intimate partner violence (IPV) survivors. We followed the Cochrane Handbook for Systemic Reviews of Interventions guidelines for the process of conducting systematic reviews. We were unable to conduct meta‐analyses due to the substantial heterogeneity of the interventions for IPV. A qualitative summary of 6 controlled studies identified no benefit to the treatment of sexual coercion, posttraumatic stress disorder, depression, or anxiety for female sexual IPV survivors. However, we are limited by a paucity of data for each outcome on this subject. In conclusion, sexual coercion is a complex issue that has adverse effects on mental health and the well‐being of the survivors. More research is needed that investigates what kind of interventions are effective for this specific population.

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Section: Discussionmentioning

confidence: 99%

Section: Limitations and Future Researchmentioning

confidence: 99%

Systematic review and data synthesis on the treatment of sexual violence victimization by an intimate partner

Karakurt,

Baier,

Bowling

et al. 2023

J Marital Family Therapy

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“…The study is part of the Multi-disciplinary Evaluation of SARCs for better Health (MESARCH) programme (1 September 2018 to 31 January 2023). The wider programme includes two Cochrane Reviews,26 27 and ‘mapping’ English SARCs, their structure and services, in addition to the study described here.…”

Section: Methods and Analysismentioning

confidence: 99%

Multi-disciplinary Evaluation of Sexual Assault Referral Centres (SARCs) for better Health (MESARCH): protocol for a 1-year cohort study examining health, well-being and cost outcomes in adult survivors of sexual assault attending SARCs in England

et al. 2022

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IntroductionSexual violence is commonplace and has serious adverse consequences for physical and mental health. Sexual Assault Referral Centres (SARCs) are viewed as a best practice response. Little is known about their effectiveness and cost-effectiveness. Long-term data on the health and well-being of those who have experienced rape and sexual assault are also lacking.Methods and analysisThis is a mixed-methods protocol for a 1-year cohort study aiming to examine the health and well-being in survivors of sexual violence after attending a SARC in England. Quantitative measures are being taken at baseline, 6 and 12 months. Post-traumatic stress (PTS) is the primary outcome (target N=270 at 12-month follow-up). Secondary measures include anxiety, depression, substance use and sexual health and well-being. Using mixed-effects regression, our main analysis will examine whether variation in SARC service delivery and subsequent mental healthcare is associated with improvement in trauma symptoms after 12 months. An economic analysis will compare costs and outcomes associated with different organisational aspects of SARC service delivery and levels of satisfaction with care. A nested qualitative study will employ narrative analysis of transcribed interviews with 30 cohort participants and 20 survivors who have not experienced SARC services.Ethics and disseminationThe research is supported by an independent study steering committee, data monitoring and ethics committee and patient and public involvement (PPI) group. A central guiding principle of the research is that being involved should feel diametrically opposed to being a victim of sexual violence, and be experienced as empowering and supportive. Our PPI representatives are instrumental in this, and our wider stakeholders encourage us to consider the health and well-being of all involved. We will disseminate widely through peer-reviewed articles and non-academic channels to maximise the impact of findings on commissioning of services and support for survivors.Trial registration numberISRCTN30846825.

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“…Those with a history of sexual harassment seriously need to be examined and receive effective psychological interventions. If the psychological effects of sexual harassment on the health status of individuals remain untreated, they can cause other mental problems and trap individuals in a vicious cycle (Brown et al 2019).…”

Section: Plain Language Summarymentioning

confidence: 99%

Effects of Emotion-focused Therapy and Existential Group Therapy on Depression, Anxiety, and Stress in the Victims of Child Sexual Harassment

Zadafshar

Sharifi

Ahmadi

et al. 2021

JCCNC

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Background: Traumatic childhood experiences, especially sexual harassment, are among the main factors causing anxiety disorders. The present study aimed to determine the effects of Emotion-focused Therapy (EFT) and Existential Group Therapy (EGT) on depression, anxiety, and stress in the victims of child sexual harassment. Methods: This was a quasi-experimental study with a pre-test-post-test and a control group design. The research population consisted of all men and women with a history of child sexual harassment referring to the counseling and psychological service centers of Isfahan City, Iran. In total, 45 subjects were selected by convenience sampling method and randomly assigned into two experimental groups and a control group (n=15/group). The experimental groups received EFT or EGT (eight 90-minute sessions), Accordingly, the obtained results were compared with the control group immediately after the intervention and 3 months later. The required data were collected by the Depression Anxiety Stress Scales (DASS-42) and analyzed by repeated-measures Analysis of Variance (ANOVA) in SPSS. Results: The current research results revealed that EGT effectively reduced depression symptoms (P<0.01); however, EFT did not significantly affect depression symptoms. Both interventions reduced anxiety symptoms in the study subjects (P<0.01). Furthermore, EFT was more effective than EGT in reducing stress symptoms (P<0.01). There was a significant difference between the pre-test, post-test, and follow-up stages as well as the time*group interaction in the mean scores of depression, anxiety, and stress (P<0.01). Conclusion: Based on the present study findings, psychotherapists and psychiatric nurses are recommended to apply these interventions for controlling depression, stress, and anxiety among the victims of child sexual harassment.

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Psychosocial interventions for survivors of rape and sexual assault experienced during adulthood

Abstract: This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:To assess the effects of psychosocial interventions on mental health and well-being for survivors of rape and sexual assault experienced during adulthood.

Cited by 16 publications

References 116 publications

Systematic review and data synthesis on the treatment of sexual violence victimization by an intimate partner

Systematic review and data synthesis on the treatment of sexual violence victimization by an intimate partner

Multi-disciplinary Evaluation of Sexual Assault Referral Centres (SARCs) for better Health (MESARCH): protocol for a 1-year cohort study examining health, well-being and cost outcomes in adult survivors of sexual assault attending SARCs in England

Effects of Emotion-focused Therapy and Existential Group Therapy on Depression, Anxiety, and Stress in the Victims of Child Sexual Harassment

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