{"id":3108,"date":"2022-01-21T09:49:49","date_gmt":"2022-01-21T08:49:49","guid":{"rendered":"https:\/\/barnafrid.se\/kunskapsportal\/?post_type=publication&p=3108"},"modified":"2026-04-07T18:35:38","modified_gmt":"2026-04-07T16:35:38","slug":"childhood-sexual-abuse-womens-mental-and-social-health-before-and-after-group-therapy","status":"publish","type":"publication","link":"https:\/\/barnafrid.se\/kunskapsportal\/kunskapsbibliotek\/childhood-sexual-abuse-womens-mental-and-social-health-before-and-after-group-therapy\/","title":{"rendered":"Childhood sexual abuse. Women’s Mental and Social Health Before and After Group Therapy"},"content":{"rendered":"\n
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Av Gunilla Lundqvist (2005)<\/p>\n \n\n\n <\/div><\/div>\n\n\n\n

Syftet med studien var att utv\u00e4rdera f\u00f6r\u00e4ndringar avseende psykologiska och sociala variabler f\u00f6re och efter gruppterapi f\u00f6r vuxna kvinnor som utsatts f\u00f6r sexuella \u00f6vergrepp i barndomen. Ytterligare syften var att beskriva och genom \u201dconsumer satisfaction\u201d utv\u00e4rdera den traumafokuserade gruppterapin, att beskriva kvinnornas h\u00e4lsa f\u00f6re gruppterapistart och att utv\u00e4rdera enskilda \u00f6vergreppsvariablers p\u00e5verkan p\u00e5 mental och social h\u00e4lsa.<\/p>\n\n\n\n

Material och metod: 45 kvinnliga psykiatriska \u00f6ppenv\u00e5rdspatienter behandlades i 10 olika tv\u00e5 \u00e5r l\u00e5nga traumafokuserade terapigrupper. Varje kvinna intervjuades vid ett bed\u00f6mningssamtal. F\u00f6re och efter behandling besvarade kvinnorna fr\u00e5geformul\u00e4r ang\u00e5ende psykologiska symptom, sociala variabler och k\u00e4nsla av sammanhang. En 12 m\u00e5naders uppf\u00f6ljning gjordes. Slutenv\u00e5rdsdagar och sjukskrivningsdagar m\u00e4ttes. Efter behandlingsslut utv\u00e4rderades consumer satisfaction.<\/p>\n\n\n\n

Resultat: Kvinnorna hade i stor utstr\u00e4ckning blivit utnyttjade i tidig \u00e5lder, av en n\u00e4ra f\u00f6r\u00f6vare, genom allvarliga sexuella \u00f6vergrepp och under m\u00e5nga \u00e5r. Det var vanligt att inte ha avsl\u00f6jat de sexuella \u00f6vergreppen d\u00e5 de h\u00e4nde, mestadels beroende p\u00e5 r\u00e4dsla f\u00f6r att inte bli trodd. F\u00f6re behandling hade n\u00e4stan h\u00e4lften av gruppen gjort ett suicidf\u00f6rs\u00f6k n\u00e5gon g\u00e5ng i sitt liv. De flesta kvinnorna hade problem med n\u00e4ra relationer till m\u00e4n och till kvinnor, sexuella problem, l\u00e5g sj\u00e4lvk\u00e4nsla och somatisk sm\u00e4rta. J\u00e4mf\u00f6rt med kvinnliga normalgrupper hade kvinnorna mer psykologiska symtom, var mindre tillfredsst\u00e4llda med sitt n\u00e4tverk, hade s\u00e4mre social anpassning och s\u00e4mre v\u00e4rden ang\u00e5ende familjeklimat och \u201dexpressed emotion\u201d i relation till sin partner. F\u00f6rb\u00e4ttringar efter gruppterapi visades ang\u00e5ende psykologiska och PTSD-symtom, k\u00e4nsla av sammanhang, socialt n\u00e4tverk och social anpassning. Expressed emotion f\u00f6rb\u00e4ttrades ang\u00e5ende subskalan \u201dperceived criticism\u201d. Familjeklimat, slutenv\u00e5rdsdagar och sjukskrivningsdagar visade inga f\u00f6rb\u00e4ttringar. Consumer satisfaction var h\u00f6g. J\u00e4mf\u00f6relser gjordes med en korttidsterapigrupp som ocks\u00e5 visade tillfredsst\u00e4llande behandlingseffekter. En v\u00e4ntelistegrupp visade inga f\u00f6r\u00e4ndringar utom vad g\u00e4ller f\u00f6rb\u00e4ttring av totalt socialt st\u00f6d. Inga skillnader fanns mellan grupperna.<\/p>\n\n\n\n

Slutsatser: Tidsbegr\u00e4nsad och traumafokuserad gruppterapi verkar ha positiva effekter p\u00e5 psykologiska och PTSD-symtom, k\u00e4nsla av sammanhang, socialt n\u00e4tverk, social anpassning och perceived criticism fr\u00e5n partnern.<\/p>\n\n\n\n

L\u00e4s avhandlingen h\u00e4r<\/a> (extern l\u00e4nk)<\/p>\n","protected":false},"featured_media":0,"parent":0,"menu_order":0,"template":"","meta":{"h5ap_radio_sources":[],"footnotes":""},"subject":[13],"publication_type":[15],"source":[],"language":[25],"role":[],"class_list":["post-3108","publication","type-publication","status-publish","hentry","subject-sexuella-overgrepp","publication_type-avhandlingar","language-engelska"],"yoast_head":"\nChildhood sexual abuse. Women's Mental and Social Health Before and After Group Therapy - Barnafrid<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Childhood sexual abuse. 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