Affect management in group therapy for women with posttraumatic stress disorder and histories of childhood sexual abuse

Wolfsdorf, Barbara A.; Zlotnick, Caron

doi:10.1002/1097-4679(200102)57:2<169::aid-jclp4>3.0.co;2-0

Cited by 63 publications

(32 citation statements)

References 9 publications

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“…This is often a target of clinical work with CSA survivors (Wolfsdorf & Zlotnick, 2001). These trends were apparent in CSA survivor’s writing: relative to women without CSA histories, they used fewer affect words to describe their everyday lives but more to describe sex.…”

Section: Discussionmentioning

confidence: 99%

Associations among childhood sexual abuse, language use, and adult sexual functioning and satisfaction

Lorenz

Meston

2012

Child Abuse & Neglect

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To better understand the link between childhood sexual abuse (CSA) and adult sexual functioning and satisfaction, we examined cognitive differences between women with (N = 128) and without (NSA, N = 99) CSA histories. We used the Linguistic Inquiry Word Count, a computerized text analysis program, to investigate language differences between women with and without CSA histories when writing about their daily life (neutral essay) and their beliefs about sexuality and their sexual experiences (sexual essay). Compared to NSA women, women with CSA histories used fewer first person pronouns in the neutral essay but more in the sexual essay, suggesting women with CSA histories have greater self-focus when thinking about sexuality. Women who reported CSA used more intimacy words and more language consistent with psychological distancing in the sexual essay than did NSA women. Use of positive emotion words in the sexual essay predicted sexual functioning and satisfaction in both groups. These findings support the view that language use differs in significant ways between women with and without sexual abuse histories, and that these differences relate to sexual functioning and satisfaction.

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Section: Discussionmentioning

confidence: 99%

Associations among childhood sexual abuse, language use, and adult sexual functioning and satisfaction

Lorenz

Meston

2012

Child Abuse & Neglect

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“…Kabat-Zinn (1994) developed Mindfulness-Based Stress Reduction (MBSR) for pain management, yet MBSR began to be used for multiple chronic illnesses. Examples include eating disorders (Courbasson, Nishikawa, & Shapira, 2011;Trapper et al, 2009), anxiety disorders (Roemer, Orstillo, & Salters-Pedneault, 2008), posttraumatic stress disorder (Owen, Walter, Chard, & Davis, 2012;Wolfsdorf & Zlotnick, 2001), and substance abuse (Courbasson, Nishikawa, & Shapiro, 2011). Deyo, Wilson, Ong, & Koopman (2009) also found MBSR to have a decrease in rumination in individuals with depressive symptoms.…”

Section: Mindfulnessmentioning

confidence: 99%

Effectiveness of Cognitive Therapy and Mindfulness Tools in Reducing Depression and Anxiety: A Mixed Method Study

Alexander¹,

Tatum²

2014

PSYCH

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Depression and anxiety continue to be among the most common mental disorders. This study looked at three tracks of participants diagnosed with a mood disorder. The three tracks were Cognitive Therapy (CT), Mindfulness Training (MT), and Treatment As Usual (TAU). All participants had been trained in CT and then randomly separated into three groups. These three tracks were assessed at 3, 6, and 12 months in terms of their stated level of depression (measured on the Beck Depression Inventory) and anxiety (measured by the Beck Anxiety Inventory). This study was a follow-up to two previous studies (Alexander et al., 2012; Alexander & Tatum, 2013). In the current study, the participants reported the tools and skills they used to manage their mood and anxiety and then the effectiveness of these tools/skills was examined. Two tools were identified by three independent coders as the most frequently used by the participants. Both of these tools related to thought management ("thought records" and "thought distortions"). The two tools were combined into a single category ("thought tools") and the frequency of their use was examined in relation to reductions in depression and anxiety. The results showed that a high use of these tools was connected to a significant reduction in reported depression. There was also a reduction in reported anxiety, but this effect was not statistically significant. Other tools that were reported (e.g., mood tracking, relaxation) showed no significant effects on depression and anxiety. Future research will now focus not on reported tool use, but rather on manipulating the incidence of tool use and determine the direct causal path between using a thought tool and reductions in negative moods.

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“…One approach suggests that the aim of treatment should be on improving functioning through skill building, rather than focusing on trauma reprocessing [8, 9]. Secondly, there is the phase-based approach which incorporates skill building with trauma reprocessing techniques such as prolonged exposure [10, 11].…”

Section: Introductionmentioning

confidence: 99%

“…The argument is mostly based on the perception that individuals with Ch-PTSD only have a limited capacity to cope with the distress of focusing on their trauma experiences during treatment, while remaining physically, psychologically and emotionally intact [9]. Indeed, some studies have reported dropouts rates of up to 41% e.g.…”

Section: Introductionmentioning

confidence: 99%

Imagery rescripting and eye movement desensitisation and reprocessing for treatment of adults with childhood trauma-related post-traumatic stress disorder: IREM study design

et al. 2017

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BackgroundPost-traumatic stress disorder (PTSD) that originates from childhood trauma experiences can develop into a chronic condition that has lasting effects on an individual’s functioning and quality of life. While there are evidence-based guidelines for treating adult onset PTSD, treatments for adults with childhood trauma-related PTSD (Ch-PTSD) are varied and subject to ongoing debate. This study will test the effectiveness of two trauma-focused treatments, imagery rescripting (ImRs) and eye movement desensitisation and reprocessing (EMDR) in participants with Ch-PTSD. Both have been found effective in treatment of adult PTSD or mixed onset PTSD and previous research indicates they are well-tolerated treatments. However, we know less about their effectiveness for treating Ch-PTSD or their underlying working mechanisms.MethodsIREM is an international multicentre randomised controlled trial involving seven sites across Australia, Germany and the Netherlands. We aim to recruit 142 participants (minimum of n = 20 per site), who will be randomly assigned to treatment condition. Assessments will be conducted before treatment until 1-year follow-up. Assessments before and after the waitlist will assess change in time only. The primary outcome measure is change in PTSD symptom severity from pre-treatment to 8-weeks post-treatment. Secondary outcome measures include change in severity of depression, anger, trauma-related cognitions, guilt, shame, dissociation and quality of life. Underlying mechanisms of treatment will be assessed on changes in vividness, valence and encapsulated belief of a worst trauma memory. Additional sub-studies will include qualitative investigation of treatment experiences from the participant and therapists’ perspective, changes in memory and the impact of treatment fidelity on outcome measures.DiscussionThe primary aims of this study are to compare the effectiveness of EMDR and ImRs in treating Ch-PTSD and to investigate the underlying working mechanisms of the two treatments. The large-scale international design will make a significant contribution to our understanding of how these treatments address the needs of individuals with Ch-PTSD and therefore, potentially improve their effectiveness.Trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12614000750684. Registered 16 July 2014.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-017-1330-2) contains supplementary material, which is available to authorized users.

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Affect management in group therapy for women with posttraumatic stress disorder and histories of childhood sexual abuse

Cited by 63 publications

References 9 publications

Associations among childhood sexual abuse, language use, and adult sexual functioning and satisfaction

Associations among childhood sexual abuse, language use, and adult sexual functioning and satisfaction

Effectiveness of Cognitive Therapy and Mindfulness Tools in Reducing Depression and Anxiety: A Mixed Method Study

Imagery rescripting and eye movement desensitisation and reprocessing for treatment of adults with childhood trauma-related post-traumatic stress disorder: IREM study design

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