Leslie W Miles, Julie L Valentine, Linda J Mabey, Elizabeth S Hopkins, Paige J Stodtmeister, Reilly B Rockwood, Alyssa N H Moxley
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引用次数: 0
Abstract
Background: Sexual assault (SA) is a serious crime that is a prevalent mental and public health problem.
Aims: Addressing the needs of SA victims and providing appropriate treatment are essential to reduce potential adverse short- and long-term outcomes.
Methods: Our team undertook an extensive systematic literature review (published between January 2006 and July 2021) to provide evidence-based mental health intervention recommendations for adolescent and adult victims of SA. Where SA-specific research was limited, the literature and clinical practice guidelines on treatments for trauma-induced post-traumatic stress disorder (PTSD) were reviewed to provide additional information to formulate recommendations.
Results: Findings strongly support several primary psychotherapy treatments: cognitive behavioral therapy, cognitive processing therapy, eye movement desensitization and reprocessing, narrative exposure therapy, and prolonged exposure therapy. Complementary (aerobic exercise, art, drama, and music therapy) and pharmacological treatments were explored.
Conclusions: Mental health nurses who provide services for victims of SA can utilize this overview to guide recommendations for treatment of SA trauma and related PTSD symptoms to mitigate the short- and long-term negative impacts after a traumatic event. When victims of SA receive optimal mental health treatments, our communities benefit as victims heal and recover.
背景:性侵犯(SA)是一种严重犯罪,是普遍存在的精神和公共健康问题。目的:满足性侵犯受害者的需求并提供适当的治疗对于减少潜在的短期和长期不良后果至关重要:我们的团队进行了广泛的系统性文献综述(发表于 2006 年 1 月至 2021 年 7 月),为 SA 的青少年和成年受害者提供基于证据的心理健康干预建议。在针对 SA 的研究有限的情况下,我们回顾了有关创伤后应激障碍(PTSD)治疗的文献和临床实践指南,以便为制定建议提供更多信息:研究结果强烈支持几种主要的心理疗法:认知行为疗法、认知处理疗法、眼动脱敏和再处理疗法、叙事暴露疗法和长时间暴露疗法。研究还探讨了辅助疗法(有氧运动、艺术、戏剧和音乐疗法)和药物疗法:为 SA 受害者提供服务的心理健康护士可以利用这一概述来指导对 SA 创伤和相关创伤后应激障碍症状的治疗建议,以减轻创伤事件后的短期和长期负面影响。当 SA 受害者得到最佳的心理健康治疗时,我们的社区也会随着受害者的痊愈和康复而受益。
期刊介绍:
The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).