性侵害的痛苦与心理治疗对性侵害受害者心理困扰的疗效

Dauda Akwai Saleh
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摘要

本研究以一名7 ~ 9岁曾遭性侵的22岁大学生为研究对象,探讨性侵的痛苦及心理治疗的效果。本研究采用定性和定量相结合的方法进行单例前/后试验设计。这项研究持续了13次心理治疗。所有数据均进行人工分析,将患者的原始分数与数据收集工具的平均分数/截止点进行比较。本研究回答了两个研究问题;前测结果显示,基于SCL-90量表,被试在9个子量表上存在显著的心理困扰水平,总分218分,其中抑郁得分最高(40分),其次是焦虑得分31分、人际敏感得分29分、强迫得分23分、恐惧焦虑得分23分、精神病得分21分、偏执观念得分17分、神经质得分11分、敌意得分10分。在PCLS上,被试的54分对创伤后应激障碍的诊断有显著意义。贝克抑郁量表得分28分为中度抑郁。而在贝克绝望量表中,5分表示轻度绝望。10次心理治疗后的第二个研究问题(后测)结果显示,参与者在所有工具上的得分都下降了;sci - 90;与前测、强迫21、人际敏感17、偏执意念16相比,只有3个分量表得分较低,总分为100分。在PCLS测试中,32分表示没有PTSD。受试者在贝克抑郁量表和贝克绝望量表上的得分分别为9分和0分,处于抑郁和绝望的正常/最低水平。研究人员建议,父母和照顾者应该警惕那些照顾他们的人,儿童行为权应该在联邦的所有州实施。有必要在学校和妇女团体中提高对儿童性虐待问题的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Pains of Sexual Abuse and the Efficacy of Psychotherapy in Treating Psychological Distress in a Sexual Abuse Victim
This study investigates the pains of sexual abuse and the efficacy of psychotherapy in treating psychological distress in a 22 year old undergraduate student who was sexually abused between ages 7 and 9. Single case pre/post test experimental design utilizing a mixed method using qualitative and quantitative approach was utilized in this study. The study lasted for 13 sessions of psychotherapy. All data were manually analysed, client’s raw scores were compared with the mean scores/cut-off points of instruments of data collection. Two research questions were answered in this study; Pre test result revealed that, based on SCL-90, participant had significant levels of psychological distress on 9 sub scales with the total score of 218, depression had the highest score of 40, followed by anxiety with 31, Interpersonal sensitivity 29, Obsessive compulsive 23, Phobic anxiety 23, Psychoticism 21, Paranoid ideation 17, Neuroticism 11 and Hostility 10. On PCLS, participant’s score of 54 is significant for the diagnosis of posttraumatic stress disorder. The score of 28 on Beck Depression inventory indicate moderate level of depression. While on Beck Hopelessness scale, the score of 5 indicate mild level of hopelessness. Result of the second research question (post-test) after the 10 session of psychotherapy revealed that, participants scores on all instruments reduced; On SCL-90; only 3 subscales were significant with lower scores compared to results of pre test, Obsessive compulsive 21, Interpersonal sensitivity 17, and Paranoid ideation 16, with the total SCL-90 score of 100. On PCLS participants score of 32 indicate absence of PTSD. Participant’s score of 9 and 0 on Beck depression inventory and Beck Hopelessness scale falls within the normal/minimal levels of depression and hopelessness respectively. The researcher recommends that, parents and care givers should be cautions of those who take care of their wards and the child act right should be implemented in all states of the federation. There is the need for awareness in schools and among women groups on sexual abuse among children.
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