Inpatient treatment for adult survivors of childhood sexual abuse: a preliminary outcome study.
The objective of this study was to examine the changes in psychiatric symptoms and interpersonal problems in 34 adults with a history of childhood sexual abuse and posttraumatic stress disorder who attended a 3-month inpatient treatment program. Levels of posttraumatic, depressive, and general psychiatric symptoms and interpersonal problems were assessed at pre-care evaluation, admission, discharge, and 1-year follow-up using the Impact of Event Scale, the Beck Depression Inventory, the Symptom Check List 90 Revised, and the Inventory of Interpersonal Problems. Work status was assessed at admission and at follow-up. Significant improvements were seen during treatment on the global scores of all instruments except the Beck Depression Inventory. At follow-up, patients had kept their gains on symptom measures and experienced further progress regarding interpersonal problems. At discharge, 3 of the previously 32 unemployed patients were able to return to work. Patients with comorbid somatization disorder tended to have higher levels of distress and less favorable treatment response. Future studies should include pre- and posttreatment assessment of dissociation to evaluate its association with outcome.
Jepsen
Ellen K K
EK
Department for Trauma Treatment, Modum Bad Psychiatric Center, Vikersund, Norway. ellen.jepsen@modum-bad.no
Svagaard
Tron
T
Thelle
Mona I
MI
McCullough
Leigh
L
Martinsen
Egil W
EW
D000328:Adult; D000704:Analysis of Variance; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology* / Q000534:rehabilitation*; D004213:Dissociative Disorders / Q000175:diagnosis / Q000523:psychology* / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D010555:Personality Inventory; D011569:Psychiatric Status Rating Scales; D017741:Survivors / Q000523:psychology*; D016896:Treatment Outcome