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P02-376 - Analytic And Systemic Incest Group Psychotherapy: Five-Year Follow-Up Of A Randomized Trial

Published online by Cambridge University Press:  17 April 2020

H. Elkjær
Affiliation:
Stolpegaard Psychotherapeutic Centre, Mental Health Services, The Capital Region of Denmark, Gentofte, Denmark
E. Kristensen
Affiliation:
Sexological Clinic, Rigshospitalet, Mental Health Services, The Capital Region of Denmark, Denmark
E.L. Mortensen
Affiliation:
Department of Enviromental Health, Institute of Public Health and Center for Healthy Aging, University of Copenhagen, Denmark
S. Poulsen
Affiliation:
Department of Psychology, University of Copenhagen, Copenhagen, Denmark
M. Lau
Affiliation:
Stolpegaard Psychotherapeutic Centre, Mental Health Services, The Capital Region of Denmark, Gentofte, Denmark

Abstract

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Introduction

In a previous study women with long-term sequalae of child sexual abuse (CSA) were randomly assigned to analytic (Group A) or systemic group psychotherapy (Group S). Pre-post-analysis indicated that both therapies led to significant improvement, but overall Group S had significantly better outcome than Group A. As gains tended to rise in Group A during follow-up and decline in Group S, no statistically significant difference was detected in gains between the two treatment modalities after one year.

Objectives

This study investigates if gains are maintained five year following termination, and if the groups differ in gains.

Methods

106 women started on allocated intervention. Psychological distress (GSI from SCL-90R), psycho-social functioning (GAF), and global life quality (GLQ), were assessed before and after treatment and one and five years following termination.

Results

86 patients (81%) completed group therapy, 68 (64%) completed the one-year follow-up and 64 (60%) the five-year follow-up. At five year follow-up ANOVA was performed using treatment group as a between factor and the four time points as repeated measures. Intention to treat analysis demonstrated that improvement were significant on all measures (P < 0.000). Independent samples t-test on gains was NS for all measures.

Conclusions

Women with a history of CSA who were treated with Group A or Group S treatment maintained statistical significant improvement on GSI, GAF and GLQ five years post-treatment. No significant difference was found in gains between groups.

Type
Women's mental health
Copyright
Copyright © European Psychiatric Association 2010
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