Cinsel İstismar Mağduru Kompleks Travma Sonrası Stres Bozukluğu olan Kız Ergenlerde Grup EMDR Uygulaması

Bu çalışmanın amacı daha önce afet ve savaş ilişkili travmalarda kullanılmış olan Grup EMDR Protokolünün, Karmaşık Travma Sonrası Stres Bozukluğu (TSSB) olan kız ergenlerde depresyon ve travma skorlarına etkisinin olup olmadığını araştırmaktır. Araştırma bu alanda ergenlerde yapılmış ilk çalışmadır. Bu amaçla 13 kız ergene iki grup halinde 3 seans Grup EMDR protokolü uygulanmıştır. Olgular daha önce cinsel istismara uğrayan ve en az 6 aydır standart medikal tedaviler uygulanan vakalardır. Olgulara çalışma öncesinde ve seanslar tamamlandıktan 1 ay sonra Çocuklar için Travma Sonrası Stres İndexi ve Çocuklar için Depresyon Ölçeği uygulanmıştır. Olguların yaş ortalaması 16 (min:14 max: 17) idi. Olgulardan %84,6'si (n:11)' ü daha önce birden fazla travmatik olay yaşamıştı. Depresyon skorları ortalaması terapi öncesinde 19 (±6,4) terapi sonrası 1. ay takibinde 11,4 (±5,5), Travma sonrası stres indexi skorları terapi öncesinde 53,5 (±7,5 ), terapi sonrası 1. ay takipte 39,34 (±8,6) olarak bulunmuştur. Hem depresyon hem de travma skorlarında terapi öncesi ile sonrası arasında istatistiksel olarak anlamlı fark saptanmıştır. Karmaşık TSSB bireyin hayatını birçok yönden etkileyen bir psikiyatrik bozukluktur. Standart psikotrop medikasyon travma sonrası stres belirtilerini azaltmada kısmi etkiye sahip olmakla birlikte yeterli etkiye sahip değildir. Grup terapisi daha çok toplu travmatik olaylarda kullanılmış olmakla birlikte bu çalışma ile birlikte Karmaşık TSSB' lerde de kullanılabileceği gösterilmiştir..

Anahtar Kelimeler:

EMDR, Cinsel istismar, ergen, Grup terapi, Depresyon

EMDR Integrative Group Treatment for Female Adolescents Victims of Sexual Abuse with Complex Posttraumatic Stress Disorder

The aim of this study was to investigate the effect of the Eye Movement Desensitization and Reprocessing Integrative Group Treatment Protocol (EMDR-IGTP), which was previously used in disaster and war related traumas, on depression and trauma scores in female adolescents with Post-Traumatic Stress Disorder. This is the first study with adolescents in this field. For this purpose, 13 female adolescents underwent 3 sessions of Group EMDR protocol. The cases had history of sexual abuse and had been given standard medical treatment for at least 6 months. The Posttraumatic Stress Index and the Children Depression Inventory were administered to the patients before therapy sessions and then 1 month after the sessions were completed. The mean age of the patients was 16 (min: 14 max: 17). 84,6% (n: 11) of the cases had experienced more than one traumatic event before. The mean Child Depression Inventory scores were 19 (± 6.4) before therapy and 11,4 (± 5.5) at 1-month follow-up, Post-Traumatic Stress Index scores were 53.5 (± 7.5) before therapy, and 39.4 (± 8.6) at 1-month follow-up. There was a statistically significant difference in both depression and trauma scores before and after follow-up. Complicated PTSD is a psychiatric disorder that affects lives of individuals in many ways. Although standard psychotropic medication has a partial effect in reducing post-traumatic stress symptoms, this is insufficient. Group therapy has been used mostly in collective traumatic events; it has been shown that can use effective in complex PTSD as well with this study.

Keywords:

EMDR, Sexual trauma, Adolescent, Group therapy, Depression,

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