Efficacy of Cognitive Restructuring and Imagery Modification to Reduce the Feeling of Being Contaminated After Childhood Sexual Abuse
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Purpose
The purpose of this study is to determine whether a short term programme with internet research on the frequency of skin exchange and guided imagery modification is effective in the treatment of the feeling of being contaminated in female victims of childhood sexual abuse (CSA).
| Condition | Intervention |
|---|---|
|
Sexual Abuse Posttraumatic Stress Disorder |
Behavioral: Imagery Modification Behavioral: Waitlist control group |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | Efficacy of a Two-session Treatment of Cognitive Restructuring and Imagery Modification (CRIM) to Reduce the Feeling of Being Contaminated (FBC) in Adult Survivors of Childhood Sexual Abuse |
- Intensity of the feeling of being contaminated (0-100: "not at all" till "extremely") [ Time Frame: pre treatment, post treatment, follow up ] [ Designated as safety issue: No ]
- Vividness of the feeling of being contaminated (0-100: "not at all" till "extremely") [ Time Frame: pre treatment, post treatment, follow up ] [ Designated as safety issue: No ]
- Distress associated to the feeling of being contaminated (0-100: "not at all" till "extremely") [ Time Frame: pre treatment, post treatment, follow up ] [ Designated as safety issue: No ]
- Posttraumatic Diagnostic Scale [ Time Frame: pre treatment, post treatment, follow up ] [ Designated as safety issue: No ]
- Clinician-administered PTSD Scale [ Time Frame: pre treatment, follow up ] [ Designated as safety issue: No ]
- Rosenberg Self-esteem scale [ Time Frame: pre treatment, post treatment, follow up ] [ Designated as safety issue: No ]
- Beck Depression Inventory (BDI-II) [ Time Frame: pre treatment, post treatment, follow up ] [ Designated as safety issue: No ]
| Enrollment: | 28 |
| Study Start Date: | June 2010 |
| Study Completion Date: | October 2011 |
| Primary Completion Date: | October 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| No Intervention: Waitlist control group |
Behavioral: Waitlist control group
Patients in the wait list control group are treated after a waiting period of five weeks
|
|
Experimental: Imagery Modification
Via a internet research patients collect data on skin renewal which is discussed afterwards; in a guided imagery modification the patients imagines the process of skin renewal and the building of new skin cells
|
Behavioral: Imagery Modification
Research via internet concerning the frequency of skin exchange and disputation of the collected information; in the guided imagery modification the therapist instructs the patient to imagine the feeling of being contaminated and the process of peeling off their former contaminated skin and the maturing of hundreds of new clean skin cells
Other Name: Cognitive Restructuring and Imagery Modification; CRIM
|
Detailed Description:
In the first session the women who suffer from a feeling of being contaminated after childhood sexual abuse are interviewed with the Structured Clinical Interview for DSM-IV (SCID) to ensure the clinical diagnosis of posttraumatic stress disorder and exclude women who meet the exclusion criteria. They get questionnaires and protocol sheets to fill out until the intervention session after a week. Afterwards the women are randomly assigned to an intervention group or a waitlist control group. During the intervention session the women in the intervention group research via internet how many times their skin cells in different regions of their body have exchanged since the sexual abuse to get the information that their skin has changed hundreds and hundreds of times and has nothing in common with their skin in childhood or adolescence. This first part of the intervention is based on a component of the DBT-PTSD. Afterwards the therapist guides an imagery modification. The women imagine the feeling of being contaminated and then to peel off their former contaminated skin and the maturing of hundreds of new clean skin cells to process the rational information of the internet research emotionally. At the end of the intervention session patients get a tape with the guided imagery instruction and commit to listen to the tape daily to exercise the guided imagery modification until the third session after a week. In the last session the homework is discussed and information on posttraumatic stress disorder and psychotherapeutic treatments of posttraumatic stress disorder is offered.Women in the waitlist control group get the same treatment as the women in the intervention group after a period of five weeks.
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Sexual abuse in childhood or adolescence
- Feeling of being contaminated
- Clinical diagnosis of posttraumatic stress disorder concerning the trauma of sexual abuse in childhood or adolescence according to DSM-IV
- Informed consent
Exclusion Criteria:
- Currently in psychotherapy
- Life time clinical diagnosis of schizophrenia, schizoaffective disorder or bipolar disorder according to DSM-IV
- Body mass index < 16,5
- Endangerment of self or others
- Clinical diagnosis of alcohol or drug addiction according to DSM-IV
- Mental retardation
Contacts and Locations| Germany | |
| Department of Clinical Psychology and Psychotherapy of the Johann Wolfgang Goethe University | |
| Frankfurt, Hessen, Germany, D-60054 | |
| Principal Investigator: | Regina Steil, PhD | Department of Clinical Psychology and Psychotherapy of the Johann Wolfgang Goethe University of Frankfurt |
More Information
Additional Information:
No publications provided
| Responsible Party: | Regina Steil, PhD, Goethe University |
| ClinicalTrials.gov Identifier: | NCT00976859 History of Changes |
| Other Study ID Numbers: | STUDIEBESCHMUTZTHEITI |
| Study First Received: | September 14, 2009 |
| Last Updated: | May 15, 2012 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by Goethe University:
|
childhood sexual abuse CSA posttraumatic stress disorder PTSD, feeling of being polluted |
mental pollution, mental contamination feeling of being contaminated sexual assault disgust, shame |
Additional relevant MeSH terms:
|
Stress Disorders, Post-Traumatic Stress Disorders, Traumatic Anxiety Disorders Mental Disorders |
ClinicalTrials.gov processed this record on May 23, 2013