ABSTRACT

Survivors Healing from Abuse: Recovery through Exposure (SHARE) is an eight-week therapy group for incarcerated women who have experienced sexual violence victimization. SHARE requires each member to complete an imaginal exposure and to listen when others share their experiences of victimization. While trauma-focused group interventions including SHARE are associated with reductions in internalizing symptoms, little work has examined how group characteristics predict symptom decreases. The purpose of this study was to examine whether group size was associated with symptom changes pre- to posttreatment. Participants (n = 140 across 29 groups) completed self-report measures of posttraumatic stress symptoms before and after completing SHARE. Multilevel modeling revealed the majority of the variance in posttreatment symptoms was attributed to individual factors rather than group factors. Symptom change was comparable for groups of two to eight women; declines in symptom improvement were observed at a group size of 10 participants.

摘要

幸存者从虐待中康复：通过暴露恢复 (SHARE) 是一个为期八周的治疗小组，针对遭受过性暴力侵害的被监禁妇女。SHARE 要求每个成员完成一个想象的暴露，并在其他人分享他们的受害经历时倾听。虽然包括 SHARE 在内的以创伤为中心的群体干预与内化症状的减少有关，但很少有研究检查群体特征如何预测症状减少。本研究的目的是检查小组规模是否与治疗前后的症状变化相关。参与者（n = 140，分为 29 个组）在完成 SHARE 之前和之后完成了创伤后应激症状的自我报告测量。多层次模型显示治疗后症状的大部分差异归因于个体因素而不是群体因素。两到八名女性的症状变化相当；在 10 人的小组中观察到症状改善下降。