Sexual dysfunction, Trauma-related sexual symptoms, post-traumatic stress disorder
Conditions
Interventions
Group 1: Intervention: After a standardized preliminary interview to determine group suitability, the subjects participate in a 12-week group therapy program (One group session per week of 100 minutes
Sponsors
LMU Medizinische Fakultät München
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Participation in a preliminary interview to clarify group suitability - Signed consent form for study participation and to collect personal data - Interpersonal experiences of violence (physical, emotional, and/or sexual) in the past - Sexual dysfunction (according to ICD-10 criteria) or symptoms in the area of sexuality such as avoidance behavior, dissociation during sex, risk sexuality, trauma-associated emotions and cognitions - Ability to self-regulate during intrusive and dissociative experiences
Exclusion criteria
Exclusion criteria: - Acute crises - Continued contact with perpetrator - Violence in the current partnership - Severe self-harming behavior - Acute suicidal tendency - Serious suicide attempt within the past six months. - Psychotic symptoms - Regular and heavy use of drugs, alcohol, and tranquilizers - Reduced intelligence (IQ<80) - Neurological conditions that preclude participation in the treatment program - Physical illnesses that preclude participation in the treatment program - Insufficient knowledge of the German language to participate in the psychotherapy program - Insufficient group ability
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Participants in group therapy show a reduction in trauma-associated sexual symptomatology: avoidance behavior, dissociation during sex, risk sexuality, and trauma-associated emotions and cognitions after completion of group therapy and during a follow-up examination (FSPT). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Participants will show remission of sexual dysfunction(s) at the end of group therapy and at a follow-up examination (FSFI). 2. The participants show a reduction of the post-traumatic stress symptoms after the end of the group therapy as well as in the context of a follow-up examination (ITQ). 3. The participants show an improvement in their self-determined sexuality after the end of the group therapy and in the context of a follow-up examination (SexMS, SA, SSEI-W). 4. The participants show less risk factors for revictimization after the end of the group therapy and during a follow-up examination (FDS-20, FSPT). 5. The content of the group concept is perceived as satisfactory and comprehensible by the participants (Self-designed lesson evaluation form). The following parameters are exploratively examined: 6. Side effects of group therapy and adverse group experiences (NUGE-24, ITQ, FDS, FSFI-D, FSPT, Self-designed questionnaire about the current state of health): Do short- and long-term negative effects show up during and after completion of group therapy? 7. Group suitability (ITQ, BSL-23, FSPT or LEC-5): (a) Do participants who experienced childhood sexual abuse and participants who did not experience sexual abuse show differences in effect sizes? b) Do participants with complex PTSD and participants with simple PTSD show differences in effect sizes? c) Do participants with emotionally unstable personality disorder and participants without emotionally unstable personality disorder show differences in effect sizes? The following questionnaires will be used: - Sociodemographic questionnaire - Life Events Checklist for DSM-5 (LEC-5) - Child Trauma Questionnaire (CTQ) - International Trauma Questionnaire (ITQ) - Borderline Symptom List (BSL-23) - Female Sexual Function Index (FSFI) - Sexual problems after traumatization Questionnaire (FSPT) - Sexual Motivation Scale (SexMS) - Sexual Agency (SA) - Sexual Self-Esteem Inventory f | — |
Countries
Germany
Contacts
Public ContactSarah Biedermann
Universitätsklinikum Hamburg-Eppendorf, Zentrum für Psychosoziale Medizin, Klinik und Poliklinik für Psychiatrie und Psychotherapie
Outcome results
None listed