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Disertasi  

[DISERTASI] Development and Cultural Adaptation of a Group-Based Somatic Experiencing® Intervention for Indonesian Women Survivors of Sexual Assault Experiencing Post-Traumatic Stress Disorder (PTSD) Symptoms

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• Code	CallNo	Lokasi	Ketersediaan
  190132026D103	D103 Lig p	Perpustakaan Fakultas Psikologi UNPAD (Disertasi)	Tersedia

• Perpustakaan	Fakultas Psikologi
  Judul Seri	-
  No. Panggil	D103 Lig p
  Penerbit	Fakultas Psikologi UNPAD : Jatinangor., 2026
  Deskripsi Fisik	xiii, 257 hlm,; 30 cm
  Bahasa	Indonesia
  ISBN/ISSN	190130220008
  Klasifikasi	D103 Lig p
  Tipe Isi	-
  Tipe Media	-
  Tipe Pembawa	-
  Edisi	-
  Subyek	Sexual assault, PTSD, Somatic Experiencing, Cultural Adaptation, Indonesia, LMICs
  Info Detil Spesifik	[DISERTASI]
  Pernyataan Tanggungjawab	Ligina Ayudia

• Sexual assault constitutes a pervasive global public health and human rights crisis. In Indonesia, approximately one in three women aged 15–64 have experienced physical or sexual violence, carrying a high conditional risk for Post-Traumatic Stress Disorder (PTSD). Despite this burden, trauma care in Indonesia remains largely eclectic and non-manualized, and there is a significant lack of psychometrically validated tools and culturally congruent interventions. This multi-phase research program (NIH Stage IA–IB) aimed to develop, culturally adapt, and evaluate the feasibility of a group-based Somatic Experiencing® intervention for this population. The research program was conducted in five primary phases: 1. Qualitative Exploration (Chapter 2): Interviews with 21 Indonesian psychologists revealed systematic evidence practice gaps and a high prevalence of somatic and autonomic symptoms (e.g., tremors, breathlessness, and dizziness) among survivors. These findings justified a bottom-up (somatic) approach that directly targets autonomic regulation. 2. Psychometric Validation (Chapter 3): This study established the first Indonesian-language version of the PTSD Checklist for DSM-5 (PCL-5). Validated with 629 participants, it identified an optimal clinical cut-off score of ≥39 and supported a seven-factor hybrid model as the most culturally accurate symptom structure. 3. Cultural Adaptation (Chapter 4): Guided by the Ecological Validity Framework, the SE® intervention underwent deep-structure adaptation. Key design decisions included stabilization-first sequencing, choice-based facilitation, and non-disclosure group agreements to respect local norms of shame and emotional restraint. Expert validation showed high cultural resonance (90-93%). 4. Feasibility and Pilot RCT (Chapter 5): A pilot randomized trial (n=65) demonstrated that the intervention is safe and acceptable. Results met feasibility benchmarks with 85.7% participant retention and 86.1% therapist fidelity. Preliminary data showed significant improvements in PTSD symptoms, resilience, and quality of life compared to treatment-as-usual. 5. Definitive RCT Protocol (Chapter 6): The dissertation culminates in a SPIRIT and CONSORT-compliant protocol for a full-scale randomized controlled trial (n=207) to provide definitive evidence of clinical effectiveness in the future. Theoretical and Clinical Contributions: This research advances embodied trauma theory by demonstrating that for Indonesian survivors, autonomic dysregulation is a primary pathway of distress. It reframes cultural congruence as an active therapeutic mechanism rather than a procedural adjustment that enhances safety and engagement in collectivist settings. Finally, it offers a replicable methodological foundation for trauma-informed innovation in low- and middle income countries (LMICs).

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