TERPATRI (Forgiveness Therapy and Gayatri Mantra–Based Spiritual Intervention) on Resilience among Sexual Harassment Survivors: A Quasi-Experimental Study

Authors

  • Ketut Eka Larasati Wardana Midwifery Professional Education, College of Health Sciences, Buleleng, Singaraja, Bali, Indonesia
  • Putu Wahyu Sri Juniantari Bachelor of Nursing, College of Health Sciences, Buleleng, Singaraja, Bali, Indonesia

DOI:

https://doi.org/10.55018/janh.v8i1.409

Keywords:

Sexual Harassment, Psychological Resilience, Forgiveness Therapy, Spirituality

Abstract

Background: Victims of sexual abuse often experience long-term psychological impacts such as trauma, emotional distress, and reduced resilience. Although various interventions exist, most focus on cognitive and behavioral approaches and lack integration of culturally relevant spiritual aspects. Therefore, this study evaluates the effectiveness of TERPATRI—an integration of forgiveness therapy and Gayatri Mantra spirituality—in improving resilience among victims of sexual abuse.

Methods: This study used a pre-post quasi-experimental design with a control group. Participants were recruited using purposive sampling techniques, involving 64 victims of sexual abuse (32 in the intervention group and 32 in the control group). The inclusion criteria for this study were female victims of sexual abuse who were able to stand, open their mouths, hear, and communicate in Balinese and Indonesian. Meanwhile, the exclusion criteria for this study were victims of sexual abuse who had mental disorders, victims under the age of 5, and victims who were illiterate and did not have strong witnesses for this study. The main outcome variable was psychological resilience, which was measured using the Brief Resilience Scale (BRS). The analysis was performed using a paired t-test, with a significance level set at p < 0.05.

Results: The intervention group showed a significant increase in resilience after participating in TERPATRI, with average scores increasing from pre-intervention to post-intervention. The paired t-test showed a statistically significant difference (p < 0.001), accompanied by a large effect size (Cohen's d > 0.80), indicating a substantial increase in resilience compared to the initial condition and the control group.

Conclusion: TERPATRI has been proven effective in improving the resilience of sexual abuse victims. The integration of forgiveness therapy with Gayatri Mantra spirituality shows potential as a culturally and contextually sensitive mental health intervention, especially in communities with a strong spiritual background. This approach has the potential to be developed as a complementary intervention in psychological recovery services for victims of sexual violence.

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References

Bonanno, G. A., Romero, S. A., & Klein, S. I. (2015). The temporal elements of psychological resilience. Psychological Inquiry, 26(2), 139–169. https://doi.org/https://doi.org/10.1080/1047840X.2015.992677

Brewin, C. R., Andrews, B., & Valentine, J. D. (2019). Meta-analysis of risk factors for PTSD. Journal of Consulting and Clinical Psychology, 68(5), 748–766. https://doi.org/https://doi.org/10.1037/0022-006X.68.5.748

Bussey, K., & Fitzpatrick, S. (2020). Child sexual abuse and resilience: Understanding the links. Journal of Child Sexual Abuse, 29(4), 370–387. https://doi.org/https://doi.org/10.1080/10538712.2020.1752271

Chung, M. C., Dennis, I., Easthope, Y., Werrett, J., & Farmer, S. (2018). Differentiating resilience and posttraumatic growth. Psychological Trauma, 10(1), 22–29. https://doi.org/https://doi.org/10.1037/tra0000253

Jin, H., Lee, C., & Kim, S. (2021). The psychological impact of sexual assault on adolescent victims. Trauma, Violence, & Abuse, 22(1), 31–45. https://doi.org/https://doi.org/10.1177/1524838020916812

Koenig, H. G. (2022). Religion, spirituality, and mental health: Research and clinical implications. ISRN Psychiatry, 2012(Article 278730). https://doi.org/https://doi.org/10.1155/2012/278730

Koutrouba, E., & Marzilli, E. (2020). Spiritual healing and trauma recovery: A review of interventions. Psychology of Well-Being, 10(1), 1–15. https://doi.org/https://doi.org/10.1186/s13612-020-00202-w

Masten, A. S. (2020). Resilience theory and research on children and families: Past, present, and promise. Journal of Family Theory & Review, 12(1), 1–15. https://doi.org/https://doi.org/10.1111/jftr.12362

O’Leary, P. (2019). Forgiveness in trauma recovery: A review of evidence-based interventions. Clinical Psychology Review, 67, 79–91. https://doi.org/https://doi.org/10.1016/j.cpr.2018.12.005

Olsson, L. E., Larsson, S., & Johansson, A. (2022). The role of family support in building resilience after sexual trauma. International Journal of Social Psychiatry, 68(3), 215–221. https://doi.org/https://doi.org/10.1177/00207640221090712

Organization, W. H. (2021). Violence against women prevalence estimates. WHO.

Pargament, K. I., Smith, B. W., Koenig, H. G., & Perez, L. (2015). Patterns of positive and negative religious coping. Journal for the Scientific Study of Religion, 37(4), 710–724. https://doi.org/https://doi.org/10.2307/1388152

Patel, V., Saxena, S., Lund, C., et al. (2021). The Lancet Commission on global mental health and sustainable development. The Lancet, 392(10157), 1553–1598. https://doi.org/https://doi.org/10.1016/S0140-6736(18)31612-X

Perempuan, K. (2023). Catatan tahunan kekerasan terhadap perempuan di Indonesia. Komisi Nasional Anti Kekerasan Terhadap Perempuan.

Protection, D. of W. E. and C. (2025). Department of Women’s Empowerment and Child Protection.

Sharma, P., & Kumar, S. (2021). Mantra meditation and mental health outcomes: A systematic review. Journal of Religion and Health, 60(4), 2389–2404. https://doi.org/https://doi.org/10.1007/s10943-020-01110-0

Singh, A., & Verma, S. (2022). Forgiveness and psychological well-being among trauma survivors. Journal of Trauma & Dissociation, 23(2), 130–144. https://doi.org/https://doi.org/10.1080/15299732.2022.1863800

Southwick, S. M., Pietrzak, R. H., Tsai, J., & Krystal, J. H. (2018). Resilience: An update. Psychotraumatology, European Journal of Trauma & Dissociation, 9(sup2), 1486136. https://doi.org/https://doi.org/10.1080/20008198.2018.1486136

Tedeschi, R. G., & Calhoun, L. G. (2016). Posttraumatic growth: Conceptual foundations. Psychological Inquiry, 15(1), 1–18. https://doi.org/https://doi.org/10.1207/s15327965pli1501_01

Thoresen, C. E., Harris, A. H., & Luskin, F. (2020). Forgiveness and health: An unanswered question. Journal of Behavioral Medicine, 23(4), 399–420. https://doi.org/https://doi.org/10.1023/A:1005587316621

Tufford, L. (2018). Sexual trauma in adolescence and developmental implications. Journal of Child & Adolescent Trauma, 11(2), 191–201. https://doi.org/https://doi.org/10.1007/s40653-017-0173-6

Vassallo, G. R., Moore, A. K., & Timmons, J. (2019). Family support and trauma recovery. Journal of Family Psychology, 33(2), 141–149. https://doi.org/https://doi.org/10.1037/fam0000500

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Published

2026-03-21

How to Cite

Wardana, K. E. L., & Juniantari , P. W. S. . (2026). TERPATRI (Forgiveness Therapy and Gayatri Mantra–Based Spiritual Intervention) on Resilience among Sexual Harassment Survivors: A Quasi-Experimental Study. Journal of Applied Nursing and Health, 8(1), 175–186. https://doi.org/10.55018/janh.v8i1.409