Cognitive Behavioral Treatment of PTSD in Residents of Battered Women's Shelters: Results of a Randomized Clinical Trial

Autor/inn/en	Johnson, Dawn M.; Zlotnick, Caron; Perez, Sara
Titel	Cognitive Behavioral Treatment of PTSD in Residents of Battered Women's Shelters: Results of a Randomized Clinical Trial
Quelle	In: Journal of Consulting and Clinical Psychology, 79 (2011) 4, S.542-551 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0023822
Schlagwörter	Counseling Techniques; Violence; Females; Posttraumatic Stress Disorder; Severity (of Disability); Depression (Psychology); Intervention; Cognitive Restructuring; Behavior Modification; Program Effectiveness; Outcomes of Treatment; Empowerment; Social Support Groups; Urban Areas; Questionnaires; Conflict Tactics Scale; Beck Depression Inventory + Suchen Sie Ihr Suchwort? Counseling technique; Counselling technique; Counselling techniques; Beratungsmethode; Gewalt; Weibliches Geschlecht; Schweregrad; Behaviour modification; Verhaltensänderung; Social support; Soziale Unterstützung; Urban area; Stadtregion; Fragebogen
Abstract	Objective: This study was designed to explore the acceptability, feasibility, and initial efficacy of a new shelter-based treatment for victims of intimate partner violence (IPV; i.e., Helping to Overcome PTSD through Empowerment [HOPE]). Method: A Phase I randomized clinical trial comparing HOPE (n = 35) with standard shelter services (SSS) (n = 35) was conducted. Primary outcome measures included the Clinician-Administered PTSD Scale (CAPS; D. D. Blake et al., 1995) and the Conflict Tactic Scales-Revised (M. A. Straus, S. L. Hamby, S. Boney-McCoy, & D. B. Sugarman, 1996). Participants were followed at 1-week, 3- and 6-months postshelter. Results: Participants reported HOPE to be credible and indicated a high degree of satisfaction with treatment. Only 2 women withdrew from treatment. Both intent to treat (ITT) and minimal attendance (MA) analyses found that HOPE treatment relative to SSS was significantly associated with a lower likelihood of reabuse over the 6-month follow-up period (OR = 5.1, RR = 1.75; OR = 12.6, RR = 3.12, respectively). Results of hierarchical linear model analyses found a significant treatment effect for emotional numbing symptom severity in the ITT sample, t(67) = -2.046, p less than 0.05, and significant treatment effects for effortful avoidance symptom severity, t(49) = -2.506, p less than 0.05, and arousal symptom severity, t(49) = -2.04, p less than 0.05, in the MA sample. Significant effects were also found for depression severity, empowerment, and social support. Conclusions: Results support the acceptability and feasibility of HOPE and suggest that HOPE may be a promising treatment for IPV victims in shelter. However, results also suggest that modifications to HOPE may be required to improve treatment outcomes. (Contains 1 figure and 3 tables.) (As Provided).
Anmerkungen	American Psychological Association. Journals Department, 750 First Street NE, Washington, DC 20002-4242. Tel: 800-374-2721; Tel: 202-336-5510; Fax: 202-336-5502; e-mail: order@apa.org; Web site: http://www.apa.org/publications
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10