Avoidant Coping and Treatment Outcome in Rape-Related Posttraumatic Stress Disorder

Autor/inn/en	Leiner, Amy S.; Kearns, Megan C.; Jackson, Joan L.; Astin, Millie C.; Rothbaum, Barbara O.
Titel	Avoidant Coping and Treatment Outcome in Rape-Related Posttraumatic Stress Disorder
Quelle	In: Journal of Consulting and Clinical Psychology, 80 (2012) 2, S.317-321 (5 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0026814
Schlagwörter	Females; Rape; Posttraumatic Stress Disorder; Coping; Severity (of Disability); Eye Movements; Therapy; Outcomes of Treatment; Adults; Ethnicity; Race; Symptoms (Individual Disorders); Measures (Individuals); Correlation; Scores; Prediction + Suchen Sie Ihr Suchwort? Weibliches Geschlecht; Sexueller Missbrauch; Sexuelle Gewalt; Vergewaltigung; Bewältigung; Schweregrad; Augenbewegung; Therapie; Ethnizität; Rasse; Abstammung; Psychiatrische Symptomatik; Messdaten; Korrelation; Vorhersage
Abstract	Objective: This study investigated the impact of avoidant coping on treatment outcome in rape-related posttraumatic stress disorder (PTSD). Method: Adult women with rape-related PTSD (N = 62) received 9 sessions of prolonged exposure (PE) or eye movement desensitization and reprocessing (EMDR). The mean age for the sample was 34.7 years, and race or ethnicity was reported as 67.7% Caucasian, 25.8% African American, 3.2% Latina, and 3.2% other. PTSD was assessed with the PTSD Symptom Scale--Self-Report (Foa, Riggs, Dancu, & Rothbaum, 1993), and avoidant coping was assessed using the Coping Strategies Inventory--Disengagement subscale (CSI-D; Tobin, Holroyd, Reynolds, & Wigal, 1989). Results: Pretreatment avoidant coping was negatively associated with posttreatment PTSD symptom severity even when controlling for initial severity of total PTSD symptoms and when removing PTSD avoidance symptoms from the analysis to account for potential overlap between avoidant coping and PTSD avoidance symptoms: DeltaR[superscript 2] = 0.08, b* = -0.31, 95% CI [-0.17, -0.01], t(60) = -2.27, p = 0.028. The CSI-D pretreatment mean score of 100 predicted a 96% likelihood of experiencing clinically significant change (CSC) during treatment. A CSI-D pretreatment score of 61 was associated with a 40% likelihood of experiencing CSC. Conclusions: PE and EMDR appear to be beneficial for women who frequently engage in avoidant coping responses following rape. A small subset of women with initially low levels of avoidant coping are unlikely to experience a therapeutic response from PE or EMDR. (Contains 4 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