Impact of Race on Early Treatment Termination and Outcomes in Posttraumatic Stress Disorder Treatment

Autor/inn/en	Lester, Kristin; Artz, Caroline; Resick, Patricia A.; Young-Xu, Yinong
Titel	Impact of Race on Early Treatment Termination and Outcomes in Posttraumatic Stress Disorder Treatment
Quelle	In: Journal of Consulting and Clinical Psychology, 78 (2010) 4, S.480-489 (10 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0019551
Schlagwörter	African Americans; Posttraumatic Stress Disorder; Racial Differences; Therapy; Outcomes of Treatment; Whites; Females; Family Violence; Comparative Analysis; Cognitive Restructuring; Behavior Modification; Cognitive Processes; Counseling Techniques; Socioeconomic Status; Educational Attainment; Dropouts; Counseling Effectiveness; Symptoms (Individual Disorders) + Suchen Sie Ihr Suchwort? Afroamerikaner; Rassenunterschied; Therapie; White; Weißer; Weibliches Geschlecht; Behaviour modification; Verhaltensänderung; Cognitive process; Kognitiver Prozess; Counseling technique; Counselling technique; Counselling techniques; Beratungsmethode; Socio-economic status; Sozioökonomischer Status; Bildungsabschluss; Bildungsgut; Drop-out; Drop-outs; Dropout; Early leavers; Schulversagen; Psychiatrische Symptomatik
Abstract	Objective: The present study investigated the influence of race on posttraumatic stress disorder (PTSD) treatment among 94 African American and 214 Caucasian female victims of interpersonal violence participating in 2 studies of cognitive-behavioral treatment for PTSD that were conducted sequentially and continuously. Method: In each study, participants were randomized into 1 of 3 conditions. The first study compared cognitive processing therapy with prolonged exposure and a delayed treatment condition. In the second study, cognitive processing therapy was compared with its constituent components: cognitive therapy only and written accounts. Participants were assessed with the Clinician Administered PTSD Scale and the Structured Clinical Interview for DSM-IV, as well as through self-report measures of PTSD. Results: Analyses revealed that African Americans were significantly less likely to complete treatment compared with Caucasians (45% vs. 73%, respectively, p less than 0.001) and that the differences held even after controlling for education and income. Despite racial differences in treatment completion status, analyses with the intent-to-treat sample indicated no racial differences in outcomes on PTSD measures. Conclusions: The lack of difference in treatment outcomes despite racial differences in dropout may be explained by greater symptom improvement of African Americans who dropped out compared with Caucasians who dropped out. Implications of these findings and practical approaches to addressing sociocultural barriers to care are explored. (Contains 6 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10