Cognitive–behavioral therapy for PTSD and depression symptoms reduces risk for future intimate partner violence among interpersonal trauma survivors (original) (raw)
Related papers
Journal of Consulting and Clinical Psychology, 2008
The purpose of this experiment was to conduct a dismantling study of cognitive processing therapy in which the full protocol was compared with its constituent components-cognitive therapy only (CPT-C) and written accounts (WA)-for the treatment of posttraumatic stress disorder (PTSD) and comorbid symptoms. The intent-to-treat (ITT) sample included 150 adult women with PTSD who were randomized into 1 of the 3 conditions. Each condition consisted of 2 hr of therapy per week for 6 weeks; blind assessments were conducted before treatment, 2 weeks following the last session, and 6 months following treatment. Measures of PTSD and depression were collected weekly to examine the course of recovery during treatment as well as before and after treatment. Secondary measures assessed anxiety, anger, shame, guilt, and dysfunctional cognitions. Independent ratings of adherence and competence were also conducted. Analyses with the ITT sample and with study completers indicate that patients in all 3 treatments improved substantially on PTSD and depression, the primary measures, and improved on other indices of adjustment. However, there were significant group differences in symptom reduction during the course of treatment whereby the CPT-C condition reported greater improvement in PTSD than the WA condition.
Cognitive Trauma Therapy for Battered Women: Replication and extension
Psychology of Violence, 2016
Objective: To replicate and extend findings from a previous controlled trial of Cognitive Trauma Therapy for Battered Women (CTT-BW; Kubany et al., 2004), the current study presents data on the treatment of 8 women with PTSD related to intimate partner violence (IPV). Method: CTT-BW was administered weekly, using the manual provided by Kubany and a multiple baseline across participants design. Participants were assessed for PTSD and depression, as well as secondary outcomes. Results: Significant decreases from pre-to posttreatment were noted in PTSD (Hedges g ϭ 1.90) and depression (Hedges g ϭ 1.52), the primary outcomes. Obtained effect sizes for PTSD and depression can be classified as large. Anxiety, self-esteem, and quality of life improved significantly during the pre-to posttreatment interval. Conclusions: Results are discussed in light of treatment needs for women with PTSD related to IPV and the potential for CTT-BW to be used in diverse settings.
Behavior Therapy, 2011
Intimate partner violence (IPV) exposure was examined as a predictor of treatment engagement (i.e., starting and completing therapy) and treatment outcome in 150 women taking part in a dismantling study of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD; Resick et al., 2008). Results indicate that women in a current intimate relationship with recent IPV (i.e., past year) were less likely to begin treatment relative to women who reported past IPV only or no history of IPV. For women who began treatment, IPV exposure was not predictive of whether or not they completed treatment. Among women who began treatment, the frequency of IPV was associated with treatment outcome such that women who experienced more frequent IPV exhibited larger reductions in PTSD and depression symptoms over the course of treatment, but experienced similar levels of PTSD and depression severity at the 6-month follow-up. Findings highlight the importance of targeting treatment engagement among women who report recent IPV and suggest that women who have experienced frequent IPV respond well to CPT treatment in spite of their IPV experiences. Intimate partner violence (IPV) is a significant public health problem with estimates indicating that between 25 and 54% of women experience IPV in their adult lifetime (Thompson et al., 2006). In the United States, nearly 10% of women experience severe IPV victimization (hitting with a fist or object, beating up, threatening or assaulting with a weapon) at least once in their lifetime (Wilt & Olson, 1996). Approximately 2 million women are severely assaulted by their intimate partners each year (Riggs, Caulfield, & Street, 2000). IPV is associated with numerous short-and long-term mental health consequences, most commonly, posttraumatic stress disorder (PTSD) and depression (Jones,
Applying Cognitive-Behavioral Therapy to Help Survivors of Dating Violence: A Pilot Study
Jurnal Psikologi, 2021
Research from National Commission on Elimination of Violence against Women found that dating violence was ranked second after domestic violence in terms of number of cases reported in 2018 in Indonesia. Post-Traumatic Stress Disorder (PTSD) was one of the consequences that dating violence survivors experienced. Cognitive-Behavioral Therapy (CBT) had been proven effective to treat PTSD in intimate partner violence survivors. However, there was no prior research publication investigating the effectiveness of CBT for dating violence survivors in Indonesia. This research aimed to apply CBT to help treating PTSD symptoms in women with dating violence experiences. CBT was delivered individually for six sessions to four participants. This research used mixed-method design with quantitative and qualitative data collection and data analysis components. PTSD Checklist for DSM-5 was used to measure PTSD symptoms at pre- and post-treatment. The results showed that all participants had reduction...
BMC Psychiatry, 2010
Background: It is well established that intimate male partner violence (IPV) has a high impact on women's mental health. It is necessary to further investigate this impact longitudinally to assess the factors that contribute to its recovery or deterioration. The objective of this study was to assess the course of depressive, anxiety and posttraumatic stress disorder (PTSD) symptoms and suicidal behavior over a three-year follow-up in female victims of IPV. Methods: Women (n = 91) who participated in our previous cross-sectional study, and who had been either physically/psychologically (n = 33) or psychologically abused (n = 23) by their male partners, were evaluated three years later. A nonabused control group of women (n = 35) was included for comparison. Information about mental health status and lifestyle variables was obtained through face-to-face structured interviews. Results: Results of the follow-up study indicated that while women exposed to physical/psychological IPV recovered their mental health status with a significant decrease in depressive, anxiety and PTSD symptoms, no recovery occurred in women exposed to psychological IPV alone. The evolution of IPV was also different: while it continued across both time points in 65.21% of psychologically abused women, it continued in only 12.12% of physically/psychologically abused women while it was reduced to psychological IPV in 51.5%. Hierarchical multiple regression analyses indicated that cessation of physical IPV and perceived social support contributed to mental health recovery, while a high perception of lifetime events predicted the continuation of PTSD symptoms. Conclusion: This study shows that the pattern of mental health recovery depends on the type of IPV that the women had been exposed to. While those experiencing physical/psychological IPV have a higher likelihood of undergoing a cessation or reduction of IPV over time and, therefore, could recover, women exposed to psychological IPV alone have a high probability of continued exposure to the same type of IPV with a low possibility of recovery. Thus, women exposed to psychological IPV alone need more help to escape from IPV and to recuperate their mental health. Longitudinal studies are needed to improve knowledge of factors promoting or impeding health recovery to guide the formulation of policy at individual, social and criminal justice levels.
Journal of Postgraduate Medicine, 2008
A considerable body of research has demonstrated that women who are abused by their male romantic partners are at substantially elevated risk for the development of post-traumatic stress disorder (PTSD). This article reviews recent literature regarding intimate partner violence (IPV) and resultant PTSD symptoms. The article is intended to be an introduction to the topic rather than an exhaustive review of the extensive literature in this area. Factors that enhance and reduce the risk for PTSD, including social support, coping styles, and types of abusive behavior experienced, are described. In addition, the unique risks associated with IPV for women who have children are discussed. Prevention efforts and treatment are briefly reviewed.
Journal of Family Violence, 2009
This study examined factors associated with PTSD-depression comorbidity among a sample of 162 adult female rape or assault victims with PTSD, as well as potential differential predictors of PTSD and depression severity. PTSD-only participants reported higher levels of childhood sexual abuse than those with comorbid PTSD and depression, and the PTSD/MDD group reported relatively more distorted trauma-related beliefs, dissociation, PTSD severity, and depression severity. Distorted trauma-related beliefs and dissociation were the strongest unique predictors of higher PTSD and depressive symptoms. Rates of PTSD and depression comorbidity did not appear to be a function of symptom overlap. Study findings suggest possible explanations for the high PTSD and depression comorbidity rates commonly found among victims of interpersonal violence.
Violence and victims, 2003
This study examined the relative effects of intimate partner physical and sexual violence on Post-Traumatic Stress Disorder (PTSD) symptomatology. Severity of physical and sexual violence as well as PTSD severity were assessed in a sample of 62 help-seeking battered women. The results of this study were consistent with prior research, finding significant and positive relationships between physical and sexual violence as well as sexual violence and PTSD symptoms. In order to further clarify these relationships, the unique effects of sexual violence on PTSD were examined after controlling for physical violence severity. Results indicated that sexual violence severity explained a significant proportion of the variance in PTSD severity beyond that which was already accounted for by physical violence severity. These findings have important implications for mental health and social service professionals who work with battered women.
Journal of Consulting and Clinical Psychology, 2002
The purpose of this study was to compare cognitive-processing therapy (CPT) with prolonged exposure and a minimal attention condition (MA) for the treatment of posttraumatic stress disorder (PTSD) and depression. One hundred seventy-one female rape victims were randomized into 1 of the 3 conditions, and 121 completed treatment. Participants were assessed with the Clinician-Administered PTSD Scale, the PTSD Symptom Scale, the Structured Clinical Interview for DSM-IV, the Beck Depression Inventory, and the Trauma-Related Guilt Inventory. Independent assessments were made at pretreatment, posttreatment, and 3 and 9 months posttreatment. Analyses indicated that both treatments were highly efficacious and superior to MA. The 2 therapies had similar results except that CPT produced better scores on 2 of 4 guilt subscales.