Cognitive Behavioral Therapy for Treating Recently Abused Women With Post-Traumatic Stress Disorder
|Post-Traumatic Stress Disorder Battered Women||Behavioral: Helping to Overcome PTSD through Empowerment (HOPE) Behavioral: Treatment as usual||Phase 1|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Treatment
|Official Title:||Treatment of PTSD in Recently Battered Women Living in Shelters|
- PTSD symptom severity [ Time Frame: Measured at Month 8 ]
- Effective use of resources [ Time Frame: Measured at Month 8 ]
- Resource loss [ Time Frame: Measured at Month 8 ]
- Depression [ Time Frame: Measured at Month 8 ]
- Social functioning [ Time Frame: Measured at Month 8 ]
- Revictimization [ Time Frame: Measured at Month 8 ]
|Study Start Date:||May 2008|
|Study Completion Date:||May 2011|
|Primary Completion Date:||May 2011 (Final data collection date for primary outcome measure)|
Participants will receive cognitive behavioral therapy through the Helping to Overcome PTSD through Empowerment program
Behavioral: Helping to Overcome PTSD through Empowerment (HOPE)
HOPE includes a maximum of 16 sessions of cognitive behavioral therapy. The sessions will emphasize stabilization and empowerment, both of which are identified as important goals by the theoretical and empirical literature on abused women and PTSD.
Other Name: HOPE
Active Comparator: 2
Participants will receive standard shelter services
Behavioral: Treatment as usual
Treatment as usual includes standard shelter services for abused women.
Intimate partner violence is a serious social problem with potentially severe mental health and functional consequences consistent with post-traumatic stress disorder (PTSD). Shelters provide an important resource for abused women in that they offer emergency shelter, support, and access to community resources that can aid in establishing long-term safety for women and their children. However, recent research suggests that symptoms of PTSD can compromise abused women's ability to access and effectively use these resources, emphasizing the importance of initiating treatment for PTSD. Despite the fact that on an annual basis 300,000 battered women and children access shelter services, virtually no research has investigated treatment of PTSD in sheltered abused women. A woman's entry into a shelter seems to be a prime time to begin any necessary psychological treatment. Helping to Overcome PTSD through Empowerment (HOPE), a brief cognitive behavioral treatment that emphasizes stabilization and empowerment of women, may help in treating abused women with PTSD. This study will evaluate the effectiveness of HOPE in treating abused women with PTSD who are in shelters.
Participation in this single-blind study will begin during a woman's shelter stay and will end 8 months after she completes the shelter treatment period. All potential participants will first undergo an initial interview, which will include questions about their abusive relationships, emotional difficulties, stressful events, and other previous treatments. Participants invited to continue with the study will be randomly assigned to the HOPE program or to shelter treatment as usual. Participants assigned to the HOPE program will participate in a maximum of 16 counseling sessions, with up to 10 of these sessions taking place while they are at the shelter. During these sessions, participants will learn skills to help manage emotional difficulties and ways to deal with their abusive relationships. Participants will attend two 60- to 90-minute sessions each week until they complete of the 10 shelter-based counseling sessions or depart from the shelter. Counseling sessions will continue at St. Thomas Hospital or other agreed-upon location twice per week during the first 8 weeks after departure from the shelter. All participants will repeat the initial interview and/or questionnaire at various times during and after the shelter stay, for a total of eight assessments. The final interview assessment will occur 6 months after participants complete the counseling sessions.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00602069
|United States, Ohio|
|University of Akron|
|Akron, Ohio, United States, 44325|
|Principal Investigator:||Dawn M. Johnson, PhD||Summa Health System|