Cognitive Behavioral Therapy for Treating Recently Abused Women With Post-Traumatic Stress Disorder

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00602069
Recruitment Status : Completed
First Posted : January 28, 2008
Last Update Posted : June 24, 2013
National Institute of Mental Health (NIMH)
Summa Health System
Butler Hospital
Information provided by (Responsible Party):
The University of Akron

Brief Summary:
This study will evaluate the effectiveness of a brief cognitive behavioral treatment, Helping to Overcome PTSD through Empowerment, in treating abused women with post-traumatic stress disorder who are living in shelters.

Condition or disease Intervention/treatment Phase
Post-Traumatic Stress Disorder Battered Women Behavioral: Helping to Overcome PTSD through Empowerment (HOPE) Behavioral: Treatment as usual Phase 1

Detailed Description:

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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: Treatment of PTSD in Recently Battered Women Living in Shelters
Study Start Date : May 2008
Actual Primary Completion Date : May 2011
Actual Study Completion Date : May 2011

Resource links provided by the National Library of Medicine

U.S. FDA Resources

Arm Intervention/treatment
Experimental: 1
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.

Primary Outcome Measures :
  1. PTSD symptom severity [ Time Frame: Measured at Month 8 ]

Secondary Outcome Measures :
  1. Effective use of resources [ Time Frame: Measured at Month 8 ]
  2. Resource loss [ Time Frame: Measured at Month 8 ]
  3. Depression [ Time Frame: Measured at Month 8 ]
  4. Social functioning [ Time Frame: Measured at Month 8 ]
  5. Revictimization [ Time Frame: Measured at Month 8 ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Meets criteria for PTSD or subthreshold PTSD
  • Resident of a battered women's shelter
  • Abused in the month prior to study entry

Exclusion Criteria:

  • Significant suicidal ideation or risk
  • Current psychotic symptoms
  • Current alcohol or drug dependence
  • Lifetime history of bipolar disorder
  • Concurrent psychosocial treatment
  • Any change in medication in the month prior to study entry

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00602069

United States, Ohio
University of Akron
Akron, Ohio, United States, 44325
Sponsors and Collaborators
The University of Akron
National Institute of Mental Health (NIMH)
Summa Health System
Butler Hospital
Principal Investigator: Dawn M. Johnson, PhD Summa Health System

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: The University of Akron Identifier: NCT00602069     History of Changes
Other Study ID Numbers: R34MH080786 ( U.S. NIH Grant/Contract )
R34MH080786 ( U.S. NIH Grant/Contract )
First Posted: January 28, 2008    Key Record Dates
Last Update Posted: June 24, 2013
Last Verified: June 2013

Keywords provided by The University of Akron:
Intimate Partner Violence
Cognitive Behavioral Therapy

Additional relevant MeSH terms:
Stress Disorders, Traumatic
Stress Disorders, Post-Traumatic
Trauma and Stressor Related Disorders
Mental Disorders