Cognitive behavioral treatment of PTSD in residents of battered women's shelters: results of a randomized clinical trial.
Cognitive behavioral treatment of PTSD in residents of battered women's shelters: results of a randomized clinical trial.
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DOI：
10.1037/a0023822
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发表时间：
2011-08
影响因子：
5.9
通讯作者：
Perez, Sara
中科院分区：
文献类型：
--
作者：
Johnson, Dawn M.;Zlotnick, Caron;Perez, Sara
这项研究旨在探讨一种新的基于庇护所的亲密伴侣暴力受害者治疗（IPV;即，HOPE）。进行了一项I期随机临床试验，比较HOPE（n = 35）和标准庇护所服务（SSS）（n = 35）。主要结果测量包括临床医生管理的PTSD量表（CAPS）和修订的冲突策略量表。参与者在庇护后1周，3个月和6个月进行了随访。参与者报告希望是可信的，并表示对治疗的高度满意。只有两名妇女退出治疗。意向治疗（ITT）和最低出勤率（MA）分析均发现，相对于SSS，HOPE治疗与6个月随访期间再滥用可能性较低显著相关（OR = 5.1，RR = 1.75; OR = 12.6，RR = 3.12）。分层线性模型（HLM）分析的结果发现，ITT样本中情绪麻木症状严重程度的治疗效果显著，t（67）=-2.046，p <0.05，努力回避症状严重程度的治疗效果显著，t（49）=-2.506，p <0.05，唤醒症状严重程度的治疗效果显著，t（49）=-2.04，p <0.05，在MA样本中。抑郁症的严重程度，授权和社会支持也有显着影响。结果支持的可接受性和可行性的希望，并建议希望可能是一个有前途的治疗IPV受害者在庇护所。然而，结果也表明，可能需要修改HOPE以改善治疗结果。
This study was designed to explore the acceptability, feasibility, and initial efficacy of a new shelter-based treatment for victims of intimate partner violence (IPV; i.e., HOPE). A phase I randomized clinical trial comparing HOPE (n = 35) to standard shelter services (SSS) (n = 35) was conducted. Primary outcome measures included the Clinician Administered PTSD Scale (CAPS) and the Revised Conflict Tactic Scales. Participants were followed at 1-week, 3- and 6-months post-shelter. Participants reported HOPE to be credible and indicated a high degree of satisfaction with treatment. Only two women withdrew from treatment. Both intent to treat (ITT) and minimal attendance (MA) analyses found that HOPE treatment relative to SSS was significantly associated with a lower likelihood of re-abuse over the 6-month follow-up period (OR = 5.1, RR = 1.75; OR = 12.6, RR = 3.12, respectively). Results of hierarchical linear model (HLM) analyses found a significant treatment effect for emotional numbing symptom severity in the ITT sample, t (67) = −2.046, p <.05, and significant treatment effects for effortful avoidance symptom severity, t (49) = −2.506, p < .05 and arousal symptom severity, t (49) = −2.04, p <.05, in the MA sample. Significant effects were also found for depression severity, empowerment, and social support. Results support the acceptability and feasibility of HOPE and suggest that HOPE may be a promising treatment for IPV victims in shelter. However, results also suggest that modifications to HOPE may be required to improve treatment outcomes.
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影响因子：
5.9
作者：
JACOBSON, NS;TRUAX, P
通讯作者：
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