A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims.
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.
Resick
Patricia A
PA
Center for Trauma Recovery, Department of Psychology, University of Missouri-St. Louis, 63121, USA. resick@umsl.edu
Nishith
Pallavi
P
Weaver
Terri L
TL
Astin
Millie C
MC
Feuer
Catherine A
CA
D000328:Adult; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D011897:Random Allocation; D011902:Rape / Q000523:psychology*; D015203:Reproducibility of Results; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology* / Q000628:therapy*; D013997:Time Factors