Cognitive trauma therapy for battered women with PTSD: preliminary findings.
This paper describes a treatment-outcome study of Cognitive Trauma Therapy for Battered Women (CTT-BW) with PTSD. Derived from psychological learning principles, CTT-BW emphasizes the role of irrational beliefs and evaluative language in chronic PTSD. CTT-BW includes trauma history exploration, PTSD psychoeducation, stress management, psychoeducation about dysfunctional self-talk and self-monitoring of self-talk, exposure to abuse reminders, Cognitive Therapy for Trauma-Related Guilt (E. S. Kubany & F. P. Manke, 1995), and modules on assertiveness, managing contacts with former partners, self-advocacy strategies, and avoiding revictimization. Thirty-seven ethnically diverse women were assigned to Immediate or Delayed CTT-BW. PTSD remitted in 30 of 32 women who completed CTT-BW. Gains were maintained at 3-month follow-up. CTT-BW was efficacious across ethnic backgrounds. Issues related to disseminability of CTT-BW are discussed.
Kubany
Edward S
ES
Department of Veterans Affairs, National Center for PTSD, Pacific Islands Division and Domestic Violence Consultants, Honolulu, Hawaii 96813, USA. kubany@hawaii.rr.com
Hill
Elizabeth E
EE
Owens
Julie A
JA
D000328:Adult; D015928:Cognitive Behavioral Therapy; D017579:Domestic Violence / Q000523:psychology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012649:Self Concept; D020377:Self Efficacy; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology* / Q000628:therapy*; D013315:Stress, Psychological; D016896:Treatment Outcome