Cognitive trauma therapy for battered women with PTSD (CTT-BW).
This article describes a second treatment-outcome study of cognitive trauma therapy for battered women with posttraumatic stress disorder (PTSD; CTT-BW). CTT-BW includes trauma history exploration: PTSD education; stress management; exposure to abuse and abuser reminders; self-monitoring of negative self-talk; cognitive therapy for guilt; and modules on self-advocacy, assertiveness, and how to identify perpetrators. One hundred twenty-five ethnically diverse women were randomly assigned to immediate or delayed CTT-BW. PTSD remitted in 87% of women who completed CTT-BW, with large reductions in depression and guilt and substantial increases in self-esteem. White and ethnic minority women benefited equally from CTT-BW. Similar treatment outcomes were obtained by male and female therapists and by therapists with different levels of education and training. Gains were maintained at 3- and 6-month follow-ups.
Kubany
Edward S
ES
Department of Veterans Affairs, National Center for Posttraumatic Stress Disorder, Honolulu, HI, USA. kubany@hawaii.rr.com
Hill
Elizabeth E
EE
Owens
Julie A
JA
Iannce-Spencer
Cindy
C
McCaig
Mari A
MA
Tremayne
Ken J
KJ
Williams
Paulette L
PL
D000293:Adolescent; D000328:Adult; D000368:Aged; D018585:Battered Women / Q000523:psychology*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012649:Self Concept; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D011795:Surveys and Questionnaires