title: Comparison of Adding Treatment of PTSD During and After Shelter Stay to Standard Care in Residents of Battered Women's Shelters: Results of a Randomized Clinical Trial.
abstract: This study explored the acceptability, feasibility, and initial efficacy of an expanded version of a PTSD treatment developed for residents of battered women's shelters, Helping to Overcome PTSD through Empowerment (HOPE) in women who received standard shelter services (SSSs). A Phase I randomized clinical trial comparing HOPE + SSSs (n = 30) to SSSs (n = 30) was conducted. Primary outcome measures included the Clinician-Administered PTSD Scale (Blake et al., 1995) and the Revised Conflict Tactic Scales (Straus, Hamby, Boney-McCoy, & Sugarman, ). Participants were followed at 1-week, and 3- and 6-months posttreatment. Only 2 women dropped out of HOPE + SSS treatment. Latent growth curve analyses found significant treatment effects for PTSD from intimate partner violence (IPV) (β = -.007, p = .021), but not for future IPV (β = .002, p = .709) across follow-up points. Significant effects were also found for secondary outcomes of depression severity (β = -.006, p = .052), empowerment (β = .155, p = .022), and resource gain (β = .158, p = .036). Additionally, more women in HOPE + SSSs were employed at 3- and 6-month follow-up compared to those in SSSs only. Results showed the acceptability and feasibility of adding IPV-related treatment to standard services. They also suggested that HOPE may be a promising treatment for residents of battered women's shelters. Further research with a larger sample, utilizing more diverse shelter settings and a more rigorous control condition, is needed to confirm these findings.
authors.affiliation: Psychology Department, University of Akron, Akron, Ohio, USA.
authors.forename: Dawn M
authors.initials: DM
authors.lastname: Johnson
authors.affiliation: Department of Education and Human Services, Lehigh University, Bethlehem, Pennsylvania, USA.
authors.forename: Nicole L
authors.initials: NL
authors.lastname: Johnson
authors.affiliation: Psychology Service, Cleveland VA Medical Center, Cleveland, Ohio, USA.
authors.forename: Sara K
authors.initials: SK
authors.lastname: Perez
authors.affiliation: Center for the Treatment and Study of Traumatic Stress, Department of Psychiatry, Summa Health System, Akron, Ohio, USA.
authors.forename: Patrick A
authors.initials: PA
authors.lastname: Palmieri
authors.affiliation: Department of Psychiatry, Butler Hospital, Providence, Rhode Island, USA.|Department of Psychiatry and Human Behavior, Warren Alpert Medical School at Brown University, Providence, Rhode Island, USA.|Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, Western Cape, South Africa.
authors.forename: Caron
authors.initials: C
authors.lastname: Zlotnick
mesh_terms: D000328:Adult; D018585:Battered Women / Q000523:psychology* / Q000706:statistics & numerical data; D003863:Depression / Q000628:therapy; D005260:Female; D006801:Humans; D011209:Power, Psychological; D012720:Severity of Illness Index; D012944:Social Support; D013179:Spouse Abuse / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult