title: The From Survivor to Thriver program: RCT of an online therapist-facilitated program for rape-related PTSD.
abstract: This study evaluated the efficacy of the From Survivor to Thriver program, an interactive, online therapist-facilitated cognitive-behavioral program for rape-related PTSD. Eighty-seven college women with rape-related PTSD were randomized to complete the interactive program (n=46) or a psycho-educational self-help website (n=41). Both programs led to large reductions in interview-assessed PTSD at post-treatment (interactive d=2.22, psycho-educational d=1.10), which were maintained at three month follow-up. Both also led to medium- to large-sized reductions in self-reported depressive and general anxiety symptoms. Follow-up analyses supported that the therapist-facilitated interactive program led to superior outcomes among those with higher pre-treatment PTSD whereas the psycho-educational self-help website led to superior outcomes for individuals with lower pre-treatment PTSD. Future research should examine the efficacy and effectiveness of online interventions for rape-related PTSD including whether treatment intensity matching could be utilized to maximize outcomes and therapist resource efficiency.
authors: Department of Psychology, East Carolina University, 104 Rawl Building, Greenville, NC, 27858, USA. Electronic address: littletonh@ecu.edu.
authors: Heather
authors: H
authors: Littleton
authors: School of Education, Two Silber Way, Boston University, Boston, MA, 02215, USA. Electronic address: agrills@bu.edu.
authors: Amie E
authors: AE
authors: Grills
authors: Naval Branch Health Clinic, Marine Corps Recruit Depot Parris Island, 670 Boulevard De France, Beaufort, SC, 29902, USA. Electronic address: katherine.d.kline2.mil@mail.mil.
authors: Katherine D
authors: KD
authors: Kline
authors: Department of Psychology, East Carolina University, 104 Rawl Building, Greenville, NC, 27858, USA. Electronic address: schoemanna@ecu.edu.
authors: Alexander M
authors: AM
authors: Schoemann
authors: Department of Psychology, East Carolina University, 104 Rawl Building, Greenville, NC, 27858, USA; Department of Psychology, East Tennessee State University, 320 Rogers Stout Hall, Johnson City, TN, 37604, USA. Electronic address: doddjc@etsu.edu.
authors: Julia C
authors: JC
authors: Dodd
mesh_terms: D000293:Adolescent; D000328:Adult; D015928:Cognitive Behavioral Therapy; D000068237:Distance Counseling / Q000379:methods*; D005260:Female; D015438:Health Behavior; D006801:Humans; D011902:Rape / Q000523:psychology / Q000534:rehabilitation*; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy*; D017741:Survivors / Q000523:psychology*; D016896:Treatment Outcome; D055815:Young Adult
keywords: Clinical trial; Online therapy; Posttraumatic stress disorder; Rape