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Erschienen in: Journal of Contemporary Psychotherapy 3/2015

01.09.2015 | Original Paper

Longitudinal Outcomes of Women Veterans Enrolled in the Renew Sexual Trauma Treatment Program

verfasst von: Lori S. Katz, Geta Cojucar, Rani A. Hoff, Claire Lindl, Cristi Huffman, Tara Drew

Erschienen in: Journal of Contemporary Psychotherapy | Ausgabe 3/2015

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Abstract

Forty-three female veterans who were starting the 12 weeks Renew treatment program for survivors of sexual trauma at a Department of Veterans Affairs medical center were recruited for this study. Forty-one participants enrolled in a within subjects design longitudinal study. Participants completed structured interviews at pre-treatment (baseline) and post-treatment, and at 6, 9, and 12 months from baseline. Thirty-seven completed the treatment (10 % dropout) and 32 completed the entire study. Similar to previous findings on Renew, posttraumatic symptoms decreased immediately after graduation with large to medium effect sizes. In addition, up to 70 % had reliable clinical change at the 95 % confidence interval. However, the main hypothesis of this study was to test the stability of treatment outcomes at 12 months from baseline. Not only were these changes sustained 12 months from baseline, positive factors of self-esteem and quality of life continued to increase over time. Given participants’ level of trauma and their chronicity of symptoms prior to Renew, results suggest that Renew is an effective treatment for female veterans with multiple traumas across the life span including military sexual trauma, and a variety of life stressors including homelessness, substance abuse, and medical problems.
Literatur
Zurück zum Zitat Ainsworth, M. D. S. (1969). Object relations, dependency, and attachment: A theoretical review of the infant-mother relationship. Child Development, 40, 969–1025.PubMedCrossRef Ainsworth, M. D. S. (1969). Object relations, dependency, and attachment: A theoretical review of the infant-mother relationship. Child Development, 40, 969–1025.PubMedCrossRef
Zurück zum Zitat American Psychiatric Association. (1994). diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association. American Psychiatric Association. (1994). diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
Zurück zum Zitat Andrews, F. M., & Withey, S. B. (1976). Social indicators of well-being: Americans’ perceptions of life quality. New York, USA: Plenum Press.CrossRef Andrews, F. M., & Withey, S. B. (1976). Social indicators of well-being: Americans’ perceptions of life quality. New York, USA: Plenum Press.CrossRef
Zurück zum Zitat Basharpoor, S., Narimani, M., Gamari-give, H., Abolgasemi, A., & Molavi, P. (2011). Effect of cognitive processing therapy and holographic reprocessing on reduction of posttraumatic cognitions in students exposed to trauma. Iranian Journal of Psychiatry, 6(4), 138–144.PubMedCentralPubMed Basharpoor, S., Narimani, M., Gamari-give, H., Abolgasemi, A., & Molavi, P. (2011). Effect of cognitive processing therapy and holographic reprocessing on reduction of posttraumatic cognitions in students exposed to trauma. Iranian Journal of Psychiatry, 6(4), 138–144.PubMedCentralPubMed
Zurück zum Zitat Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., & Forneris, C. A. (1996). Psychometric properties of the PTSD checklist (PCL). Journal of Behaviour Research and Therapy, 8, 669–673.CrossRef Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., & Forneris, C. A. (1996). Psychometric properties of the PTSD checklist (PCL). Journal of Behaviour Research and Therapy, 8, 669–673.CrossRef
Zurück zum Zitat Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. New York, NY: Basic Books. Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. New York, NY: Basic Books.
Zurück zum Zitat Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation: Anxiety and anger. New York, NY: Basic Books. Bowlby, J. (1973). Attachment and loss: Vol. 2. Separation: Anxiety and anger. New York, NY: Basic Books.
Zurück zum Zitat Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates.
Zurück zum Zitat Foa, E. B., Hembree, E. A., & Rothbaum, B. (2007). Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences: Therapist guide. New York, NY: Oxford University.CrossRef Foa, E. B., Hembree, E. A., & Rothbaum, B. (2007). Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences: Therapist guide. New York, NY: Oxford University.CrossRef
Zurück zum Zitat Foa, E. B., & Rauch, S. A. (2004). Cognitive changes during prolonged exposure versus prolonged exposure plus cognitive restructuring in female assault survivors with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 72(5), 879–884.PubMedCrossRef Foa, E. B., & Rauch, S. A. (2004). Cognitive changes during prolonged exposure versus prolonged exposure plus cognitive restructuring in female assault survivors with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 72(5), 879–884.PubMedCrossRef
Zurück zum Zitat Foa, E. B., Tolin, D., Ehlers, A., Clark, D., & Orsillo, S. (1999). The posttraumatic cognitions inventory: Development and validation. Psychological Assessment, 11(3), 303–314.CrossRef Foa, E. B., Tolin, D., Ehlers, A., Clark, D., & Orsillo, S. (1999). The posttraumatic cognitions inventory: Development and validation. Psychological Assessment, 11(3), 303–314.CrossRef
Zurück zum Zitat Garcia, H. A., Kelley, L. P., Rentz, T. O., & Lee, S. (2011). Pretreatment predictors of dropout from cognitive behavioral therapy for PTSD in Iraq and Afghanistan war veterans. Psychological Services, 8(1), 1–11.CrossRef Garcia, H. A., Kelley, L. P., Rentz, T. O., & Lee, S. (2011). Pretreatment predictors of dropout from cognitive behavioral therapy for PTSD in Iraq and Afghanistan war veterans. Psychological Services, 8(1), 1–11.CrossRef
Zurück zum Zitat Hembree, E. A., Foa, E. B., Dorfan, N. M., Street, G. P., Kowalski, J., & Tu, X. (2003). Do patients drop out prematurely from exposure therapy for PTSD? Journal of Traumatic Stress, 16(6), 555–562.PubMedCrossRef Hembree, E. A., Foa, E. B., Dorfan, N. M., Street, G. P., Kowalski, J., & Tu, X. (2003). Do patients drop out prematurely from exposure therapy for PTSD? Journal of Traumatic Stress, 16(6), 555–562.PubMedCrossRef
Zurück zum Zitat Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.PubMedCrossRef Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.PubMedCrossRef
Zurück zum Zitat Katz, L. (2001). Holographic reprocessing: A cognitive-experiential psychotherapy for the treatment of trauma. Psychotherapy: Theory, Research, Practice, and Training, 38(2), 186–197.CrossRef Katz, L. (2001). Holographic reprocessing: A cognitive-experiential psychotherapy for the treatment of trauma. Psychotherapy: Theory, Research, Practice, and Training, 38(2), 186–197.CrossRef
Zurück zum Zitat Katz, L. (2005). Holographic reprocessing: A cognitive-experiential psychotherapy for the treatment of trauma. New York: Brunner-Routledge. Katz, L. (2005). Holographic reprocessing: A cognitive-experiential psychotherapy for the treatment of trauma. New York: Brunner-Routledge.
Zurück zum Zitat Katz, L., Cojucar, G., Douglas, S., & Huffman, C. (2014a). Renew: An integrative psychotherapy program for women Veterans with sexual trauma. Journal of Contemporary Psychotherapy, 44(3), 163–171. doi:10.1007/s10879-014-9263-2.CrossRef Katz, L., Cojucar, G., Douglas, S., & Huffman, C. (2014a). Renew: An integrative psychotherapy program for women Veterans with sexual trauma. Journal of Contemporary Psychotherapy, 44(3), 163–171. doi:10.​1007/​s10879-014-9263-2.CrossRef
Zurück zum Zitat Katz, L., Douglas, S., Zaleski, K., Williams, J., Huffman, C., & Cojucar, G. (2014b). Randomized clinical trial comparing holographic reprocessing and prolonged exposure to person-centered therapy to treat women veterans with sexual trauma. Journal of Contemporary Psychotherapy, 44(1), 9–19. doi:10.1007/s10879-013-9248-6.CrossRef Katz, L., Douglas, S., Zaleski, K., Williams, J., Huffman, C., & Cojucar, G. (2014b). Randomized clinical trial comparing holographic reprocessing and prolonged exposure to person-centered therapy to treat women veterans with sexual trauma. Journal of Contemporary Psychotherapy, 44(1), 9–19. doi:10.​1007/​s10879-013-9248-6.CrossRef
Zurück zum Zitat Katz, L., Snetter, M., Hagler, A., Hewitt, P., & Cojucar, G. (2008). Holographic reprocessing: Empirical evidence to reduce posttraumatic cognitions in women veterans with PTSD from sexual trauma and abuse. Psychotherapy: Theory, Research, Practice, and Training, 45(2), 186–198.CrossRef Katz, L., Snetter, M., Hagler, A., Hewitt, P., & Cojucar, G. (2008). Holographic reprocessing: Empirical evidence to reduce posttraumatic cognitions in women veterans with PTSD from sexual trauma and abuse. Psychotherapy: Theory, Research, Practice, and Training, 45(2), 186–198.CrossRef
Zurück zum Zitat Kelly, U. A., Skelton, K., Patel, M., & Bradley, B. (2011). More than military sexual trauma: Interpersonal violence, PTSD, and mental health in women veterans. Research in Nursing and Health, 34(6), 457–467.PubMedCrossRef Kelly, U. A., Skelton, K., Patel, M., & Bradley, B. (2011). More than military sexual trauma: Interpersonal violence, PTSD, and mental health in women veterans. Research in Nursing and Health, 34(6), 457–467.PubMedCrossRef
Zurück zum Zitat Main, M., & Solomon, J. (1986). Discovery of an insecure disorganized/disoriented attachment pattern. In T. B. Brazelton & M. W. Yogman (Eds.), Affective development in infancy (pp. 95–124). Westport, CT: Ablex. Main, M., & Solomon, J. (1986). Discovery of an insecure disorganized/disoriented attachment pattern. In T. B. Brazelton & M. W. Yogman (Eds.), Affective development in infancy (pp. 95–124). Westport, CT: Ablex.
Zurück zum Zitat Nishith, P., Resick, P., & Griffin, M. (2002). Pattern of change in prolonged exposure and cognitive-therapy processing for female rape victims with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 70(4), 880–886.PubMedCentralPubMedCrossRef Nishith, P., Resick, P., & Griffin, M. (2002). Pattern of change in prolonged exposure and cognitive-therapy processing for female rape victims with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 70(4), 880–886.PubMedCentralPubMedCrossRef
Zurück zum Zitat Resick, P. A., & Schnicke, M. K. (1996). Cognitive processing therapy for rape victims: A treatment manual. Newbury Park, CA: Sage. Resick, P. A., & Schnicke, M. K. (1996). Cognitive processing therapy for rape victims: A treatment manual. Newbury Park, CA: Sage.
Zurück zum Zitat Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton Universtiy Press. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton Universtiy Press.  
Zurück zum Zitat Schnurr, P. P., Friedman, M. J., Engel, C. C., Foa, E. B., Shea, T., Chow, B. K., et al. (2007). Cognitive behavioral therapy for posttraumatic stress disorder in women: A randomized controlled trial. Journal of the American Medical Association, 297(8), 820–830.PubMedCrossRef Schnurr, P. P., Friedman, M. J., Engel, C. C., Foa, E. B., Shea, T., Chow, B. K., et al. (2007). Cognitive behavioral therapy for posttraumatic stress disorder in women: A randomized controlled trial. Journal of the American Medical Association, 297(8), 820–830.PubMedCrossRef
Zurück zum Zitat Schnurr, P. P., Friedman, M. J., Foy, D. W., Shea, M. T., Hsieh, F. Y., & Lavori, P. W. (2003). Randomized trial of trauma-focused group therapy for posttraumatic stress disorder—results from a Department of Veterans Affairs Cooperative Study. Archives of General Psychiatry, 60(5), 481–489.PubMedCrossRef Schnurr, P. P., Friedman, M. J., Foy, D. W., Shea, M. T., Hsieh, F. Y., & Lavori, P. W. (2003). Randomized trial of trauma-focused group therapy for posttraumatic stress disorder—results from a Department of Veterans Affairs Cooperative Study. Archives of General Psychiatry, 60(5), 481–489.PubMedCrossRef
Zurück zum Zitat Smucker, M., & Dancu, C. (1999). Cognitive behavioral treatment for adult survivors of childhood abuse: Imaginal rescripting and reprocessing. Northvale, NJ: Aronson. Smucker, M., & Dancu, C. (1999). Cognitive behavioral treatment for adult survivors of childhood abuse: Imaginal rescripting and reprocessing. Northvale, NJ: Aronson.
Zurück zum Zitat Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A. & Keane T. M. (1993). The PTSD checklist: Reliability, validity, and diagnostic utility. In: Paper presented at the annual meeting of the international society for traumatic stress studies, San Antonio, TX. Weathers, F. W., Litz, B. T., Herman, D. S., Huska, J. A. & Keane T. M. (1993). The PTSD checklist: Reliability, validity, and diagnostic utility. In: Paper presented at the annual meeting of the international society for traumatic stress studies, San Antonio, TX.
Zurück zum Zitat Zayfert, C., DeViva, J. C., Becker, C. B., Pike, J. L., Gillock, K. L., & Hayes, S. A. (2005). Exposure utilization and completion of cognitive behavioral therapy for PTSD in a “real world” clinical practice. Journal of Traumatic Stress, 18(6), 637–645.PubMedCrossRef Zayfert, C., DeViva, J. C., Becker, C. B., Pike, J. L., Gillock, K. L., & Hayes, S. A. (2005). Exposure utilization and completion of cognitive behavioral therapy for PTSD in a “real world” clinical practice. Journal of Traumatic Stress, 18(6), 637–645.PubMedCrossRef
Metadaten
Titel
Longitudinal Outcomes of Women Veterans Enrolled in the Renew Sexual Trauma Treatment Program
verfasst von
Lori S. Katz
Geta Cojucar
Rani A. Hoff
Claire Lindl
Cristi Huffman
Tara Drew
Publikationsdatum
01.09.2015
Verlag
Springer US
Erschienen in
Journal of Contemporary Psychotherapy / Ausgabe 3/2015
Print ISSN: 0022-0116
Elektronische ISSN: 1573-3564
DOI
https://doi.org/10.1007/s10879-014-9289-5

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