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A Randomized Controlled Trial Comparing HOPE Treatment and Present-Centered Therapy in Women Residing in Shelter with PTSD from Intimate Partner Violence
Journal article   Peer reviewed

A Randomized Controlled Trial Comparing HOPE Treatment and Present-Centered Therapy in Women Residing in Shelter with PTSD from Intimate Partner Violence

Dawn M. Johnson, Patrick A. Palmieri, Caron Zlotnick, Nicole L. Johnson, Lesa Hoffman, Samantha C. Holmes and Taylor L. Ceroni
Psychology of women quarterly, Vol.44(4), pp.539-553
12/01/2020
DOI: 10.1177/0361684320953120
PMCID: PMC8294703
PMID: 34305273
url
https://www.ncbi.nlm.nih.gov/pmc/articles/8294703View
Open Access

Abstract

The current study is a randomized controlled trial comparing HOPE ( H elping to O vercome P TSD through E mpowerment) to an adapted version of present-centered therapy (PCT+) in residents of domestic violence shelters with posttraumatic stress disorder from intimate partner violence. HOPE is a cognitive-behavioral treatment that adopts an empowerment approach. PCT is an attention-matched control condition frequently used in posttraumatic stress disorder treatment research. PCT+ was adapted to include safety planning. We collected data from 172 women from one of six shelters, randomizing participants to receive either HOPE or PCT+. Participants in both treatments received up to 16 sessions during shelter and the first three months post-shelter. Follow-up assessments occurred at post-shelter, post-treatment, and 6- and 12-months post-treatment. Results of multivariate models found that both HOPE and PCT+ were associated with significant and large reductions in intimate partner violence-related posttraumatic stress disorder symptoms. Further, both treatments resulted in significant small to medium effects on intimate partner violence, depression, empowerment, posttraumatic cognitions, and health-related quality of life. Results suggest that both HOPE and PCT+ are viable and efficacious treatments of intimate partner violence-related posttraumatic stress disorder in women residing in shelters. As PCT+ has the potential to be delivered by paraprofessionals and individuals without mental health expertise, PCT+ may be the preferred treatment model for shelters.
cognitive behavioral therapy empowerment intimate partner violence randomized clinical trial

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