Johnson Dawn M, Johnson Nicole L, Perez Sara K, Palmieri Patrick A, Zlotnick Caron
Psychology Department, University of Akron, Akron, Ohio, USA.
Department of Education and Human Services, Lehigh University, Bethlehem, Pennsylvania, USA.
J Trauma Stress. 2016 Aug;29(4):365-73. doi: 10.1002/jts.22117. Epub 2016 Jul 26.
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.
本研究探讨了为受虐妇女庇护所居民开发的创伤后应激障碍（PTSD）治疗扩展版——通过赋权帮助克服创伤后应激障碍（HOPE），在接受标准庇护服务（SSS）的女性中的可接受性、可行性和初步疗效。开展了一项I期随机临床试验，将HOPE+SSS组（n=30）与SSS组（n=30）进行比较。主要结局指标包括临床医生管理的创伤后应激障碍量表（Blake等人，1995年）和修订后的冲突策略量表（Straus、Hamby、Boney-McCoy和Sugarman）。在治疗后1周、3个月和6个月对参与者进行随访。只有2名女性退出了HOPE+SSS治疗。潜在增长曲线分析发现，在各随访点，亲密伴侣暴力（IPV）所致创伤后应激障碍有显著治疗效果（β=-0.007，p=0.021），但对未来IPV无显著治疗效果（β=0.002，p=0.709）。在抑郁严重程度（β=-0.006，p=0.052）、赋权（β=0.155，p=0.022）和资源获取（β=0.158，p=0.036）等次要结局方面也发现了显著效果。此外，与仅接受SSS的女性相比，接受HOPE+SSS的女性在3个月和6个月随访时就业的更多。结果显示了在标准服务中增加与IPV相关治疗的可接受性和可行性。研究还表明，HOPE可能是一种有前景的针对受虐妇女庇护所居民的治疗方法。需要进行更大样本量、利用更多样化庇护所环境和更严格对照条件的进一步研究来证实这些发现。
