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Attrition in Interpersonal Psychotherapy Among Women With Post-traumatic Stress Disorder Following Sexual Assault

BACKGROUND: An estimated 16.9% of adult Brazilian women experience sexual assault in their lifetime. Almost half of women who suffer such trauma develop post-traumatic stress disorder (PTSD). Markowitz et al. (2015) found that an affect-focused non-exposure therapy, Interpersonal Psychotherapy (IPT)...

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Autores principales: Proença, Cecília R., Markowitz, John C., Prado, Euthymia A., Braga, Rosaly, Coimbra, Bruno M., Mello, Thays F., Maciel, Mariana R., Pupo, Mariana, Póvoa, Juliana, Mello, Andrea F., Mello, Marcelo F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753915/
https://www.ncbi.nlm.nih.gov/pubmed/31572281
http://dx.doi.org/10.3389/fpsyg.2019.02120
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author Proença, Cecília R.
Markowitz, John C.
Prado, Euthymia A.
Braga, Rosaly
Coimbra, Bruno M.
Mello, Thays F.
Maciel, Mariana R.
Pupo, Mariana
Póvoa, Juliana
Mello, Andrea F.
Mello, Marcelo F.
author_facet Proença, Cecília R.
Markowitz, John C.
Prado, Euthymia A.
Braga, Rosaly
Coimbra, Bruno M.
Mello, Thays F.
Maciel, Mariana R.
Pupo, Mariana
Póvoa, Juliana
Mello, Andrea F.
Mello, Marcelo F.
author_sort Proença, Cecília R.
collection PubMed
description BACKGROUND: An estimated 16.9% of adult Brazilian women experience sexual assault in their lifetime. Almost half of women who suffer such trauma develop post-traumatic stress disorder (PTSD). Markowitz et al. (2015) found that an affect-focused non-exposure therapy, Interpersonal Psychotherapy (IPT), adapted to treat PTSD (IPT-PTSD) had similar efficacy to and lower dropout rates than Prolonged Exposure (PE), the “gold standard,” most studied exposure therapy for PTSD. OBJECTIVE: To assess attrition rates in IPT of sexually assaulted women recently diagnosed with PTSD. METHODS: The current study derives from a two-arm, randomized controlled clinical trial of sexually assaulted women with PTSD who received 14 weeks of standardized treatment with either IPT-PTSD or sertraline. Sample: The 32 patients in the IPT treatment arm were analyzed. RESULTS: Overall attrition was 29%. One patient was withdrawn because of suicidal risk; four dropped out pre-treatment, and five dropped out during IPT-PTSD. If the excluded patient is considered a dropout, the rate increases to 31%. DISCUSSION: This is the first formal study of IPT for PTSD specifically due to sexual assault. IPT attrition approximated dropout rates in PE studies, which are often around 30%, and to the sertraline group in our study (34.5%). Further research should compare IPT and PE among sexually assaulted women to clarify our hypothesis that IPT could be an attractive alternative approach for this patient group.
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spelling pubmed-67539152019-09-30 Attrition in Interpersonal Psychotherapy Among Women With Post-traumatic Stress Disorder Following Sexual Assault Proença, Cecília R. Markowitz, John C. Prado, Euthymia A. Braga, Rosaly Coimbra, Bruno M. Mello, Thays F. Maciel, Mariana R. Pupo, Mariana Póvoa, Juliana Mello, Andrea F. Mello, Marcelo F. Front Psychol Psychology BACKGROUND: An estimated 16.9% of adult Brazilian women experience sexual assault in their lifetime. Almost half of women who suffer such trauma develop post-traumatic stress disorder (PTSD). Markowitz et al. (2015) found that an affect-focused non-exposure therapy, Interpersonal Psychotherapy (IPT), adapted to treat PTSD (IPT-PTSD) had similar efficacy to and lower dropout rates than Prolonged Exposure (PE), the “gold standard,” most studied exposure therapy for PTSD. OBJECTIVE: To assess attrition rates in IPT of sexually assaulted women recently diagnosed with PTSD. METHODS: The current study derives from a two-arm, randomized controlled clinical trial of sexually assaulted women with PTSD who received 14 weeks of standardized treatment with either IPT-PTSD or sertraline. Sample: The 32 patients in the IPT treatment arm were analyzed. RESULTS: Overall attrition was 29%. One patient was withdrawn because of suicidal risk; four dropped out pre-treatment, and five dropped out during IPT-PTSD. If the excluded patient is considered a dropout, the rate increases to 31%. DISCUSSION: This is the first formal study of IPT for PTSD specifically due to sexual assault. IPT attrition approximated dropout rates in PE studies, which are often around 30%, and to the sertraline group in our study (34.5%). Further research should compare IPT and PE among sexually assaulted women to clarify our hypothesis that IPT could be an attractive alternative approach for this patient group. Frontiers Media S.A. 2019-09-13 /pmc/articles/PMC6753915/ /pubmed/31572281 http://dx.doi.org/10.3389/fpsyg.2019.02120 Text en Copyright © 2019 Proença, Markowitz, Prado, Braga, Coimbra, Mello, Maciel, Pupo, Póvoa, Mello and Mello. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Proença, Cecília R.
Markowitz, John C.
Prado, Euthymia A.
Braga, Rosaly
Coimbra, Bruno M.
Mello, Thays F.
Maciel, Mariana R.
Pupo, Mariana
Póvoa, Juliana
Mello, Andrea F.
Mello, Marcelo F.
Attrition in Interpersonal Psychotherapy Among Women With Post-traumatic Stress Disorder Following Sexual Assault
title Attrition in Interpersonal Psychotherapy Among Women With Post-traumatic Stress Disorder Following Sexual Assault
title_full Attrition in Interpersonal Psychotherapy Among Women With Post-traumatic Stress Disorder Following Sexual Assault
title_fullStr Attrition in Interpersonal Psychotherapy Among Women With Post-traumatic Stress Disorder Following Sexual Assault
title_full_unstemmed Attrition in Interpersonal Psychotherapy Among Women With Post-traumatic Stress Disorder Following Sexual Assault
title_short Attrition in Interpersonal Psychotherapy Among Women With Post-traumatic Stress Disorder Following Sexual Assault
title_sort attrition in interpersonal psychotherapy among women with post-traumatic stress disorder following sexual assault
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753915/
https://www.ncbi.nlm.nih.gov/pubmed/31572281
http://dx.doi.org/10.3389/fpsyg.2019.02120
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