Attrition in Interpersonal Psychotherapy Among Women With Post-traumatic Stress Disorder Following Sexual Assault
| Autor: | Cecilia Roberti Proença, Marcelo Feijó de Mello, John C. Markowitz, Andrea Feijo Mello, Mariana Rangel Maciel, Rosaly F. Braga, Bruno Messina Coimbra, Euthymia Brandão de Almeida Prado, Thays Ferreira Mello, Juliana Martins Picanço Povoa, Mariana Cadrobbi Pupo |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
attrition
medicine.medical_specialty medicine.medical_treatment Exposure therapy lcsh:BF1-990 Poison control behavioral disciplines and activities 050105 experimental psychology 03 medical and health sciences 0302 clinical medicine interpersonal psychotherapy Injury prevention mental disorders parasitic diseases medicine Psychology 0501 psychology and cognitive sciences adherence Psychiatry General Psychology Original Research Sertraline Sexual violence sexual assault 05 social sciences Traumatic stress lcsh:Psychology Sexual abuse Interpersonal psychotherapy post-traumatic stress disorder 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Frontiers in Psychology, Vol 10 (2019) Frontiers in Psychology |
| ISSN: | 1664-1078 |
| DOI: | 10.3389/fpsyg.2019.02120 |
| Popis: | An estimated 16.9% of adult Brazilian women experience sexual assault in their lifetime. Almost half of women who suffer such trauma develop posttraumatic 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. Method: 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 thirty-two patients in the IPT treatment arm were analyzed. Result: 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 One patient was withdrawn because of suicidal risk; four dropped out pre-treatment, and five dropped out during IPT-PTSD.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. |
| Databáze: | OpenAIRE |
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