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Cognitive-behavior therapy for PTSD in rape survivors.
Lisa H Jaycox1, Lori Zoellner, Edna B Foa
1RAND, Arlington, VA 22202-5050, USA. Jaycox@rand.org
Journal of Clinical Psychology
|July 13, 2002
Summary
Cognitive-behavioral therapy (CBT) effectively treats posttraumatic stress disorder (PTSD) in sexual assault survivors. This approach, including Prolonged Exposure therapy, significantly reduces PTSD and depressive symptoms, with lasting results.
Area of Science:
- Psychology
- Trauma Studies
- Clinical Psychiatry
Background:
- Posttraumatic stress disorder (PTSD) is a significant concern for sexual assault survivors.
- Cognitive-behavioral interventions show promise for treating PTSD in this population.
Purpose of the Study:
- To present a cognitive-behavioral treatment (CBT) model for PTSD in rape survivors.
- To review emotional-processing theory as a framework for understanding trauma responses.
- To detail the Prolonged Exposure therapy protocol.
Main Methods:
- The study outlines a CBT-based therapy, Prolonged Exposure.
- Components include psychoeducation, relaxation, imaginal exposure, in vivo exposure, and cognitive restructuring.
- A case example of a young female rape survivor is presented.
Main Results:
- The described CBT intervention successfully reduced PTSD symptoms.
- Depressive symptoms also significantly decreased.
- Therapeutic gains were maintained at a one-year follow-up.
Conclusions:
- Cognitive-behavioral therapy, specifically Prolonged Exposure, is an effective treatment for PTSD in sexual assault survivors.
- The therapy addresses core mechanisms of trauma response, including shame and substance dependence.
- Sustained symptom reduction highlights the long-term efficacy of this intervention.