A comparison of exposure therapy, stress inoculation training, and their combination for reducing posttraumatic stress disorder in female assault victims

Ninety-six female assault victims with chronic posttraumatic stress disorder (PTSD) were randomly assigned to 4 treatment conditions: prolonged exposure (PE), stress inoculation training (SIT), combined treatment (PE-SIT), or wait-list control (WL). Treatment consisted of 9 twice-weekly, individual sessions. Independent evaluations were conducted at pretreatment; posttreatment; and 3-, 6-, and 12-month follow-ups. All 3 active treatments reduced severity of PTSD and depression compared with WL but did not differ significantly from each other, and these gains were maintained throughout the follow-up period. However, in the intent-to-treat sample, PE was superior to SIT and PE-SIT on posttreatment anxiety and global social adjustment at follow-up and had larger effect sizes on PTSD severity, depression, and anxiety. SIT and PE-SIT did not differ significantly from each other on any outcome measure. (PsycINFO Database Record (c) 2006 APA, all rights reserved) (from the journal abstract)
Author: 
Foa,Edna B.
Dancu,Constance V.
Hembree,Elizabeth A.
Jaycox,Lisa H.
Meadows,Elizabeth A.
Street,Gordon P.
Notes: 
Accession Number: ccp-67-2-194. First Author Affiliation: Foa, Edna B.; Hahnemann U, Medical Coll of Pennsylvania, Ctr for the Treatment Study of Anxiety, Philadelphia, PA, US. Release Date: 19990501. Publication Type: Journal, Peer Reviewed Journal. Language: English. Major Descriptor(s): Crime Victims; Exposure Therapy; Posttraumatic Stress Disorder; Stress Management; Violence. Minor Descriptor(s): Human Females; Physical Abuse; Sexual Abuse. Classification: Health Mental Health Treatment Prevention (3300); Population: Human (10); Female (40); . Age Group: Adulthood (18 yrs older) (300); Thirties (30-39 yrs) (340); . Methodology: Empirical Study; Longitudinal Study. References Available: Y
Reprint Status: 
IN FILE
Start Page: 
194
End Page: 
200
Journal/Periodical Name: 
Journal of Consulting and Clinical Psychology
Volume: 
67
Issue: 
2
Abstract: 
This study examines the effects of three different treatments for post-traumatic stress disorder (PTSD) among 96 female assault victims. Four treatment conditions were assessed at pretreatment and posttreatment stages as well as 3-, 6-, and 12-month follow-ups. The four conditions in the study were: (1) prolonged exposure (PE), stress inoculation (SIT), combined treatment (PE-SIT), and a waitlist control group (WL). The results indicate that PE, SIT, and PE-SIT contributed to significant reductions in PTSD among sexual and nonsexual assault victims in the study. These three treatments also reduced anxiety symptoms and depression among subjects who completed the study. However, PE-SIT did not cause a greater reduction in PTSD, as predicted at the onset of the study. Instead, PE had a stronger effect on posttreatment anxiety and global social adjustment whereas SIT and PE-SIT were not significantly different from each other on any of the outcome measures.
Topic Areas: 
Effects; survivors
Reference Type: 
JOUR
Reference ID: 
2389
Publication Date: 
1999/04