TY - JOUR
T1 - Post-Sexual Assault Mental Health
T2 - A Randomized Clinical Trial of a Video-Based Intervention
AU - Gilmore, Amanda K.
AU - Walsh, Kate
AU - Frazier, Patricia
AU - Meredith, Liza
AU - Ledray, Linda
AU - Davis, Joanne
AU - Acierno, Ron
AU - Ruggiero, Kenneth J.
AU - Kilpatrick, Dean G.
AU - Jaffe, Anna E.
AU - Resnick, Heidi S.
N1 - Publisher Copyright:
© The Author(s) 2019.
PY - 2021/11
Y1 - 2021/11
N2 - The current study assessed the efficacy of a brief video intervention (Prevention of Post-Rape Stress [PPRS]) delivered in the emergency department to recent sexual assault (SA) victims. PPRS was compared to treatment as usual (TAU) and an active control condition (Pleasant Imagery and Relaxation Instruction [PIRI]). Primary outcomes were posttraumatic stress disorder (PTSD) symptoms and perceived present control. Prior SA was examined as a moderator of treatment effects. Women (n = 233; aged 15 years and older; 59.70% identified as a racial or ethnic minority) who received a post-SA medical forensic exam participated in the study (NCT01430624). Participants were randomized to watch the PPRS video (n = 77), the PIRI video (n = 77), or receive TAU (n = 79). Participants completed measures of PTSD symptoms and perceived present control 1.5-, 3-, and 6-months post-SA. An interaction between condition and prior SA was found on PTSD symptom frequency and on perceived present control. Among women with a prior SA, women in the PPRS versus TAU condition reported less frequent PTSD symptoms 6-months post-SA. Those in the PPRS condition had lower perceived present control than those in the TAU condition among those with no prior SA 3-months post-SA. However, at 6-months post-SA, among women with a prior SA, women in the PPRS reported higher perceived present control than those in TAU. These findings partially replicate a prior study in which PPRS was found to be beneficial in mitigating the development of PTSD symptoms, but only for women with a prior SA.
AB - The current study assessed the efficacy of a brief video intervention (Prevention of Post-Rape Stress [PPRS]) delivered in the emergency department to recent sexual assault (SA) victims. PPRS was compared to treatment as usual (TAU) and an active control condition (Pleasant Imagery and Relaxation Instruction [PIRI]). Primary outcomes were posttraumatic stress disorder (PTSD) symptoms and perceived present control. Prior SA was examined as a moderator of treatment effects. Women (n = 233; aged 15 years and older; 59.70% identified as a racial or ethnic minority) who received a post-SA medical forensic exam participated in the study (NCT01430624). Participants were randomized to watch the PPRS video (n = 77), the PIRI video (n = 77), or receive TAU (n = 79). Participants completed measures of PTSD symptoms and perceived present control 1.5-, 3-, and 6-months post-SA. An interaction between condition and prior SA was found on PTSD symptom frequency and on perceived present control. Among women with a prior SA, women in the PPRS versus TAU condition reported less frequent PTSD symptoms 6-months post-SA. Those in the PPRS condition had lower perceived present control than those in the TAU condition among those with no prior SA 3-months post-SA. However, at 6-months post-SA, among women with a prior SA, women in the PPRS reported higher perceived present control than those in TAU. These findings partially replicate a prior study in which PPRS was found to be beneficial in mitigating the development of PTSD symptoms, but only for women with a prior SA.
KW - PTSD
KW - clinical trials
KW - computer/Internet technology
KW - secondary prevention
KW - sexual assault
UR - http://www.scopus.com/inward/record.url?scp=85074992795&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85074992795&partnerID=8YFLogxK
U2 - 10.1177/0886260519884674
DO - 10.1177/0886260519884674
M3 - Article
C2 - 31709903
AN - SCOPUS:85074992795
SN - 0886-2605
VL - 36
SP - 10614
EP - 10637
JO - Journal of Interpersonal Violence
JF - Journal of Interpersonal Violence
IS - 21-22
ER -