TY - JOUR PY - 2019// TI - Attrition in interpersonal psychotherapy among women with post-traumatic stress disorder following sexual assault JO - Frontiers in psychology A1 - Proença, Cecília R. A1 - Markowitz, John C. A1 - Prado, Euthymia A. A1 - Braga, Rosaly A1 - Coimbra, Bruno M. A1 - Mello, Thays F. A1 - Maciel, Mariana R. A1 - Pupo, Mariana A1 - Póvoa, Juliana A1 - Mello, Andrea F. A1 - Mello, Marcelo F. SP - e2120 EP - e2120 VL - 10 IS - N2 - 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 One patient was withdrawn because of suicidal risk; four dropped out pre-treatment, and five dropped out during IPT-PTSD.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.

Copyright © 2019 Proença, Markowitz, Prado, Braga, Coimbra, Mello, Maciel, Pupo, Póvoa, Mello and Mello.

Language: en

LA - en SN - 1664-1078 UR - http://dx.doi.org/10.3389/fpsyg.2019.02120 ID - ref1 ER -