TY - JOUR PY - 2020// TI - Refinement and pilot testing of a brief, early intervention for PTSD and alcohol use following sexual assault JO - Cognitive and behavioral practice A1 - Bedard-Gilligan, Michele A1 - Masters, N. Tatiana A1 - Ojalehto, Heidi A1 - Simpson, Tracy L. A1 - Stappenbeck, Cynthia A1 - Kaysen, Debra SP - 470 EP - 486 VL - 27 IS - 4 N2 - Experiencing a sexual assault can have long-lasting negative consequences including development of posttraumatic stress disorder (PTSD) and alcohol misuse. Intervention provided in the initial weeks following assault can reduce the development of these chronic problems. This study describes the iterative treatment development process for refining a brief intervention targeting PTSD and alcohol misuse for women with recent sexual assault experiences. Experts, treatment providers, and patients provided feedback on the intervention materials and guided the refinement process. Based on principles of cognitive change, the final intervention consists of one in-person session and four coaching calls targeting beliefs about the assault and about drinking behavior. Initial feasibility and acceptability data are presented for patients enrolled in an open trial (N = 6). The intervention was rated as helpful, not distressing, and interesting by patients and all patients completed the entire treatment protocol. A large decrease in PTSD symptoms pre- to post-intervention was observed. A small effect on decreasing alcohol consequences also emerged, although drinks consumed per week showed a slight increase, not a decrease, over the course of the intervention. Applications of this intervention and next steps for testing efficacy are presented.

Language: en

LA - en SN - 1077-7229 UR - http://dx.doi.org/10.1016/j.cbpra.2019.10.003 ID - ref1 ER -