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Clin Psychol Rev. 2009 Jul;29(5):431-48. doi: 10.1016/j.cpr.2009.04.004. Epub 2009 Apr 17.

Rape treatment outcome research: empirical findings and state of the literature.

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1
University of Southern California, Department of Psychology, SGM 501, MSC 1061, Los Angeles, CA 90089-1061, USA. vickerma@usc.edu

Abstract

This article reviews empirical support for treatments targeting women sexually assaulted during adolescence or adulthood. Thirty-two articles were located using data from 20 separate samples. Of the 20 samples, 12 targeted victims with chronic symptoms, three focused on the acute period post-assault, two included women with chronic and acute symptoms, and three were secondary prevention programs. The majority of studies focus on posttraumatic stress disorder (PTSD), depression, and/or anxiety as treatment targets. Cognitive Processing Therapy and Prolonged Exposure have garnered the most support with this population. Stress Inoculation Training and Eye Movement Desensitization and Reprocessing also show some efficacy. Of the four studies that compared active treatments, few differences were found. Overall, cognitive behavioral interventions lead to better PTSD outcomes than supportive counseling does. However, even in the strongest treatments more than one-third of women retain a PTSD diagnosis at post-treatment or drop out of treatment. Discussion highlights the paucity of research in this area, methodological limitations of examined studies, generalizability of findings, and important directions for future research at various stages of trauma recovery.

PMID:
19442425
PMCID:
PMC2773678
DOI:
10.1016/j.cpr.2009.04.004
[Indexed for MEDLINE]
Free PMC Article
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