Cognitive-Behavioral Therapy for PTSD and Depression Symptoms Reduces Risk for Future Intimate Partner Violence among Interpersonal Trauma Survivors

• Published in: Journal of consulting and clinical psychology 2011-04, Vol.79 (2), p.193-202
• Main Authors: Iverson, Katherine M, Gradus, Jaimie L, Resick, Patricia A, Suvak, Michael K, Smith, Kamala F, Monson, Candice M
• Format: Article
• Language: English
• Subjects: Abusive relationships; At Risk Persons; Beck Depression Inventory; Behavior Modification; Behavior therapy. Cognitive therapy; Biological and medical sciences; Clinical trials; Cognitive Behavior Therapy; Cognitive behaviour therapy; Cognitive Restructuring; Cognitive Therapy; Conflict Tactics Scale; Counseling Effectiveness; Crime Victims - psychology; Crime Victims - rehabilitation; Depression; Depression (Psychology); Depression - therapy; Domestic violence; Emotional Trauma; Female; Females; Human; Humans; Intention to Treat Analysis; Intimate Partner Violence; Major Depression; Medical sciences; Mental depression; Post traumatic stress disorder; Posttraumatic Stress Disorder; Psychiatric Status Rating Scales; Psychological trauma; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Regression Analysis; Spouse Abuse - psychology; Stress; Stress Disorders, Post-Traumatic - psychology; Stress Disorders, Post-Traumatic - therapy; Survivor; Survivors; Symptoms; Symptoms (Individual Disorders); Therapy; Treatments; Victims of Crime; Violence
• ISSN: 0022-006X; 1939-2117
• DOI: 10.1037/a0022512

Objective: Women who develop symptoms of posttraumatic stress disorder (PTSD) and depression subsequent to interpersonal trauma are at heightened risk for future intimate partner violence (IPV) victimization. Cognitive-behavioral therapy (CBT) is effective in reducing PTSD and depression symptoms, yet limited research has investigated the effectiveness of CBT in reducing risk for future IPV among interpersonal trauma survivors. Method: This study examined the effect of CBT for PTSD and depressive symptoms on the risk of future IPV victimization in a sample of women survivors of interpersonal violence. The current sample included 150 women diagnosed with PTSD secondary to an array of interpersonal traumatic events; they were participating in a randomized clinical trial of different forms of cognitive processing therapy for the treatment of PTSD. Participants were assessed at 9 time points as part of the larger trial: pretreatment, 6 times during treatment, posttreatment, and 6-month follow-up. Results: As hypothesized, reductions in PTSD and in depressive symptoms during treatment were associated with a decreased likelihood of IPV victimization at a 6-month follow-up even after controlling for recent IPV (i.e., IPV from a current partner within the year prior to beginning the study) and prior interpersonal traumas. Conclusions: These findings highlight the importance of identifying and treating PTSD and depressive symptoms among interpersonal trauma survivors as a method for reducing risk for future IPV. (Contains 1 figure, 2 tables and 2 footnotes.)