Attrition in Interpersonal Psychotherapy Among Women With Post-traumatic Stress Disorder Following Sexual Assault

Autor(es):Mostrar menos -

Proenca, Cecilia R. ^[1] ; Markowitz, John C. ^[2] ; Prado, Euthymia A. ^[1] ; Braga, Rosaly ^[1] ; Coimbra, Bruno M. ^[1] ; Mello, Thays F. ^[1] ; Maciel, Mariana R. ^[1] ; Pupo, Mariana ^[1] ; Povoa, Juliana ^[1] ; Mello, Andrea F. ^[1] ; Mello, Marcelo F. ^[1]

Afiliação do(s) autor(es)

^[1] Fed Univ Sao Paulo UNIFESP, Dept Psychiat, Sao Paulo - Brazil

^[2] Columbia Univ, New York State Psychiat Inst, New York, NY - USA

• Tipo de documento: Artigo Científico
• Fonte: FRONTIERS IN PSYCHOLOGY; v. 10, SEP 13 2019.
• Citações Web of Science: 0

Resumo

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 One patient was withdrawn because of suicidal risk; four dropped out pre-treatment, and five dropped out during IPT-PTSD.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. (AU)

• Processo FAPESP: 14/12559-5 - Transtorno de estresse pós-traumático e neuroprogressão: novas abordagens na compreensão do efeito da violência no funcionamento mental
• Beneficiário: Marcelo Feijó de Mello
• Modalidade de apoio: Auxílio à Pesquisa - Temático
• Processo FAPESP: 16/22584-2 - Pacientes vítimas de abuso sexual com transtorno de estresse pós-traumático: aplicabilidade da psicoterapia interpessoal
• Beneficiário: Cecília Roberti Proença
• Modalidade de apoio: Bolsas no Brasil - Mestrado