The lack of difference in treatment outcomes despite racial differences in dropout may be explained by greater symptom improvement of African Americans who dropped out compared with Caucasians who dropped out. Implications of these findings and practical approaches to addressing sociocultural barriers to care are explored.

Background Psychotherapy for CD has focused on patients w/psychological distress. Another approach to optimize management of CD is to target patients who do not exhibit psychological distress but engage in behaviors that undermine treatment efficacy/increase risk for flare. We sought to determine the feasibility/acceptability and estimate the effects of a program framed around Project Management (PM) principles on CD outcomes. Methods Twenty-eightadults w/quiescent CD w/o history of psychiatric disorder were randomized to Project Management(N = 16) or treatment as usual (TAU;N=12). Baseline and follow-up measures were IBDQ, Medication Adherence Scale (MAS), Perceived Stress Questionnaire (PSQ) and IBD Self-Efficacy Scale (IBD-SES). Results There were significant group X time effects favoring PM on IBDQ-Total Score [F(1) = 15.2, p = .001], IBDQ-Bowel [F(1) = 6.5, p = .02] and IBDQ-Systemic [F(1) = 9.3, p = .007] but not IBDQ-Emotional [F(1) = 1.9, p = ns] or IBDQ-Social [F(1) = 2.4, p = ns]. There was a significant interaction effect favoring PM w/ respect to PSQ [F(1) = 8.4, p = .01] and IBD SES [F(1) = 12.2, p = .003]. There was no immediate change in MAS [F(1) = 4.3, p = ns]. Moderate effect sizes (d > .30) were observed for IBDQ total score (d =.45), IBDQ bowel health (d =.45) and systemic health (d = .37). Effect sizes for PSQ (d = .13) and IBDSES (d = .17) were smaller. Conclusions Behavioral programs that appeal to patients who may not seek psychotherapy for negative health behaviors may improve quality of life and potentially disease course and outcomes.

This study demonstrates that both IBD and IBS patients perceive stigma about their illness. As demonstrated by increased depression and anxiety, decreased self-esteem and self-efficacy, and lower quality of life in both patient groups, PS was shown to have a negative impact on clinical outcomes.

Participants' reactions to pretreatment assessments have not been studied as part of a randomized clinical trial (RCT) for posttraumatic stress disorder (PTSD). The current study examined participants' reactions in women with PTSD who completed pretreatment assessments during an RCT. We assessed participant reactions (N = 100) to a pretreatment assessment that included selfreport questionnaires, interviews, and psychophysiological assessment. Results indicated that participation in pretreatment assessment was well tolerated as measured by participants' reports of distress, interest level, perceptions of the appropriateness of assessment length, and willingness to participate in a similar assessment in the future. Participating in lengthy pretreatment assessments did not adversely impact treatment participation or outcome.Participation in trauma-focused research is typically well tolerated as evidenced by modest levels of distress, willingness to participate in similar research in the future, and positive perceptions about the research experience (e.g., Becker-Blease & Freyd, 2006;Griffin, Resick, Waldrop, & Mechanic, 2003;Newman & Kaloupek, 2004). However, some research suggests that posttraumatic stress disorder (PTSD) symptoms may be associated with greater distress during trauma-focused research (Newman & Kaloupek, 2004). Additionally, participants' pretreatment assessment reactions have yet to be studied as part of a randomized clinical trial (RCT) for PTSD. The extant research typically involves a single assessment session that includes a single self-report questionnaire or interview (Newman & Kaloupek, 2004). Pretreatment RCT assessments differ from nontrial trauma-focused research because they are lengthy and include numerous forms of research assessment, including multimethod assessments of traumatic events, which could induce participant distress or exhaustion and adversely impact treatment participation and outcome. To garner information that can enhance PTSD treatment outcome research, it is imperative to investigate potentially adverse effects of research participation among individuals with PTSD who are participating in a lengthy pretreatment assessment as part of an RCT for PTSD. This study examined participants' reactions to a three-session pretreatment assessment that included self-report questionnaires, interviews, and psychophysiological assessment that were administered as part of a larger RCT for PTSD (Resick et al., 2008). All participants met diagnostic criteria for PTSD and were seeking psychotherapy. Participants completed a selfreport questionnaire to assess their reactions to pretreatment assessments. Assessment reactions were examined descriptively and comparisons were made to examine which assessment procedures were associated with the highest levels of distress. Assessment reactions were also examined in relationship to whether participants began and completed treatment and PTSD treatment outcome. NIH Public Access Method ParticipantsParticipants included 100 female survivor...