No abstract

NCT01152268.

Objective: To replicate and extend findings from a previous controlled trial of Cognitive Trauma Therapy for Battered Women (CTT-BW; Kubany et al., 2004), the current study presents data on the treatment of 8 women with PTSD related to intimate partner violence (IPV). Method: CTT-BW was administered weekly, using the manual provided by Kubany and a multiple baseline across participants design. Participants were assessed for PTSD and depression, as well as secondary outcomes. Results: Significant decreases from pre-to posttreatment were noted in PTSD (Hedges g ϭ 1.90) and depression (Hedges g ϭ 1.52), the primary outcomes. Obtained effect sizes for PTSD and depression can be classified as large. Anxiety, self-esteem, and quality of life improved significantly during the pre-to posttreatment interval. Conclusions: Results are discussed in light of treatment needs for women with PTSD related to IPV and the potential for CTT-BW to be used in diverse settings.

An important change in the conceptualization of posttraumatic stress disorder (PTSD) has been the shift from a three-factor model used in the DSM-IV-TR to the current four-factor model used in DSM-5. Early research initially supported the three-factor model, but most recent data suggest a four-factor model provides the best fit. Still other research has examined evidence for a five-factor model that would include depression sequelae. By way of a confirmatory factor analysis, we demonstrate the reliability of DSM-5 PTSD criteria clustering in a sample of 124 OEF/OIF/OND Veterans treated at a VAMC (49% white, 89% men) and a sample of 737 college students (48% white, 78% women). All participants were trauma-exposed, and completed the PTSD Checklist for DSM-5. The current study shows both samples best support a five-factor model over two four factor models considered for the DSM-5, though none provided better than moderate fit. Implications of the current findings regarding the reliability of the new DSM-5 criteria of PTSD will be discussed.