A Randomized Controlled Trial Comparing HOPE Treatment and Present-Centered Therapy in Women Residing in Shelter With PTSD From Intimate Partner Violence

Abstract

The current study is a randomized controlled trial comparing HOPE (Helping to Overcome PTSD through Empowerment) to an adapted version of present-centered therapy (PCT+) in residents of domestic violence shelters with posttraumatic stress disorder from intimate partner violence. HOPE is a cognitive-behavioral treatment that adopts an empowerment approach. PCT is an attention-matched control condition frequently used in posttraumatic stress disorder treatment research. PCT+ was adapted to include safety planning. We collected data from 172 women from one of six shelters, randomizing participants to receive either HOPE or PCT+. Participants in both treatments received up to 16 sessions during shelter and the first three months post-shelter. Follow-up assessments occurred at post-shelter, post-treatment, and 6- and 12-months post-treatment. Results of multivariate models found that both HOPE and PCT+ were associated with significant and large reductions in intimate partner violence-related posttraumatic stress disorder symptoms. Further, both treatments resulted in significant small to medium effects on intimate partner violence, depression, empowerment, posttraumatic cognitions, and health-related quality of life. Results suggest that both HOPE and PCT+ are viable and efficacious treatments of intimate partner violence-related posttraumatic stress disorder in women residing in shelters. As PCT+ has the potential to be delivered by paraprofessionals and individuals without mental health expertise, PCT+ may be the preferred treatment model for shelters.