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Patient Characteristics Indicate Treatment Options
Depress Anxiety; ePub 2018 Feb 28; Keefe, et al
Individual differences among patients with rape-induced posttraumatic stress disorder (PTSD) affect the likelihood they will complete a particular treatment, and clinicians can consider these moderators in treatment planning, according to a recent study. A multivariable model of dropout risk was constructed with randomized clinical trial data (n=160) comparing prolonged exposure (PE) and cognitive processing therapy (CPT) for rape-induced PTSD. Researchers found:
- Despite equivalent dropout rates across treatments, patients assigned to their model-indicated treatment were significantly less likely to drop out relative to patients who did not (relative risk = 0.49).
- Moderators included in the model were: childhood physical abuse, current relationship conflict, anger, and being a racial minority, all of which were associated with higher likelihood of dropout in PE than CPT.
Keefe JR, Stirman SW, Cohen ZD, DeRubeis RJ, Smith BN, Resick PA. In rape trauma PTSD, patient characteristics indicate which trauma-focused treatment they are most likely to complete. [Published online ahead of print February 28, 2018]. Depress Anxiety. doi:10.1002/da.22731.