The present research will evaluate treatments for Posttraumatic Stress Disorder (PTSD). A group of victims of domestic violence (DV) and rape with persistent PTSD will be recruited and submitted to a 6 month therapy. There will be a 3 X 2 independent groups factorial design where the independent groups are going to be women with PTSD (domestic violence and rape victims) and treatments; one group of Cognitive Behavioral Therapy (CBT), and the second will be issued SSRIs observed under the medicated treatment of Fluoxetine, the third group will be a control condition treatment of self-help literature (VA’s website i.e. “Coping with Traumatic Stress Reaction”). There will be 180 participants (90 PTSD-DV and 90 PTSD-Rape victims). The participants will be randomized and divided into six different groups. All participants will be given the Rosenberg Self-Esteem Scale at the beginning of the therapy and at the end of the therapy to check for the change in self-esteem after treatments. It is hypothesis that the effect of CBT treatment will be more effective in both PTSD-DV and PTSD-Rape victims.
Key words: Cognitive Behavioral Therapy (CBT), Posttraumatic Stress Disorder (PTSD), Domestic Violence (DV) and Rape victims, and Rosenberg Self-Esteem Scale. Comparing Treatments for Posttraumatic Stress Disorder in Abuse Women: Domestic Violence and Raped
Of all crimes, sexual assaults or domestic violence are the ones that results in the most severe psychological aftermath (Billete, Guay, & Marchand, 2008). In contrast to everyday stressful experiences, Post Traumatic Stress Disorder (DSM-TR; American Psychiatric Association, 2000) is linked etiologically to extremely traumatic or catastrophic events that arouse feelings of intense fear, helplessness and horror in exposed individuals. Posttraumatic Stress Disorder (PTSD) is a normal reaction to abnormal events. The diagnosis occurs most commonly as a stressful reaction to a catastrophic event involving actual or threatened death/injury. Symptoms include increased physiological arousal, persistent re-experiencing of the trauma (intrusive thinking), and trouble sleeping, irritability, trouble concentrating, being watchful, arousal, feeling jumpy, fear, avoidance, hyper vigilance, irritability, and psychic numbing including dissociation (Wilson, Calhoun, & Bernat, 1999). There is not support of the support for the belief that violence towards women that is perpetrated by their husbands is less traumatizing than violence by others (Cascardi, O’Leary, & Schlee, 1999). PTSD has been shown to be strongly associated with suicidal behaviors (Sanders, 1994). In addition to PTSD, depression, and substance abuse, other mental health problems have been noted in victimized women, such as but not limited too; cognitive difficulties, somatization, anxiety disorders, phobias, sleep disorders, fearfulness of spouse, and obsessive compulsiveness (Stapleton, Taylor, & Asmundson, 2007). One review of the literature, showed that there was fairly good fit between battered women’s characteristics and the major indicators of PTSD as currently defined (Lang, Kennedy, & Stein, 2002). However, in the most cases the studies reviewed provided only indirect evidence for PTSD indicators. More research with battered women is needed to establish direct evidence of PTSD symptoms using multiple measures of PTSD and related constructs. In Griffin, Ulhmansiek, Resick, & Mechanic (2004), study compared two groups of battered women on three measures of Posttraumatic Stress and fear questionnaire. At the fear questionnaire was used to explore the possibility of the generalization of trauma effects. One of the groups comprised women who obtained help at domestic violence agencies for shelter and/or counseling. The other group comprised...