Post-Sexual Assault Mental Health: A Randomized Clinical Trial of a Video-Based Intervention

The current study assessed the efficacy of a brief video intervention (Prevention of Post-Rape Stress [PPRS]) delivered in the emergency department to recent sexual assault (SA) victims. PPRS was compared to treatment as usual (TAU) and an active control condition (Pleasant Imagery and Relaxation In...

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Bibliographic Details
Main Author: Gilmore, Amanda K. (Author)
Contributors: Walsh, Kate ; Frazier, Patricia ; Meredith, Liza ; Ledray, Linda ; Davis, Joanne ; Acierno, Ron ; Ruggiero, Kenneth J. ; Kilpatrick, Dean G. ; Jaffe, Anna E. ; Resnick, Heidi S.
Format: Electronic Article
Language:English
Published: 2021
In: Journal of interpersonal violence
Year: 2021, Volume: 36, Issue: 21/22, Pages: 10614-10637
Online Access: Presumably Free Access
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Keywords:
secondary prevention
computer/Internet technology
Clinical Trials
PTSD
Sexual Assault
Description
Summary:The current study assessed the efficacy of a brief video intervention (Prevention of Post-Rape Stress [PPRS]) delivered in the emergency department to recent sexual assault (SA) victims. PPRS was compared to treatment as usual (TAU) and an active control condition (Pleasant Imagery and Relaxation Instruction [PIRI]). Primary outcomes were posttraumatic stress disorder (PTSD) symptoms and perceived present control. Prior SA was examined as a moderator of treatment effects. Women (n = 233; aged 15 years and older; 59.70% identified as a racial or ethnic minority) who received a post-SA medical forensic exam participated in the study (NCT01430624). Participants were randomized to watch the PPRS video (n = 77), the PIRI video (n = 77), or receive TAU (n = 79). Participants completed measures of PTSD symptoms and perceived present control 1.5-, 3-, and 6-months post-SA. An interaction between condition and prior SA was found on PTSD symptom frequency and on perceived present control. Among women with a prior SA, women in the PPRS versus TAU condition reported less frequent PTSD symptoms 6-months post-SA. Those in the PPRS condition had lower perceived present control than those in the TAU condition among those with no prior SA 3-months post-SA. However, at 6-months post-SA, among women with a prior SA, women in the PPRS reported higher perceived present control than those in TAU. These findings partially replicate a prior study in which PPRS was found to be beneficial in mitigating the development of PTSD symptoms, but only for women with a prior SA.
ISSN:1552-6518
DOI:10.1177/0886260519884674