RT Article
T1 A One-Session Treatment of PTSD After Single Sexual Assault Trauma. A Pilot Study of the WONSA MLI Project: A Randomized Controlled Trial
JF Journal of interpersonal violence
VO 37
IS 9/10
A1 Rajan, Gita
A1 Wachtler, Caroline
A1 Lee, Sara
A1 Wändell, Per
A1 Philips, Björn
A1 Wahlström, Lars
A1 Svedin, Carl Göran
A1 Carlsson, Axel C.
A2 Wachtler, Caroline
A2 Lee, Sara
A2 Wändell, Per
A2 Philips, Björn
A2 Wahlström, Lars
A2 Svedin, Carl Göran
A2 Carlsson, Axel C.
LA English
YR 2022
UL https://krimdok.uni-tuebingen.de/Record/1883644380
AB Sexual abuse is a crime with devastating health consequences. Accessible, acceptable and affordable treatment of PTSD after sexual abuse is important. In this pilot study, a one-session PTSD treatment and a modified perspective to PTSD treatment is introduced. The aim of the study was to test the efficacy of one session of Modified Lifespan Integration (MLI) on reduction of symptoms of PTSD in individuals with PTSD after one sexual assault. This was a single-center, individually randomized waitlist-controlled treatment study with 1:1 allocation, with the intervention of one 90 - 140 minutes session of MLI and with post-treatment follow-up at 3 weeks (time point two). All participants were females, mean age 24, with PTSD symptoms after one sexual assault during the past 5 years. Exclusion criteria were poor understanding of Swedish, multiple traumas, active substance abuse, active psychosis, ADHD, or autism spectrum disorder. Of 135 interested participants, 38 were finally included, 36 completed baseline measures and were included in the intent to treat analyses and 33 were analyzed per protocol. The primary outcome was the difference between the two trial arms in mean PTSD symptoms as measured by the Impact of Event Scale Revised (IES-R) at time point two. In the intervention arm, 72% no longer scored PTSD in per-protocol analysis, compared to 6% in the waiting list arm. IES-R scores were on average halved in the intervention arm (F=21.37, P<0.001), but were essentially unchanged in the waiting list arm. No adverse effects or drop-outs were seen. One session of Modified Lifespan Integration was an effective treatment with a low drop-out rate for females aged 15-65 with PTSD after one sexual assault. Provided that this result can be replicated, MLI should be offered to these patients in clinical settings. Registration number NCT03141047 was given 03/25/2016 at ClinicalTrials.gov (https://register.clinicaltrials.gov/).
K1 Impact of Event Scale
K1 PTSD
K1 Rape
K1 Sexual Abuse
K1 Sexual Assault
K1 treatment: IES-R
DO 10.1177/0886260520965973