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 3 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. Additional online materials for this article are available on PWQ’s website at http://journals.sagepub.com/doi/suppl/10.1177/0361684320953120

中文翻译：

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一项随机对照试验比较 HOPE 治疗和以当下为中心的治疗对因亲密伴侣暴力而生活在庇护所中的 PTSD 妇女

目前的研究是一项随机对照试验，将 HOPE（通过赋权帮助克服 PTSD）与适应版的以当下为中心的治疗 (PCT+) 进行比较，适用于因亲密伴侣暴力而患有创伤后应激障碍的家庭暴力庇护所的居民。HOPE 是一种采用授权方法的认知行为疗法。PCT 是一种注意力匹配控制条件，常用于创伤后应激障碍治疗研究。PCT+ 被改编为包括安全规划。我们从六个收容所之一收集了 172 名女性的数据，随机分配参与者接受 HOPE 或 PCT+。两种治疗的参与者在收容所期间和收容所后的前 3 个月接受了多达 16 次治疗。后续评估发生在收容所后、治疗后以及治疗后 6 个月和 12 个月。多变量模型的结果发现，HOPE 和 PCT+ 都与亲密伴侣暴力相关的创伤后应激障碍症状显着大量减少有关。此外，这两种治疗方法对亲密伴侣暴力、抑郁、赋权、创伤后认知和与健康相关的生活质量产生了显着的中小影响。结果表明，HOPE 和 PCT+ 都是对居住在庇护所的女性的亲密伴侣暴力相关的创伤后应激障碍的可行且有效的治疗方法。由于 PCT+ 有可能由非专业人士和没有心理健康专业知识的个人提供，因此 PCT+ 可能是庇护所的首选治疗模式。本文的其他在线材料可在 PWQ 的网站 http://journals.sagepub.com/doi/suppl/10 上找到。