Cognitive–behavior therapy for PTSD in rape survivors
Article first published online: 1 JUL 2002
Copyright © 2002 Wiley Periodicals, Inc.
Journal of Clinical Psychology
Volume 58, Issue 8, pages 891–906, August 2002
How to Cite
Jaycox, L. H., Zoellner, L. and Foa, E. B. (2002), Cognitive–behavior therapy for PTSD in rape survivors. J. Clin. Psychol., 58: 891–906. doi: 10.1002/jclp.10065
- Issue published online: 1 JUL 2002
- Article first published online: 1 JUL 2002
In recent years, new data have appeared, further suggesting the utility of cognitive–behavioral interventions for posttraumatic stress disorder (PTSD) subsequent to sexual assault. In this article, we present a model of cognitive–behavioral treatment (CBT) for PTSD in rape survivors. Emotional-processing theory, which proposes mechanisms that underlie the development of disturbances following rape, is reviewed. A CBT-based therapy (Prolonged Exposure) is presented that entails education about common reactions to trauma, relaxation training, imaginal reliving of the rape memory, exposure to trauma reminders, and cognitive restructuring. Current research regarding the use of prolonged exposure is discussed. The case example of a young female rape survivor is described in detail, and her prior substance dependence and intense shame are highlighted. The therapy was successful in reducing the client's symptoms of PTSD, as well as her depressive symptoms, and these gains were maintained at a one-year follow-up assessment. © 2002 Wiley Periodicals, Inc. J Clin Psychol/In Session 58: 891–906, 2002.