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

Amanda K. Gilmore, Kate Walsh, Patricia Frazier, Liza Meredith, Linda Ledray, Joanne Davis, Ron Acierno, Kenneth J. Ruggiero, Dean G. Kilpatrick, Anna E. Jaffe, Heidi S. Resnick

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
JournalJournal of Interpersonal Violence
DOIs
StateAccepted/In press - Jan 1 2019

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Keywords

  • clinical trials
  • computer/Internet technology
  • PTSD
  • secondary prevention
  • sexual assault

PubMed: MeSH publication types

  • Journal Article

Cite this

Gilmore, A. K., Walsh, K., Frazier, P., Meredith, L., Ledray, L., Davis, J., Acierno, R., Ruggiero, K. J., Kilpatrick, D. G., Jaffe, A. E., & Resnick, H. S. (Accepted/In press). Post-Sexual Assault Mental Health: A Randomized Clinical Trial of a Video-Based Intervention. Journal of Interpersonal Violence. https://doi.org/10.1177/0886260519884674