TY - JOUR
T1 - Prolonged Exposure for Treating PTSD Among Female Methadone Patients Who Were Survivors of Sexual Abuse in Israel
AU - Schiff, Miriam
AU - Nacasch, Nitsa
AU - Levit, Shabtay
AU - Katz, Noam
AU - Foa, Edna B.
N1 - Publisher Copyright:
Copyright © Taylor & Francis Group, LLC.
PY - 2015/9/14
Y1 - 2015/9/14
N2 - The aims of this pilot study were: (a) to test the feasibility of prolonged exposure (PE) therapy conducted by a social worker staff on female patients in methadone program clinics who were survivors of child sexual abuse or rape and (b) to examine preliminary outcomes of PE on posttraumatic stress disorder (PTSD), depression, and illicit drug use at pre- and posttreatment, and up to 12-month follow-ups. Twelve female methadone patients who were survivors of child sexual abuse or rape diagnosed with PTSD were enrolled in 13–19 weekly individual PE sessions. Assessments were conducted at pre-, mid-, and posttreatment, as well as at 3, 6, and 12-month follow-ups. The treatment outcomes measures included PTSD symptoms, depressive symptoms, and illicit drug use. Ten of the 12 study patients completed treatment. PTSD and depressive symptoms showed significant reduction. No relapse to illicit drug use was detected. These preliminary results suggest that PE may be delivered by methadone social workers with successful outcomes. Further research should test the efficacy of PE among methadone patients in a randomized control trial with standard care as the control condition.
AB - The aims of this pilot study were: (a) to test the feasibility of prolonged exposure (PE) therapy conducted by a social worker staff on female patients in methadone program clinics who were survivors of child sexual abuse or rape and (b) to examine preliminary outcomes of PE on posttraumatic stress disorder (PTSD), depression, and illicit drug use at pre- and posttreatment, and up to 12-month follow-ups. Twelve female methadone patients who were survivors of child sexual abuse or rape diagnosed with PTSD were enrolled in 13–19 weekly individual PE sessions. Assessments were conducted at pre-, mid-, and posttreatment, as well as at 3, 6, and 12-month follow-ups. The treatment outcomes measures included PTSD symptoms, depressive symptoms, and illicit drug use. Ten of the 12 study patients completed treatment. PTSD and depressive symptoms showed significant reduction. No relapse to illicit drug use was detected. These preliminary results suggest that PE may be delivered by methadone social workers with successful outcomes. Further research should test the efficacy of PE among methadone patients in a randomized control trial with standard care as the control condition.
KW - Israel
KW - PTSD
KW - child sexual abuse
KW - drug abuse
KW - evidence-based practice
KW - methadone maintenance treatment
KW - pilot study
KW - posttraumatic stress symptoms
KW - prolonged exposure (PE) therapy
KW - social workers
KW - women
UR - http://www.scopus.com/inward/record.url?scp=84942812239&partnerID=8YFLogxK
U2 - 10.1080/00981389.2015.1058311
DO - 10.1080/00981389.2015.1058311
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C2 - 26399489
AN - SCOPUS:84942812239
SN - 0098-1389
VL - 54
SP - 687
EP - 707
JO - Social Work in Health Care
JF - Social Work in Health Care
IS - 8
ER -