Evaluation of Web-Based CBT for Rape Victims

East Carolina University, Greenville NC

Investigators

Linked publications, trials & patents

Abstract

DESCRIPTION (provided by applicant): Rape is unfortunately a common experience among women, affecting between 13 and 20%. The experience of rape often has a significant psychological impact on victims. College women in particular have been found to have a high prevalence of rape (20%) and college rape victims have a high prevalence of current PTSD in connection to this experience (approximately 25%). Despite the existence of efficacious treatments for victims, the vast majority never seek out psychotherapy. One potential way to aid these victims is through online administered treatment. Thus, we propose to evaluate a self- paced, online cognitive-behavioral intervention for college women who have experienced rape and who have current PTSD. The intervention includes psycho-education about rape and PTSD, relaxation training, coping skills training, and cognitive restructuring. In addition, because the most successful extant online interventions for psychological distress have included therapist facilitation, the intervention also includes regular online (written and video) feedback from a study therapist regarding participants' utilization of program techniques. The program also utilizes video and audio clips and written examples of women modeling using the skills introduced. Specifically, we propose to randomize 86 women who have experienced rape to either the therapist facilitated online intervention or a psycho-educational website. Measures of PTSD symptomatology, anxiety, depression, rape-related coping, coping self-efficacy, and trauma-related cognitions will be collected at pre-treatment, post-treatment, and three-month follow-up assessments. In addition, information about program acceptability, therapeutic alliance, program utilization, and client satisfaction will be collected. It is hypothesized that individuals assigned to the therapist facilitated intervention will experience greater reductions in psychological symptomatology, maladaptive rape-related coping, and distorted rape-related cognitions than individuals assigned to the psycho-educational website. Individuals assigned to the therapist facilitated intervention will also report greater coping self-efficacy than individuals assigned to the psycho-educational website. The impact of this study is the development of an effective, user-friendly intervention that can be utilized by rape victims, including those who will not seek out traditional psychotherapy.