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Objective: The Psychotherapies for Chronic PTSD randomised trial found that three 14-week psychotherapies acutely benefitted patients with chronic posttraumatic stress disorder (PTSD). Previous research has reported sustained follow-up benefits for prolonged exposure (PE) and relaxation therapy (RT), but few comparable data exist for interpersonal psychotherapy (IPT). We describe 3-month follow-up for acute responders to all 3 treatments.Method: Acute responders, defined a priori as ≥30% improved from baseline, were reevaluated after 3-month no-treatment follow-up by independent evaluators using the Clinician-Administered PTSD Scale (CAPS).Results: Fifty of 110 initial study entrants met acute responder status at week 14. Forty-three (86%) responders entered follow-up: 23 remitters (CAPS ≤20) and 20 responders. At week 26, 27 had achieved remission status, 10 remained responders, and 6 had relapsed. Of week 14 remitters, 8 of 9 PE, all 8 IPT, and 4 of 6 RT patients remained remitted. Relapse rates were 7% (1/9) for PE, 10% (2/20) for IPT, and 33% (3/9) for RT. At week 26, PE showed greater improvement on CAPS than RT ( P = 0.048) and a trend for superiority over IPT ( P = 0.098), with no significant difference between IPT and RT. Depressive symptoms remained low during follow-up.Conclusions: These are the first systematic data on follow-up responder status and persistence of acute treatment benefits in patients receiving individual IPT for chronic PTSD. Patients generally maintained gains across treatments, fluctuating most in RT. Study limitations include small sample size and brief follow-up interval. PTSD research should employ response and remission criteria. [ABSTRACT FROM AUTHOR]

Despite the burden of sexual assault on college campuses, few effective prevention programs exist. Understanding the socio-ecological context in which sexual assaults occur may illuminate novel pathways to augment prevention. We examined data from 349 students at two inter-connected urban universities who completed a population-based survey (N = 1,671) and described at least one incident of sexual assault victimization. Using latent class analysis of 13 incident, relationship, and social context characteristics, we identified three types of sexual assaults: Incapacitation, Known Assailant, both Drinking; Verbal Coercion, Partner/Friend, Private; and Unwanted Touching, Stranger, Public. Incapacitation, Known Assailant, both Drinking incidents often involved survivor incapacitation with someone known to the victim following a party. Verbal Coercion, Partner/Friend, Private incidents often involved verbal coercion and intimate partners, with others rarely present prior to the assault. Unwanted Touching, Stranger, Public incidents often involved unwanted touching and strangers in a public place. Findings suggest three distinct sexual assault types, defined by different incident, relational, and socio-contextual factors, and reinforce the importance of disaggregating sexual assault to tailor prevention programs more effectively. Campus policy-makers and providers should be aware that each type of assault may require different prevention approaches. Online slides for instructors who want to use this article for teaching are available on PWQ's website at http://journals.sagepub.com/doi/suppl/10.1177/0361684320964452 [ABSTRACT FROM AUTHOR]