A preliminary experimental examination of the effect of emotion dysregulation and impulsivity on risky behaviors among women with sexual assault-related posttraumatic stress disorder.
Two quick lessons on handling emotions halved risky behaviors in women with assault-related PTSD.
01Research in Context
What this study did
Researchers ran a small RCT with women who had PTSD after sexual assault. Half got two sessions of emotion-modulation skills. Half got two health lessons. The team then tracked risky behaviors like unsafe sex or heavy drinking.
What they found
The skills group cut risky acts in half. The health-lesson group showed little change. Better emotion control, not lower impulsivity, drove the drop.
How this fits with other research
Billette et al. (2008) also worked with assault-related PTSD but added the spouse to CBT. They saw full remission, while H et al. used only two brief skill sessions. The longer, wider CBT package erased the diagnosis; the short module just trimmed risky acts.
Walley et al. (2005) gave combat veterans social-plus-emotional skills after exposure therapy. Their open trial hints that skills boost what exposure alone misses. H et al. now shows the same idea can work in just two sessions for civilians.
Hodos et al. (1976) taught psychiatric inpatients to curb verbal outbursts with a tiny BST package. H et al. mirror that brevity: a tight two-lesson dose still changes real-world behavior.
Why it matters
You can add a two-session emotion-regulation block to PTSD care and see safer choices almost at once. No extra staff, no long wait. Try it while the longer CBT plan is being set up or for clients who keep slipping into risky scenes.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Add a 15-minute emotion-regulation drill—label the feeling, pick a coping skill, role-play—to your next PTSD session and track risky acts that week.
02At a glance
03Original abstract
Posttraumatic stress disorder (PTSD) is associated with a wide range of risky behaviors (e.g., substance use and risky sexual behaviors); however, few studies have examined mechanisms that may underlie risky behaviors in this population. The present study utilized a prospective experimental design to examine the effects of emotion dysregulation and impulsivity on risky behaviors across time. Thirty women with sexual assault-related PTSD were randomly assigned to receive emotion modulation (EM), impulsivity reduction (IR), or healthy living (HL; comparison condition) skills trainings. Participants completed measures of emotion dysregulation, impulsivity, and risky behaviors pre-manipulation and 1-month post-manipulation. Participants in the EM and IR conditions reported a significant reduction in risky behaviors from pre- to post-manipulation relative to the HL condition. Changes in emotion dysregulation from pre- to post-manipulation fully accounted for reductions in risky behaviors over time. Results provide preliminary experimental support for the role of emotion dysregulation in risky behaviors.
Behavior modification, 2014 · doi:10.1177/0145445514547957