ORIGINAL PAPER Longitudinal Outcomes of Women Veterans Enrolled in the Renew Sexual Trauma Treatment Program Lori S. Katz • Geta Cojucar • Rani A. Hoff • Claire Lindl • Cristi Huffman • Tara Drew Published online: 19 November 2014 Ó Springer Science+Business Media New York (outside the USA) 2014 Abstract Forty-three female veterans who were starting the 12 weeks Renew treatment program for survivors of sexual trauma at a Department of Veterans Affairs medical center were recruited for this study. Forty-one participants enrolled in a within subjects design longitudinal study. Participants completed structured interviews at pre-treat- ment (baseline) and post-treatment, and at 6, 9, and 12 months from baseline. Thirty-seven completed the treatment (10 % dropout) and 32 completed the entire study. Similar to previous findings on Renew, posttrau- matic symptoms decreased immediately after graduation with large to medium effect sizes. In addition, up to 70 % had reliable clinical change at the 95 % confidence inter- val. However, the main hypothesis of this study was to test the stability of treatment outcomes at 12 months from baseline. Not only were these changes sustained 12 months from baseline, positive factors of self-esteem and quality of life continued to increase over time. Given participants’ level of trauma and their chronicity of symptoms prior to Renew, results suggest that Renew is an effective treatment for female veterans with multiple traumas across the life span including military sexual trauma, and a variety of life stressors including homelessness, substance abuse, and medical problems. Keywords Sexual trauma Á Women veterans Á Military sexual trauma Á Holographic reprocessing This study is a longitudinal outcome study following female veterans who were enrolled in the 12 weeks Renew sexual trauma treatment program over the course of 1 year. Renew is designed to address sexual trauma, including military sexual trauma (MST) for veterans with complex histories of trauma across the life span and a variety of life stressors including homelessness, substance abuse, and chronic med- ical conditions (see Katz et al. 2014a). The goals of Renew are to (1) help participants improve coping skills, (2) identify trauma-induced interpersonal patterns, (3) reappraise the meaning of living through trauma, (4) release negative affect and regain positive affect, and (5) build a more positive self- perception and optimistic vision for the future. A preliminary outcome study examined 112 female veterans enrolled in Renew (Katz et al. 2014a). Of these, 97 graduated (13 % dropout rate). Graduates of the pro- gram reported a significant reduction in posttraumatic stress disorder (PTSD: APA 1994), psychiatric symptoms, and posttraumatic negative cognitions (up to 60 % had reliable clinical change at the 95 % confidence interval), and significant increases in self-esteem, optimism, and satisfaction with life with large to moderate effect sizes. Although these data are promising, further research is needed to determine if these results are sustained over time. This study assessed veterans via 90 min structured clinical This study was conducted at the VA Long Beach Healthcare System. The Renew treatment manuals and Facilitator’s Handbook are available upon request by contacting the first author. L. S. Katz (&) VA Puget Sound Health Care System, 9600 Veterans Drive SW, Tacoma, WA 98493, USA e-mail: Lorikmail@yahoo.com L. S. Katz University of Southern California, Los Angeles, CA, USA G. Cojucar Á C. Lindl Á C. Huffman Á T. Drew VA Long Beach Healthcare System, Long Beach, CA, USA R. A. Hoff VA Connecticut Healthcare System, and Yale University, New Haven, CT, USA 123 J Contemp Psychother (2015) 45:143–150 DOI 10.1007/s10879-014-9289-5