CBT for Vietnamese refugees with treatment-resistant PTSD and panic attacks: A pilot study

被引:154
作者
Hinton, DE
Pham, T
Tran, M
Safren, SA
Otto, MW
Pollack, MH
机构
[1] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA 02114 USA
[2] Harvard Univ, Sch Med, Boston, MA USA
[3] Arbour Counseling Serv, SE Asian Clin, Lowell, MA USA
[4] E Boston Counseling Ctr, SE Asian Clin, East Boston, MA USA
关键词
posttraumatic stress disorder; panic attacks; cognitive-behavior therapy; Vietnamese refugees;
D O I
10.1023/B:JOTS.0000048956.03529.fa
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
We examined the feasibility, acceptability, and therapeutic efficacy of a culturally adapted cognitive-behavior therapy (CBT) for twelve Vietnamese refugees with treatment-resistant posttraumatic stress disorder (PTSD) and panic attacks. These patients were treated in two separate cohorts of six with staggered onset of treatment. Repeated measures Group x Time ANOVAs and between-group comparisons indicated significant improvements, with large effect sizes (Cohen's d) for all outcome measures: Harvard Trauma Questionnaire (HTQ; d = 2.5); Anxiety Sensitivity Index (ASI; d = 4.3); Hopkins Symptom Checklist-25 (HSCL-25), anxiety subscale (d = 2.2); and Hopkins Symptom Checklist-25, depression subscale (d = 2.0) scores. Likewise, the severity of (culturally related) headache-and orthostasis-cued panic attacks improved significantly across treatment.
引用
收藏
页码:429 / 433
页数:5
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