Satisfaction of trauma-affected refugees treated with antidepressants and Cognitive Behavioural Therapy
| Autor: | Jessica Carlsson, Caecilie Böck Buhmann, Erik Lykke Mortensen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
business.industry 030503 health policy & services medicine.medical_treatment Serotonin reuptake inhibitor Refugee Cognition General Medicine law.invention Treatment satisfaction Cognitive behavioral therapy 03 medical and health sciences 0302 clinical medicine Patient satisfaction Randomized controlled trial law Physical therapy medicine 030212 general & internal medicine 0305 other medical science business After treatment |
| Zdroj: | Torture Journal. 28:118-129 |
| ISSN: | 1997-3322 1018-8185 |
| DOI: | 10.7146/torture.v28i2.106879 |
| Popis: | Purpose: This study seeks to evaluate the satisfaction of trauma-affected refugees after treatment with antidepressants, psycho-education and flexible Cognitive Behavioral Therapy (CBT) including trauma exposure. Material and methods: A treatment satisfaction questionnaire was completed by patients at the end of a randomised controlled trial (RCT) comparing treatment with CBT and antidepressants. A patient satisfaction score was developed based on the questionnaire, and predictors of satisfaction were analysed in regression models. Telephone interviews were conducted with patients dropping out of treatment before the end of the trial. Results: In total, 193 trauma-affected refugees with PTSD were included in the study. Patients were overall satisfied with flexible CBT including exposure treatment in cases where this was part of the treatment. There was no statistically significant association between treatment outcome and satisfaction and satisfaction and treatment efficacy were independent of each other. The results showed that bi-cultural patients who had lived in Denmark for more than a decade were satisfied with the treatment based on a western psychotherapy model. Discussion: Treatment with selective serotonin reuptake inhibitor and flexible CBT, including trauma exposure, is acceptable for trauma-affected refugees. More studies are needed to evaluate patient satisfaction with western psychotherapy models in refugee patients who have recently arrived and to compare satisfaction with alternative treatment models. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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