A randomized controlled trial of cognitive-behavior therapy for Cambodian refugees with treatment-resistant PTSD and panic attacks: A cross-over design
| Autor: | Steven A. Safren, Devon E. Hinton, Dara Chhean, Vuth Pich, Mark H. Pollack, Stefan G. Hofmann |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Models Psychological law.invention Stress Disorders Post-Traumatic Hypotension Orthostatic Randomized controlled trial law Conditioning Psychological medicine Humans Psychiatry Refugees Cross-Over Studies Cognitive Behavioral Therapy Repeated measures design Panic Middle Aged medicine.disease Crossover study United States Checklist Psychiatry and Mental health Clinical Psychology Anxiety sensitivity Cognitive therapy Panic Disorder Female medicine.symptom Cambodia Psychology Neck Anxiety disorder |
| Zdroj: | Journal of Traumatic Stress. 18:617-629 |
| ISSN: | 1573-6598 0894-9867 |
| DOI: | 10.1002/jts.20070 |
| Popis: | We examined the therapeutic efficacy of a culturally adapted cognitive-behavior therapy for Cambodian refugees with treatment-resistant posttraumatic stress disorder (PTSD) and comordid panic attacks. We used a cross-over design, with 20 patients in the initial treatment (IT) condition and 20 in delayed treatment (DT). Repeated measures MANOVA, Group & times; Time ANOVAs, and planned contrasts indicated significantly greater improvement in the IT condition, with large effect sizes (Cohen's d) for all outcome measures: Anxiety Sensitivity Index (d = 3.78), Clinician-Administered PTSD Scale (d = 2.17), and Symptom Checklist 90-R subscales (d = 2.77). Likewise, the severity of (culturally related) neck-focused and orthostasis-cued panic attacks, including flashbacks associated with these subtypes, improved across treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|