Perceived Barriers and Preliminary PTSD Outcomes in an Open Pilot Trial of Written Exposure Therapy With Latinx Immigrants
Autor: | Natalie R. Holt, Laura M. Acosta, James K. Haws, Arthur R. Andrews, Allura L. Ralston, M. Natalia Acosta Canchila, Kathryn J. Holland |
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Rok vydání: | 2023 |
Předmět: |
050103 clinical psychology
medicine.medical_treatment media_common.quotation_subject 05 social sciences Exposure therapy Immigration Psychological intervention 030227 psychiatry Test (assessment) 03 medical and health sciences Clinical Psychology 0302 clinical medicine Intervention (counseling) Structured interview medicine 0501 psychology and cognitive sciences Thematic analysis Psychology Depression (differential diagnoses) Clinical psychology media_common |
Zdroj: | Cognitive and behavioral practice. 29(3) |
ISSN: | 1077-7229 |
Popis: | Latinx immigrants experience substantial disparities in mental health treatment access, particularly for posttraumatic stress disorder (PTSD). The availability of brief, flexible interventions in Spanish may assist in reducing these disparities. Written Exposure Therapy (WET) is a five-session PTSD intervention that appears as effective as longer, gold-standard interventions, but has yet to be tested among Latinx immigrants. To test the acceptability and preliminary effectiveness of WET, 20 Spanish-speaking, Latinx immigrants conducted structured interviews at pretreatment, were offered WET, and completed posttreatment structured interviews. Open thematic coding of pre- and posttreatment interview questions examined perceived barriers and benefits of WET. Quantitative components examined symptom change across PTSD (PCL-IV-C) and depression (PHQ-9). Quantitative results indicated clinically meaningful and statistically significant change in PTSD symptoms using intent-to-treat analyses (Mdiff = 17.06, SDdiff = 9.97, range = 0–29, t(15) = 6.84, p |
Databáze: | OpenAIRE |
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