Journal of Traumatic Stress
Volume 17, Issue 5, 2004, Pages 429-433

CBT for vietnamese refugees with treatment-resistant PTSD and panic attacks: A pilot study (Article)

Hinton D.E.* , Pham T. , Tran M. , Safren S.A. , Otto M.W. , Pollack M.H.
  • a Southeast Asian Clinic, Arbour Counseling Services, Lowell, MA, United States, Southeast Asian Clinic, East Boston Counseling Center, East Boston, MA, United States, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, Department of Psychiatry, Massachusetts General Hospital, WAC 815, 15 Parkman Street, Boston, MA 02114, United States
  • b Southeast Asian Clinic, East Boston Counseling Center, East Boston, MA, United States
  • c Southeast Asian Clinic, Arbour Counseling Services, Lowell, MA, United States
  • d Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States
  • e Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States
  • f Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States

Abstract

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 × 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. © 2004 Springer Science+Business Media, Inc.

Author Keywords

posttraumatic stress disorder Cognitive-behavior therapy Panic attacks Vietnamese refugees

Index Keywords

rating scale Vietnam cultural anthropology hospitalization refugee Panic Disorder psychological aspect clinical trial behavior therapy human Refugees controlled study cognitive therapy ethnology panic Humans Treatment Outcome Severity of Illness Index male headache female Viet Nam outcomes research standing questionnaire cultural factor scoring system Article feasibility study adult posttraumatic stress disorder Stress Disorders, Post-Traumatic disease severity Cultural Characteristics Analysis of Variance
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-14544278064&doi=10.1023%2fB%3aJOTS.0000048956.03529.fa&partnerID=40&md5=f09d794c0b3b3b14291f1fa7b72559f2
DOI: 10.1023/B:JOTS.0000048956.03529.fa
ISSN: 08949867
Cited by: 118
Original Language: English