Journal of Traumatic Stress
Volume 18, Issue 6, 2005, Pages 617-629

A randomized controlled trial of cognitive-behavior therapy for Cambodian refugees with treatment-resistant PTSD and panic attacks: A cross-over design (Article)

Hinton D.E.* , Chhean D. , Pich V. , Safren S.A. , Hofmann S.G. , Pollack M.H.
  • a Southeast Asian Clinic, Arbour Counseling Services, Lowell, MA, United States, Massachusetts General Hospital, Boston, MA, United States, Harvard Medical School, Cambridge, MA, United States, Massachusetts General Hospital, Department of Psychiatry, WACC 812, 15 Parkman Street, Boston, MA 02114, United States
  • b Southeast Asian Clinic, Arbour Counseling Services, Lowell, MA, United States
  • c Southeast Asian Clinic, Arbour Counseling Services, Lowell, MA, United States
  • d Massachusetts General Hospital, Boston, MA, United States, Harvard Medical School, Cambridge, MA, United States
  • e Center for Anxiety Disorders, Boston University, Boston, MA, United States
  • f Massachusetts General Hospital, Boston, MA, United States, Harvard Medical School, Cambridge, MA, United States

Abstract

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. © 2005 International Society for Traumatic Stress Studies.

Author Keywords

[No Keywords available]

Index Keywords

rating scale Models, Psychological Panic Disorder refugee controlled clinical trial psychological model psychological aspect clinical trial Cambodia methodology Cambodian behavior therapy human Hypotension, Orthostatic Refugees middle aged Conditioning (Psychology) orthostatic hypotension controlled study randomized controlled trial cognitive therapy ethnology panic United States Humans neck Treatment Outcome male conditioning female clinical article crossover procedure Cross-Over Studies Article adult posttraumatic stress disorder Stress Disorders, Post-Traumatic disease severity pathophysiology
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-33645326273&doi=10.1002%2fjts.20070&partnerID=40&md5=9ce7ba969b5ddd9143b00815ee21c28f
DOI: 10.1002/jts.20070
ISSN: 08949867
Cited by: 141
Original Language: English