Verhaltenstherapie
Volume 29, Issue 1, 2019, Pages 49-56

Trauma-Focused Cognitive Behavioral Therapy: Insight into the Manualized Work with an Unaccompanied Refugee Minor [Traumafokussierte kognitive Verhaltenstherapie: Einblick in die manualisierte Arbeit mit einem unbegleiteten minderjährigen Flüchtling] (Article)

Unterhitzenberger J. , Fornaro P. , Rosner R.
  • a Department Für Psychologie, Lehrstuhl Für Klinische und Biologische Psychologie, Katholische Universität Eichstätt-Ingolstadt, Ostenstraße 26, Eichstätt, 85072, Germany
  • b Department Für Psychologie, Lehrstuhl Für Klinische und Biologische Psychologie, Katholische Universität Eichstätt-Ingolstadt, Ostenstraße 26, Eichstätt, 85072, Germany
  • c Department Für Psychologie, Lehrstuhl Für Klinische und Biologische Psychologie, Katholische Universität Eichstätt-Ingolstadt, Ostenstraße 26, Eichstätt, 85072, Germany

Abstract

Background: One out of three unaccompanied refugee minors (URMs) suffers from posttraumatic stress disorder (PTSD). However, only few of them receive psychotherapy. Trauma-focused cognitive behavioral therapy (TF-CBT) is currently one of the manuals for children and adolescents with PTSD with the best evidence. In a case series with URMs, TF-CBT showed promising results regarding feasibility and symptom reduction. Currently, we run an uncontrolled pilot trial to systemize the specific needs of URMs in manualized treatment. We present the case of an URM with PTSD from this pilot study to offer insights into the work with this manual for this group of patients. Case Report: The 17-year-old multiply traumatized patient from Afghanistan entered psychotherapy with the diagnoses PTSD and major depression. He was treated according to the TF-CBT manual, which allowed culture-sensitive adaptation of the treatment modules. At the end of the treatment, he no longer met the diagnoses. Conclusions: TF-CBT offers a culture-sensitive and evidence-based treatment of URMs with PTSD. It is a promising treatment manual for this group of patients. © 2018 S. Karger AG, Basel.

Author Keywords

Adolescent posttraumatic stress disorder Refugee Outpatient psychotherapy trauma

Index Keywords

case study cognitive behavioral therapy Afghanistan pilot study refugee clinical article posttraumatic stress disorder cultural factor major depression symptom manualized treatment Article feasibility study psychotherapy evidence based practice human unaccompanied refugee minor Adolescent
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85069490062&doi=10.1159%2f000482011&partnerID=40&md5=90915ab8cb2532c1dc3825170a1b2824
DOI: 10.1159/000482011
ISSN: 10166262
Original Language: German