Culturally adapted CBT (CA-CBT) for Latino women with treatment-resistant PTSD: A pilot study comparing CA-CBT to applied muscle relaxation
Culturally adapted CBT (CA-CBT) for Latino women with treatment-resistant PTSD: A pilot study comparing CA-CBT to applied muscle relaxation
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DOI：
10.1016/j.brat.2011.01.005
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发表时间：
2011-04-01
影响因子：
4.1
通讯作者：
Pollack, Mark H.
中科院分区：
文献类型：
--
作者：
Hinton, Devon E.;Hofmann, Stefan G.;Pollack, Mark H.
我们研究了一种文化适应形式的CBT（CA-CBT）对PTSD的治疗效果，并与应用肌肉放松（AMR）对患有难治性PTSD的女性拉丁裔患者的治疗效果进行了比较。参与者随机接受CA-CBT（n = 12）或AMR（n = 12），并在治疗前、治疗后和12周随访时进行评估。治疗是手动的，并在14个每周一次的小组治疗的形式提供。评估包括创伤后应激障碍，焦虑，文化相关的习语的困扰（神经和ataque de nervios），情绪调节能力的措施。接受CA-CBT的患者比AMR条件下的患者改善更明显。效应量估计显示CA-CBT组从治疗前到治疗后PTSD症状有非常大的减少（Cohen d = 2.6），但AMR组只有适度的改善（0.8）。这些结果表明，CA-CBT可以对拉丁美洲妇女先前治疗抵抗性PTSD有益。(C)2011爱思唯尔有限公司版权所有。
We examined the therapeutic efficacy of a culturally adapted form of CBT (CA-CBT) for PTSD as compared to applied muscle relaxation (AMR) for female Latino patients with treatment-resistant PTSD. Participants were randomized to receive either CA-CBT (n = 12) or AMR (n = 12), and were assessed before treatment, after treatment, and at a 12-week follow-up. The treatments were manualized and delivered in the form of group therapy across 14 weekly sessions. Assessments included a measure of PTSD, anxiety, culturally relevant idioms of distress (nervios and ataque de nervios), and emotion regulation ability. Patients receiving CA-CBT improved significantly more than in the AMR condition. Effect size estimates showed very large reductions in PTSD symptoms from pretreatment to posttreatment in the CA-CBT group (Cohen's d = 2.6) but only modest improvements in the AMR group (0.8). These results suggest that CA-CBT can be beneficial for previously treatment-resistant PTSD in Latino women. (C) 2011 Elsevier Ltd. All rights reserved.