A Randomized controlled trial of cognitive-behavior therapy for Cambodian refugees with treatment-resistant PTSD and panic attacks: A cross-over design
A Randomized controlled trial of cognitive-behavior therapy for Cambodian refugees with treatment-resistant PTSD and panic attacks: A cross-over design
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DOI：
10.1002/jts.20070
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发表时间：
2005-12-01
影响因子：
3.3
通讯作者：
Pollack, MH
中科院分区：
文献类型：
--
作者：
Hinton, DE;Chhean, D;Pollack, MH
我们研究了一种文化适应的认知行为疗法对患有难治性创伤后应激障碍(PTSD)和合并恐慌症发作的柬埔寨难民的治疗效果。我们采用了交叉设计，20名患者处于初始治疗(IT)状态，20名患者处于延迟治疗(DT)状态。重复测量Manova、Group&Times、Time ANOVAS和计划的对照显示，IT条件有显著改善，所有结果测量的效果大(Cohen‘s d)：焦虑敏感指数(d=3.78)、临床医生应用的创伤后应激障碍量表(d=2.17)和症状清单90-R子量表(d=2.77)。同样，(与文化相关的)集中于颈部和正位提示的恐慌症发作的严重性，包括与这些亚型相关的闪回，在整个治疗过程中都有所改善。
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.