Cognitive-Behavior Therapy for Khmer Refugees

高棉难民认知行为疗法

• 批准号: 7006974
• 负责人: DEVON HINTON
• 金额: $ 17.74万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-02-07 至 2008-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7006974
• 关键词: anticonvulsants; behavioral /social science research tag; benzodiazepines; clinical research; cognitive behavior therapy; culture; human subject; human therapy evaluation; interview; mental health epidemiology; panic disorder; patient oriented research; posttraumatic stress disorder; psychological shock; psychophysiology; questionnaires; southeast Asia

DESCRIPTION (provided by applicant): This is an application for a Mentored Patient-Oriented Research Career Development Award with a focus on developing expertise in treatment development and outcome assessment for anxiety disorders in minority and refugee populations. The Candidate proposes to build upon his clinical and research experience treating refugee populations in order to develop cognitive-behavioral interventions for refugee populations and to test the outcome with standard assessment measures and measures of culture-specific anxiety psychopathology. Post-traumatic stress disorder and panic attacks are common in Southeast Asian refugee populations but there is relatively little research available to guide the provision of culturally sensitive treatment for affected individuals. The proposed study is designed as an early step in addressing this treatment gap in a systematic manner. Research Plan: The study investigates the efficacy of a 12-week cognitive-behavioral therapy intervention for Cambodian refugees with PTSD, the treatment guided by a manual, and outcome assessed with standard psychometric instruments, culturally specific scales, and orthostatic challenge. Environment: The proposed study will be based at a Southeast Asian Refugee Clinic affiliated with the Massachusetts General Hospital and will complement a program of training and supervised research under the mentorship of Dr. Mark Pollack with consultation from experts. Career Development Plan: Training will emphasize learning skills to develop culturally appropriate assessment and treatment for traumatized non-English speaking groups. To lay the foundation for future independent investigation by the candidate, training will include supervision with consultants regarding outcome assessment, cognitive behavioral therapy, instrument validation, a psychophysiological outcome measure (i.e., orthostatic challenge), and a structured ethnographic interview, as well as taking courses at the Harvard School of Public Health on statistics and instrument development and evaluation.

描述（由申请人提供）：这是一份以患者为导向的研究职业发展奖的申请，重点是发展少数民族和难民群体焦虑症的治疗开发和结果评估方面的专业知识。候选人提议利用其治疗难民群体的临床和研究经验，为难民群体制定认知行为干预措施，并通过标准评估措施和文化特异性焦虑精神病理学措施来测试结果。创伤后应激障碍和恐慌症在东南亚难民群体中很常见，但可用于指导为受影响个体提供文化敏感治疗的研究相对较少。拟议的研究旨在以系统的方式解决这一治疗差距的早期步骤。研究计划：该研究调查了对患有创伤后应激障碍（PTSD）的柬埔寨难民进行为期 12 周的认知行为治疗干预的效果、手册指导的治疗以及使用标准心理测量仪器、文化特定量表和直立挑战评估的结果。环境：拟议的研究将在马萨诸塞州总医院附属的东南亚难民诊所进行，并将补充马克·波拉克博士指导下的培训和监督研究计划，并咨询专家。职业发展计划：培训将强调学习技能，为受创伤的非英语群体制定适合文化的评估和治疗。为了为候选人未来的独立调查奠定基础，培训将包括顾问对结果评估、认知行为治疗、仪器验证、心理生理结果测量（即直立性挑战）和结构化人种学访谈的监督，以及在哈佛大学公共卫生学院学习统计和仪器开发和评估课程。