Cognitive-Behavior Therapy for Khmer Refugees

描述（由申请人提供）：这是一个指导的以患者为导向的研究职业发展奖的应用程序，重点是在少数民族和难民人口的焦虑症的治疗开发和结果评估的专业知识。候选人建议建立在他的临床和研究经验治疗难民人口，以制定认知行为干预难民人口和测试结果与标准的评估措施和措施的文化特定的焦虑心理病理学。创伤后应激障碍和惊恐发作在东南亚难民中很常见，但目前可用于指导为受影响的个人提供文化敏感治疗的研究相对较少。拟议的研究旨在作为以系统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PTSD的柬埔寨难民进行为期12周的认知行为治疗干预的有效性，该治疗由手册指导，并使用标准心理测量工具，文化特定量表和直立性挑战评估结果。工作环境：拟议中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，并将在Mark Pollack博士的指导下与专家咨询一起补充培训和监督研究计划。职业发展计划：培训将强调学习技能，以便为受创伤的非英语群体制定文化上适当的评估和治疗办法。为了为候选人未来的独立调查奠定基础，培训将包括与顾问一起监督结果评估，认知行为治疗，仪器验证，心理生理结果测量（即，直立挑战），和一个结构化的人种学采访，以及参加哈佛公共卫生学院关于统计和工具开发与评估的课程。

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.