Cognitive-Behavior Therapy for Khmer Refugees

描述(由申请者提供)：这是一份以患者为导向的研究职业发展奖的申请书，重点是发展少数民族和难民群体中焦虑症的治疗开发和结果评估方面的专业知识。候选人建议以他治疗难民人口的临床和研究经验为基础，为难民人口制定认知-行为干预措施，并用标准评估措施和特定文化焦虑精神病理学的措施来测试结果。创伤后应激障碍和恐慌症在东南亚难民人口中很常见，但可用于指导为受影响个人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：本研究调查了对患有创伤后应激障碍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，治疗指南的指导，以及使用标准心理测量仪、文化特定量表和立位挑战评估结果。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·波拉克博士的指导下的培训和监督研究项目，并征求专家的意见。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文化上合适的评估和治疗。为了为候选人今后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、认知行为疗法、仪器验证、心理生理结果测量(即立位挑战)和结构化的人种学面试，以及在哈佛公共卫生学院参加统计和仪器开发和评估课程。

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.