Abstract
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.
Original language | English (US) |
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Pages (from-to) | 617-629 |
Number of pages | 13 |
Journal | Journal of Traumatic Stress |
Volume | 18 |
Issue number | 6 |
DOIs | |
State | Published - Dec 1 2005 |
Externally published | Yes |
ASJC Scopus subject areas
- Clinical Psychology
- Psychiatry and Mental health