CBT for vietnamese refugees with treatment-resistant PTSD and panic attacks: A pilot study

Devon E. Hinton, Thang Pham, Minh Tran, Steven A. Safren, Michael W. Otto, Mark H. Pollack

Research output: Contribution to journalArticle

120 Scopus citations


We examined the feasibility, acceptability, and therapeutic efficacy of a culturally adapted cognitive-behavior therapy (CBT) for twelve Vietnamese refugees with treatment-resistant posttraumatic stress disorder (PTSD) and panic attacks. These patients were treated in two separate cohorts of six with staggered onset of treatment. Repeated measures Group × Time ANOVAs and between-group comparisons indicated significant improvements, with large effect sizes (Cohen's d) for all outcome measures: Harvard Trauma Questionnaire (HTQ; d=2.5); Anxiety Sensitivity Index (ASI; d=4.3); Hopkins Symptom Checklist-25 (HSCL-25), anxiety subscale (d=2.2); and Hopkins Symptom Checklist-25, depression subscale (d=2.0) scores. Likewise, the severity of (culturally related) headache-and orthostasis-cued panic attacks improved significantly across treatment.

Original languageEnglish (US)
Pages (from-to)429-433
Number of pages5
JournalJournal of Traumatic Stress
Issue number5
StatePublished - Oct 1 2004



  • Cognitive-behavior therapy
  • Panic attacks
  • Posttraumatic stress disorder
  • Vietnamese refugees

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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