Hinton Devon E, Pham Thang, Tran Minh, Safren Steven A, Otto Michael W, Pollack Mark H
Southeast Asian Clinic, Arbour Counseling Services, Lowell, Massachusetts, USA.
J Trauma Stress. 2004 Oct;17(5):429-33. doi: 10.1023/B:JOTS.0000048956.03529.fa.
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 x 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
我们考察了一种经过文化调适的认知行为疗法（CBT）对12名患有难治性创伤后应激障碍（PTSD）和惊恐发作的越南难民的可行性、可接受性及治疗效果。这些患者被分为两个独立的六人队列，治疗开始时间错开。重复测量的组间×时间方差分析和组间比较显示出显著改善，所有结果指标的效应量都很大（科恩d值）：哈佛创伤问卷（HTQ；d = 2.5）；焦虑敏感性指数（ASI：d = 4.3）；霍普金斯症状清单-25（HSCL-25）焦虑分量表（d = 2.2）；以及霍普金斯症状清单-25抑郁分量表（d = 2.0）得分。同样，（与文化相关的）头痛和体位性惊恐发作的严重程度在治疗过程中也有显著改善。
