Monash Institute of Cognitive and Clinical Neurosciences and School of Psychological Sciences, Monash University, Melbourne, Australia.
Action on Disability within Ethnic Communities Inc., Melbourne, Australia.
Clin Psychol Psychother. 2019 Sep;26(5):531-539. doi: 10.1002/cpp.2373. Epub 2019 Jun 13.
Karen refugees, many originating from Myanmar, have suffered one of the longest civil wars in history and have thus witnessed and experienced substantial trauma. Refugees from Myanmar are currently one of the largest refugee groups being resettled in Western countries. This study investigated the feasibility and acceptability of a modified cognitive processing therapy (CPT) group program for Karen refugees with posttraumatic stress disorder (PTSD; N =7). It was found that the CPT program was well accepted, with high satisfaction and no drop-outs. At posttreatment all participants no longer met PTSD diagnostic criteria and had a reliable improvement in PTSD symptoms when compared with pretreatment scores. At 3-month follow-up four participants (57% of sample) did not meet PTSD diagnostic criteria and three participants (43%) had a reliable improvement in PTSD symptoms when compared with pretreatment scores. However, at follow-up four participants (57% of the sample) had a reliable worsening in PTSD symptoms when compared with their posttreatment PTSD symptom levels. Although the study found that the modified CPT was acceptable and feasible, future research is needed to develop and enhance strategies to ensure that refugees benefit from empirically supported treatments.
克伦族难民，许多来自缅甸，经历了历史上最长的内战之一，因此目睹并经历了大量创伤。来自缅甸的难民是目前在西方国家重新安置的最大难民群体之一。本研究调查了对创伤后应激障碍（PTSD；N=7）的克伦族难民进行改良认知加工疗法（CPT）小组方案的可行性和可接受性。结果发现，CPT 方案非常受欢迎，满意度高，没有中途退出。治疗后，所有参与者均不再符合 PTSD 的诊断标准，与治疗前分数相比，PTSD 症状有可靠改善。在 3 个月的随访中，4 名参与者（样本的 57%）不再符合 PTSD 的诊断标准，与治疗前分数相比，3 名参与者（43%）的 PTSD 症状有可靠改善。然而，在随访时，与他们的 PTSD 症状治疗后水平相比，4 名参与者（样本的 57%）有可靠的恶化。尽管研究发现改良 CPT 是可接受和可行的，但需要进一步研究来制定和加强策略，以确保难民受益于经验支持的治疗。
