title: CBT for Vietnamese refugees with treatment-resistant PTSD and panic attacks: a pilot study.
abstract: 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
authors.affiliation: Southeast Asian Clinic, Arbour Counseling Services, Lowell, Massachusetts, USA. devon_hinton@hms.harvard.edu
authors.forename: Devon E
authors.initials: DE
authors.lastname: Hinton
authors.forename: Thang
authors.initials: T
authors.lastname: Pham
authors.forename: Minh
authors.initials: M
authors.lastname: Tran
authors.forename: Steven A
authors.initials: SA
authors.lastname: Safren
authors.forename: Michael W
authors.initials: MW
authors.lastname: Otto
authors.forename: Mark H
authors.initials: MH
authors.lastname: Pollack
mesh_terms: D000328:Adult; D015928:Cognitive Behavioral Therapy; D003466:Cultural Characteristics; D005260:Female; D006801:Humans; D008297:Male; D016584:Panic Disorder / Q000150:complications / Q000208:ethnology / Q000628:therapy*; D012036:Refugees / Q000523:psychology*; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000150:complications / Q000208:ethnology / Q000628:therapy*; D016896:Treatment Outcome; D014744:Vietnam / Q000208:ethnology