title: Outcome of cognitive behavioral therapy in adolescents after natural disaster.
abstract: OBJECTIVE
  The authors evaluated the effectiveness of cognitive behavioral therapy (CBT) among adolescents exposed to the 2004 earthquake in Bam, Iran.
  
  
  METHODS
  Four months after the earthquake, 135 adolescents as a case group and 33 adolescents as a comparison group were evaluated with the Impact of Event Scale Revised (IES-R). Two therapists were trained in CBT in 3-day classes according to a manual provided by mental health services. After conducting CBT in the case group, both groups were evaluated again with IES-R.
  
  
  RESULTS
  The severity of posttraumatic stress symptoms significantly decreased among the subjects given CBT in the case group. The improvement in posttraumatic stress symptoms was attributable to improvement in each of three-symptom categories (intrusion, avoidance, and arousal) and in the total score of posttraumatic stress disorder (p < .05).
  
  
  CONCLUSIONS
  The findings demonstrate the efficacy of CBT in alleviating posttraumatic stress symptoms among adolescents after a catastrophic disaster.
authors.affiliation: Iran University of Medical Sciences, Tehran Institute of Psychiatry (Mental Health Research Center), Tehran, Iran. hakimshooshtary@tehranpi.org
authors.forename: Mitra Hakim
authors.initials: MH
authors.lastname: Shooshtary
authors.forename: Laily
authors.initials: L
authors.lastname: Panaghi
authors.forename: Jafar Attari
authors.initials: JA
authors.lastname: Moghadam
mesh_terms: D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D016022:Case-Control Studies; D002648:Child; D015928:Cognitive Behavioral Therapy; D004190:Disasters; D005260:Female; D006801:Humans; D007492:Iran; D008297:Male; D000297:Psychology, Adolescent / Q000379:methods*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome