Cognitive behavioral psychotherapeutic treatment at a psychiatric trauma clinic for refugees: description and evaluation
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Cognitive behavioral psychotherapeutic treatment at a psychiatric trauma clinic for refugees : description and evaluation. / Buhmann, Cæcilie; Andersen, Ida; Mortensen, Erik Lykke; Ryberg, Jasmina; Nordentoft, Merete; Ekstrøm, Morten.
In: Torture (on-line udgave af Torture Journal), Vol. 25, No. 1, 2015, p. 17-32.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Cognitive behavioral psychotherapeutic treatment at a psychiatric trauma clinic for refugees
T2 - description and evaluation
AU - Buhmann, Cæcilie
AU - Andersen, Ida
AU - Mortensen, Erik Lykke
AU - Ryberg, Jasmina
AU - Nordentoft, Merete
AU - Ekstrøm, Morten
PY - 2015
Y1 - 2015
N2 - INTRODUCTION: Cognitive behavioural therapy (CBT) with trauma focus is the most evidence supported psychotherapeutic treatment of PTSD, but few CBT treatments for traumatized refugees have been described in detail.PURPOSE: To describe and evaluate a manualized cognitive behavioral therapy for traumatized refugees incorporating exposure therapy, mindfulness and acceptance and commitment therapy.MATERIAL AND METHODS: 85 patients received six months' treatment at a Copenhagen Trauma Clinic for Refugees and completed self-ratings before and after treatment. The treatment administered to each patient was monitored in detail. The changes in mental state and the treatment components associated with change in state were analyzed statistically.RESULTS: Despite the low level of functioning and high co-morbidity of patients, 42% received highly structured CBT, which was positively associated with all treatment outcomes. The more methods used and the more time each method was used, the better the outcome. The majority of patients were able to make homework assignments and this was associated with better treatment outcome. Correlation analysis showed no association between severity of symptoms at baseline and the observed change.CONCLUSION: The study suggests that CBT treatment incorporating mindfulness and acceptance and commitment therapy is promising for traumatized refugees and punctures the myth that this group of patients are unable to participate fully in structured CBT. However, treatment methods must be adapted to the special needs of refugees and trauma exposure should be further investigated.
AB - INTRODUCTION: Cognitive behavioural therapy (CBT) with trauma focus is the most evidence supported psychotherapeutic treatment of PTSD, but few CBT treatments for traumatized refugees have been described in detail.PURPOSE: To describe and evaluate a manualized cognitive behavioral therapy for traumatized refugees incorporating exposure therapy, mindfulness and acceptance and commitment therapy.MATERIAL AND METHODS: 85 patients received six months' treatment at a Copenhagen Trauma Clinic for Refugees and completed self-ratings before and after treatment. The treatment administered to each patient was monitored in detail. The changes in mental state and the treatment components associated with change in state were analyzed statistically.RESULTS: Despite the low level of functioning and high co-morbidity of patients, 42% received highly structured CBT, which was positively associated with all treatment outcomes. The more methods used and the more time each method was used, the better the outcome. The majority of patients were able to make homework assignments and this was associated with better treatment outcome. Correlation analysis showed no association between severity of symptoms at baseline and the observed change.CONCLUSION: The study suggests that CBT treatment incorporating mindfulness and acceptance and commitment therapy is promising for traumatized refugees and punctures the myth that this group of patients are unable to participate fully in structured CBT. However, treatment methods must be adapted to the special needs of refugees and trauma exposure should be further investigated.
KW - Adult
KW - Cognition
KW - Cognitive Therapy
KW - Denmark
KW - Ethnic Groups
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Male
KW - Middle Aged
KW - Refugees
KW - Retrospective Studies
KW - Stress Disorders, Post-Traumatic
KW - Treatment Outcome
KW - Young Adult
UR - http://www.irct.org/Admin/Public/Download.aspx?file=Files%2fFiler%2fTortureJournal%2f25_01_2015%2f1018-8185_2015-1_17-32.pdf
M3 - Journal article
C2 - 26021345
VL - 25
SP - 17
EP - 32
JO - Torture : quarterly journal on rehabilitation of torture victims and prevention of torture
JF - Torture : quarterly journal on rehabilitation of torture victims and prevention of torture
SN - 1018-8185
IS - 1
ER -
ID: 160479275