CBT for Vietnamese refugees with treatment‐resistant PTSD and panic attacks: A pilot study

Hinton, Devon E.; Pham, Thang; Tran, Minh; Safren, Steven A.; Otto, Michael W.; Pollack, Mark H.

doi:10.1023/b:jots.0000048956.03529.fa

Cited by 211 publications

(187 citation statements)

References 15 publications

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“…In treatment, one should (a) identify firing sequences that generate symptoms; (b) teach methods of somatic relaxation; (c) have the patient narrativize the content of somatic symptom-related flashbacks; (d) elicit and modify somatic symptom-related catastrophic cognitions; (e) explore somatic symptom-related metaphoric resonances (e.g., dizziness-encoded thoughts of a son's truant behaviors); (f) perform interoceptive exposure to somatic sensations; and (g) re-associate positive affect and memory to somatic sensations. We have found such techniques to be effective in the treatment of PTSD, panic disorder, and somatic complaints among Cambodian refugees (Hinton, Chhean, Pich, Safren, et al, 2005;Hinton, Pham, et al, 2004;Hinton, Safren, Pollack, & Tran, 2006-this issue).…”

Section: Contextual Cues Aid Recallmentioning

confidence: 98%

Symptom Presentation and Symptom Meaning Among Traumatized Cambodian Refugees: Relevance to a Somatically Focused Cognitive-Behavior Therapy

Hinton

Otto

2006

Cognitive and Behavioral Practice

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Among psychologically distressed Cambodian refugees, somatic complaints are particularly prominent. Cambodians interpret anxiety-related somatic sensations in terms of "Wind" (khyâl), an ethnophysiology that gives rise to multiple catastrophic interpretations; and they have prominent trauma-memory associations to anxiety-related somatic symptoms. In this article, we detail some of the common sensation-related dysphoric networks of Cambodian refugees, focusing on catastrophic cognitions and trauma associations. We argue that delineating symptom-related dysphoric networks is crucial to successfully adapt cognitive-behavioral interventions to treat panic disorder and posttraumatic stress disorder among Cambodian refugees, and that such an approach may be useful for the culturally sensitive adaptation of cognitive-behavior therapy for other traumatized nonWestern groups.The Current Article discusses how a somatic-focused cognitive-behavior therapy can be applied to the treatment of traumatized Cambodian refugees and, more generally, to nonEnglish-speaking traumatized refugees. The article demonstrates that such a treatment approach must be based on a complex model of the generation of somatic symptoms among trauma victims.

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Section: Contextual Cues Aid Recallmentioning

confidence: 98%

Symptom Presentation and Symptom Meaning Among Traumatized Cambodian Refugees: Relevance to a Somatically Focused Cognitive-Behavior Therapy

Hinton

Otto

2006

Cognitive and Behavioral Practice

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“…preparing patients beforehand for their expected role in a psychiatric therapy before they received a therapeutic intervention 60,69 2. enhancements of existing therapies in terms of technical content and attention to beliefs 57,61,62,64,68 3. influencing wider social systems before and during therapy 57,67 4. peer or professional to patient psychoeducation to encourage acceptability and effective use of therapy 52,66 5. communication training for professionals to partner better with families, and increase expectations 62 6. an audiovisual pre-therapy training to help patients make best use of the therapy, described as role induction 60 7. the ethnic matching of the psychiatrist to the patient, achieved through the use of telepsychiatry. 65 The various components of each intervention were subjected to thematic analysis in order to capture the proposed effective elements.…”

Section: Description Of Interventionsmentioning

confidence: 99%

Interventions designed to improve therapeutic communications between black and minority ethnic people and professionals working in psychiatric services: a systematic review of the evidence for their effectiveness

Bhui

Aslam

Palinski

et al. 2015

Health Technology Assessment

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BackgroundBlack and minority ethnic (BME) people using psychiatric services are at greater risk of non-engagement, dropout from care and not receiving evidence-based interventions than white British people.ObjectivesTo identify effective interventions designed to improve therapeutic communications (TCs) for BME patients using psychiatric services in the UK, to identify gaps in the research literature and to recommend future research.ParticipantsBlack African, black Caribbean, black British, white British, Pakistani and Bangladeshi patients in psychiatric services in the UK, or recruited from the community to enter psychiatric care. Some studies from the USA included Hispanic, Latino, Chinese, Vietnamese, Cambodian and African American people.InterventionsAny that improve TCs between BME patients and staff in psychiatric services.Data sourcesThe published literature, ‘grey’ literature, an expert survey, and patients' and carers’ perspectives on the evidence base. Databases were searched from their inception to 4 February 2013. Databases included MEDLINE, Applied Social Sciences Index and Abstracts, The Cochrane Library, Social Science Citation Index, Allied and Complementary Medicine Database, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, EMBASE, The Campbell Collaboration and ProQuest for dissertations.Review methodsStudies were included if they reported evaluation data about interventions designed to improve therapeutic outcomes by improving communication between BME patients and psychiatric professionals. Qualitative studies and reports in the grey literature were included only if they gave a critical evaluative statement. Two members of the team selected studies against pre-established criteria and any differences were resolved by consensus or by a third reviewer, if necessary. Data were extracted independently by two people and summarised in tables by specific study designs. Studies were subjected to a narrative synthesis that included a thematic analysis contrasting populations, countries and the strength of evidence for any intervention. The components of the interventions were compared. Patient perspectives on acceptability were considered alongside quality scores and methodological strengths and weaknesses.ResultsTwenty-one studies (19 from the published literature and two from the grey literature) met the inclusion criteria. There were 12 trials, two observational quantitative studies, three case series, a qualitative study and three descriptive case studies. Only two studies, one a pilot trial and one a case series, included economic data; in both, a favourable but weak economic case could be made for the intervention. The trials tested interventions to prepare patients for therapeutic interventions, variable levels of ethnic matching (of professional to patient), cultural adaptation of therapies, and interventions that included social community systems in order to facilitate access to services. Empowering interventions favoured by patients and carers included adapted cognitive–behavioural therapy, assessments of explanatory models, cultural consultation, ethnographic and motivational interviews, and a telepsychiatry intervention.LimitationsStudies tended to have small sample sizes or to be pilot studies, and to use proxy rather than direct measures for TCs.ConclusionsEmpowering interventions should be further researched and brought to the attention of commissioners. Several promising interventions need further evaluative research and economic evaluations are needed.Study registrationThe study is registered as PROSPERO CRD42011001661.FundingThe National Institute for Health Research Health Technology Assessment programme.

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“…Today in Europe, the movement of refugee populations is important. HSCL-25 has already been used in clinical settings both for refugee and general populations, [46,47]. This has already allowed English-speaking populations and practitioners to use it.…”

Section: Discussionmentioning

confidence: 99%

Which DSM validated tools for diagnosing depression are usable in primary care research? A systematic literature review

et al. 2017

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Background:Few clinical diagnostic tools to rule in or rule out depression have been validated in primary care. From a previous systematic review study, it became clear that in terms of research, a validated clinical diagnostic tool (effective, reliable and usable) was needed by European General Practitioner (GP) investigators in order to include patients for research studies in daily practice care and for cross-sectional studies between psychiatrists and GPs.

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CBT for Vietnamese refugees with treatment‐resistant PTSD and panic attacks: A pilot study

Cited by 211 publications

References 15 publications

Symptom Presentation and Symptom Meaning Among Traumatized Cambodian Refugees: Relevance to a Somatically Focused Cognitive-Behavior Therapy

Symptom Presentation and Symptom Meaning Among Traumatized Cambodian Refugees: Relevance to a Somatically Focused Cognitive-Behavior Therapy

Interventions designed to improve therapeutic communications between black and minority ethnic people and professionals working in psychiatric services: a systematic review of the evidence for their effectiveness

Which DSM validated tools for diagnosing depression are usable in primary care research? A systematic literature review

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