Effectiveness RCT of a CBT Intervention for Youths Who Lost Parents in the Sichuan, China, Earthquake

Chen, Ying; Shen, Wen Wu; Gao, Kamko; Lam, Chow S.; Chang, Weining C.; Deng, Hong

doi:10.1176/appi.ps.201200470

Cited by 64 publications

(83 citation statements)

References 11 publications

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“…Short-term cognitive-behavioral therapy (CBT) group intervention represents a robust intervention for natural disaster victims (Y. Chen, Shen, et al, 2014). A randomized waiting-list controlled pilot study was conducted at the site of the Sichuan earthquake in Beichuan County between December 2009 and March 2010 to evaluate the efficacy of narrative exposure therapy (NET) as a short-term treatment for PTSD.…”

Section: Treatment Of Ptsd In Wenchuan Earthquake Survivors Psychothementioning

confidence: 99%

Systematic Review on Post-Traumatic Stress Disorder Among Survivors of the Wenchuan Earthquake

Hong

Efferth

2016

Trauma, Violence, & Abuse

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Post-traumatic stress disorder (PTSD) widely occurs among victims or witness of disasters. With flashbacks, hyperarousal, and avoidance being the typical symptoms, PTSD became a focus of psychological research. The earthquake in Wenchuan, China, on May 12, 2008, was without precedent in magnitude and aftermath and caused huge damage, which drew scientists' attention to mental health of the survivors. We conducted a systematic overview by collecting published articles from the PubMed database and classifying them into five points: epidemiology, neuropathology, biochemistry, genetics and epigenetics, and treatment. The large body of research during the past 6 years showed that adolescents and adults were among the most studied populations with high prevalence rates for PTSD. Genomic and transcriptomic studies focusing on gene × environment studies as well as epigenetics are still rare, although a few available data showed great potential to better understand the pathophysiology of PTSD as multifactorial disease. Phytotherapy with Chinese herbs and acupuncture are rarely reported as of yet, although the first published data indicated promising therapy effects. Future studies should focus on the following points: (1) The affected populations under observation should be better defined concerning individual risk factor, time of observation, spatial movement, and individual disease courses of patients. (2) The role of social support for prevalence rates of PTSD should be observed in more detail. (3) Efficacy and safety of Chinese medicine should be studied to find potential interventions and effective treatments of PTSD.

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Section: Treatment Of Ptsd In Wenchuan Earthquake Survivors Psychothementioning

confidence: 99%

Systematic Review on Post-Traumatic Stress Disorder Among Survivors of the Wenchuan Earthquake

Hong

Efferth

2016

Trauma, Violence, & Abuse

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“…There is a dearth of programs targeting PWID that included mental health support or involved clinical psychologists and social workers. Cognitive behavioral therapy (CBT) has been applied effectively in reducing depression among patients with major depressive disorders (Zu et al, 2014) and among youths who lost parents in the Sichuan earthquake (Chen et al, 2014); no studies have reported application of CBT among PWID in China. Furthermore, evidence-based positive psychological intervention (Seligman and Csikszentmihalyi, 2000;Seligman et al, 2005) is another promising approach.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of depressive symptoms and associated factors among people who inject drugs in China

Lau

et al. 2015

Drug and Alcohol Dependence

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“…Briefly, one session of CBT per week was conducted for 12 weeks and each session lasted 45 min. The adapted CBT has been widely used in the treatment of PTSD in the Chinese population . In sessions 1–2, the treatment procedure was introduced, cognitive training was conducted, etiology and symptomatology of PTSD were identified, but avoidance should be omitted because our previous experience has shown that PTSD symptoms might be exacerbated if avoidance was addressed.…”

Section: Methodsmentioning

confidence: 99%

Transcutaneous electrical acupoint stimulation for post‐traumatic stress disorder: Assessor‐blinded, randomized controlled study

Feng

Zhang

Wu³

et al. 2019

Psychiatry Clin Neurosci

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Aim Transcutaneous electrical acupoint stimulation (TEAS) has the potential to alleviate post‐traumatic stress disorder (PTSD). The purpose of this study was to determine whether adding TEAS to sertraline or cognitive behavioral therapy (CBT) could improve the anti‐PTSD efficacy. Methods In this randomized controlled trial, 240 PTSD patients (60 in each group) were assigned to receive simulated TEAS combined with sertraline (group A) or with CBT (group B), active TEAS combined with CBT (group C), or active TEAS combined with CBT plus sertraline (group D) for 12 weeks. The outcomes were measured using the Clinician‐Administered PTSD Scale, PTSD Check List‐Civilian Version, and 17‐item Hamilton Rating Scale for Depression. Results While PTSD symptoms reduced over time in all patients, groups C and D had markedly greater improvement in both PTSD and depressive measures than groups A and B in all post‐baseline measurement points, with moderate to very large effect sizes of 0.484–2.244. Groups C and D also had a significantly higher rate than groups A and B on clinical response (85.0% and 95.0% vs 63.3% and 60.0%, P < 0.001) and on remission (15.0% and 25.0% vs 3.3% and 1.7%, P < 0.001). The incidence of adverse events was similar between groups A and D and between groups B and C. Conclusions Additional TEAS augments the anti‐PTSD and antidepressant efficacy of antidepressants or CBT, without increasing the incidence of adverse effects. TEAS could serve as an effective intervention for PTSD and comorbid depression. This trial was registered with http://www.chictr.org (no.: ChiCTR1800017255).

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Effectiveness RCT of a CBT Intervention for Youths Who Lost Parents in the Sichuan, China, Earthquake

Cited by 64 publications

References 11 publications

Systematic Review on Post-Traumatic Stress Disorder Among Survivors of the Wenchuan Earthquake

Systematic Review on Post-Traumatic Stress Disorder Among Survivors of the Wenchuan Earthquake

Prevalence of depressive symptoms and associated factors among people who inject drugs in China

Transcutaneous electrical acupoint stimulation for post‐traumatic stress disorder: Assessor‐blinded, randomized controlled study

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