Written Exposure Therapy: The Case for Latinos

Benuto, Lorraine T.; Bennett, Natalie

doi:10.1177/1534650119834359

Cited by 7 publications

(4 citation statements)

References 33 publications

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“…This necessitated careful management by the therapist (D.D.B.) by reexplaining the function and benefit of imaginal exposure and mitigating the effect of avoidance during treatment (see Benuto & Bennett, 2019). Therefore, the subjective experience of improvement by a participant requires tactful and critical engagement to rule out any form of avoidance masked as improvement.…”

Section: Treatment Implications Of the Casementioning

confidence: 99%

Implementing Prolonged Exposure Therapy for PTSD in a Context of Ongoing Adversity: A Clinical Case Study

Booysen

Kagee

2020

Clinical Case Studies

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Obstacles regarding the implementation of empirically supported treatments (ESTs) for mental disorders such as post-traumatic stress disorder (PTSD) still require further investigation. One notable obstacle is whether persons in low- and middle-income countries (LMICs) residing in a context of ongoing adversity would benefit from an EST for PTSD. We reflect on the utility of a brief prolonged exposure intervention at a primary care community-counseling center in South Africa. “Sam,” a 45-year-old, female was assessed at baseline, during treatment, postassessment, and at 3-month follow-up. At the beginning of treatment, Sam had a positive diagnosis for PTSD (PSSI-5 = 55, and cutoff is 23) and at the end of treatment (PSSI-5 = 17), and 3-month follow-up (PSSI-5 = 21), she had a negative diagnosis for PTSD. We reflect on the mediating effects that contextual factors such as gang violence had on the treatment process and the feasibility of implementing ESTs for PTSD in LMICs under conditions of ongoing adversity.

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Section: Treatment Implications Of the Casementioning

confidence: 99%

Implementing Prolonged Exposure Therapy for PTSD in a Context of Ongoing Adversity: A Clinical Case Study

Booysen

Kagee

2020

Clinical Case Studies

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“…Although certain ethnoracial minority groups have high levels of trauma exposure and various trauma types, including exposure to war‐related trauma (Roberts, Gilman, Breslau, Breslau & Koenen, 2011), natural disasters (Bryant, 2006; Udomratn, 2008), traumatic experiences before immigrating to the United States or during the immigration process (Benuto & Bennett, 2019; Cleary, Snead, Dietz‐Chavez, Rivera, & Edberg, 2018), violence (Gonzalez, Benuto, & Casas, 2018; Roberts et al., 2011) and racial discrimination (Pérez, Fortuna, & Alegría, 2008), to name a few, there is a discrepancy between a diagnosable mental health condition and behavioral health service use (Le Meyer, Zane, Cho & Takeuchi, 2009). Mendoza and colleagues (2012) posited that underrepresentation may be a cultural barrier that restricts the patient from fully expressing symptoms in a way that the clinician can understand, contributing to possible underdiagnosis.…”

Section: Discussionmentioning

confidence: 99%

Minority Participation in Randomized Controlled Trials for Prolonged Exposure Therapy: A Systematic Review of the Literature

Benuto

Bennett

Casas

2020

Journal of Traumatic Stress

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Per the most recent census, non‐Latinx White individuals comprise the majority of the U.S. population (76.6%); Latinx individuals make up 18.3% of the total U.S. population, followed by African Americans (13.4%) and Asians (5.9%). Given the high prevalence rates of posttraumatic stress disorder (PTSD) observed across many ethnoracial minority groups in the United States, the fact that PTSD presentation may vary across culture, and the National Institute of Health's mandates for the inclusion of women and minorities in clinical outcome research, the aim of the present systematic review was to examine minority inclusion in clinical outcome research for PTSD. Our review focused exclusively on one empirically supported treatment: prolonged exposure therapy (PE); we identified 38 studies that met the inclusion criteria. Apart from African Americans, who were overrepresented in 21 studies (inclusion rate range: 13.5%–73.9%), ethnoracial minority inclusion in RCTs examining PE was low. More specifically, across included studies that reported ethnoracial minority data, 58.9% of participants were White, 31.1% were African American, 4.9% were Latinx, 0.6% were Asian American or Pacific Islander, and 4.7% reported race as “other.” Inclusion rates for ethnoracial minorities appeared to increase across time, and recruitment strategies did not appear to be associated with increased ethnoracial minority participation in RCTs for PE.

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“…WET has demonstrated efficacy in waitlist-controlled trials and noninferiority trials (Sloan et al, 2012(Sloan et al, , 2018, has shown long-term reductions in PTSD symptoms after completion of all WET sessions (Thompson-Hollands et al, 2018), and has exhibited significantly lower dropout rates during treatment compared to other empirically supported treatments for PTSD (6% for WET versus 39% for CPT; Thompson-Hollands et al, 2018). Additionally, Benuto and Bennett (2019) successfully implemented WET in one case study with a Latinx immigrant, offering a highly preliminary indication of potential feasibility and effectiveness. Similarly, preliminary research from our team has demonstrated significant PTSD and depression symptom reduction in a Latinx immigrant sample, while qualitative data also highlighted that participants largely reported perceiving WET as beneficial (Andrews et al, 2021).…”

Section: Written Exposure Therapy Overviewmentioning

confidence: 99%

Examining recipient and provider perceptions of mental health treatments and written exposure therapy for posttraumatic stress disorder with a Spanish-speaking sample.

Acosta¹,

Canchila²,

Reyes³

et al. 2023

Psychological Services

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Treatments of Posttraumatic Stress Disorder (PTSD) often evidence high rates of dropout, ranging from 25% to 40%, among English-speaking samples. Written Exposure Therapy (WET), a novel manualized treatment for PTSD, evidences lower dropout rates and noninferiority to CPT, one of the most efficacious interventions for PTSD. Spanish-speaking Latinxs often experience greater dropout and barriers to care. WET appears promising for this population, but acceptability and perceived barriers to WET have not been examined among Spanish-speaking Latinxs. The present study assessed perceptions and acceptability of a Spanish-language version of WET among Spanish-speaking Latinxs who scored greater than 45 on the Spanish-language version of the PCL-IV, indicating likely PTSD (n = 20) and providers (n = 12). Participants completed a mixed-methods interview regarding reasons they/clients would not want to receive the treatment, why they/clients would want to receive the treatment, potential solutions for any identified barriers, and reasons for not seeking mental health services generally. Providers, but not potential recipients, identified low literacy as a barrier for WET. Providers and potential recipients identified time as a barrier to WET and other mental health services, but the time reduction was perceived as a potential facilitator of WET. Results also suggest no specific cultural barriers were identified for WET (e.g., provider cultural competency) and that Spanish WET may reduce time-related barriers and is perceived as effective and acceptable among Spanish-speaking Latinxs. Additional work is needed to expand the reach of the intervention, given that mental health services were often perceived as untrustworthy. Impact StatementThis study suggests that a Spanish-language adaptation of Written Exposure Therapy, a novel manualized treatment for PTSD symptoms, may be effective in reducing some structural barriers that Spanish-speaking Latinx populations encounter when using mental health services.

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Written Exposure Therapy: The Case for Latinos

Cited by 7 publications

References 33 publications

Implementing Prolonged Exposure Therapy for PTSD in a Context of Ongoing Adversity: A Clinical Case Study

Implementing Prolonged Exposure Therapy for PTSD in a Context of Ongoing Adversity: A Clinical Case Study

Minority Participation in Randomized Controlled Trials for Prolonged Exposure Therapy: A Systematic Review of the Literature

Examining recipient and provider perceptions of mental health treatments and written exposure therapy for posttraumatic stress disorder with a Spanish-speaking sample.

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