Cognitive behavioral psychotherapeutic treatment at a psychiatric trauma clinic for refugees: description and evaluation

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Standard

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 journalJournal articleResearchpeer-review

Harvard

Buhmann, C, Andersen, I, Mortensen, EL, Ryberg, J, Nordentoft, M & Ekstrøm, M 2015, 'Cognitive behavioral psychotherapeutic treatment at a psychiatric trauma clinic for refugees: description and evaluation', Torture (on-line udgave af Torture Journal), vol. 25, no. 1, pp. 17-32.

APA

Buhmann, C., Andersen, I., Mortensen, E. L., Ryberg, J., Nordentoft, M., & Ekstrøm, M. (2015). Cognitive behavioral psychotherapeutic treatment at a psychiatric trauma clinic for refugees: description and evaluation. Torture (on-line udgave af Torture Journal), 25(1), 17-32.

Vancouver

Buhmann C, Andersen I, Mortensen EL, Ryberg J, Nordentoft M, Ekstrøm M. Cognitive behavioral psychotherapeutic treatment at a psychiatric trauma clinic for refugees: description and evaluation. Torture (on-line udgave af Torture Journal). 2015;25(1):17-32.

Author

Buhmann, Cæcilie ; Andersen, Ida ; Mortensen, Erik Lykke ; Ryberg, Jasmina ; Nordentoft, Merete ; Ekstrøm, Morten. / Cognitive behavioral psychotherapeutic treatment at a psychiatric trauma clinic for refugees : description and evaluation. In: Torture (on-line udgave af Torture Journal). 2015 ; Vol. 25, No. 1. pp. 17-32.

Bibtex

@article{6ac7cb55fc784cc8a19e84de576c61a1,
title = "Cognitive behavioral psychotherapeutic treatment at a psychiatric trauma clinic for refugees: description and evaluation",
abstract = "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.",
keywords = "Adult, Cognition, Cognitive Therapy, Denmark, Ethnic Groups, Female, Follow-Up Studies, Humans, Male, Middle Aged, Refugees, Retrospective Studies, Stress Disorders, Post-Traumatic, Treatment Outcome, Young Adult",
author = "C{\ae}cilie Buhmann and Ida Andersen and Mortensen, {Erik Lykke} and Jasmina Ryberg and Merete Nordentoft and Morten Ekstr{\o}m",
year = "2015",
language = "English",
volume = "25",
pages = "17--32",
journal = "Torture",
issn = "1018-8185",
publisher = "International Rehabilitation Council for Torture Victims",
number = "1",

}

RIS

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

JF - Torture

SN - 1018-8185

IS - 1

ER -

ID: 160479275