Effectiveness of trauma-focused cognitive behavioral therapy for terrorism victims with very long-term emotional disorders
There are no published studies on the clinical utility of psychotherapy in victims of terrorism who suffer emotional disorders many years after the attacks. A course of trauma-focused cognitive behavioral therapy was administered to 50 victims of terrorist attacks that occurred an average of 23 year...
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| Veröffentlicht in: | Psicothema 2019-11, Vol.31 (4), p.400-406 |
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| creator | Moreno, Natalia Sanz, Jesús García-Vera, María P Gesteira, Clara Gutiérrez, Sara Zapardiel, Alejandro Cobos, Beatriz Marotta-Walters, Sylvia |
| description | There are no published studies on the clinical utility of psychotherapy in victims of terrorism who suffer emotional disorders many years after the attacks.
A course of trauma-focused cognitive behavioral therapy was administered to 50 victims of terrorist attacks that occurred an average of 23 years previously and who presented isolated or concurrent posttraumatic stress disorder (PTSD; 74%), major depressive disorder (54%), panic disorder (38%), or other anxiety disorders (38%).
According to an intention-to-treat analysis (N=50), these percentages decreased significantly to 24% (PTSD and major depression), 16% (panic disorder) and 14% (other anxiety disorders) at 1-year follow-up. According to a complete data analysis, at posttreatment no victims (n=31) still presented major depressive or panic disorder, only 3.2% presented PTSD and 9.7% presented other anxiety disorders, whereas at 1-year follow-up, no victims presented any disorders (n=22). At posttreatment and at the 1-, 3-, 6-month, and 1-year follow-ups, large statistically and clinically significant decreases in PTSD, depression, and anxiety symptomatology were found (d=1.26 to 2.52 at 1-year follow-up).
These results suggest that efficacious treatments for recent victims are also useful in the usual clinical practice for victims with very long-term emotional disorders. |
| doi_str_mv | 10.7334/psicothema2018.165 |
| format | Article |
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A course of trauma-focused cognitive behavioral therapy was administered to 50 victims of terrorist attacks that occurred an average of 23 years previously and who presented isolated or concurrent posttraumatic stress disorder (PTSD; 74%), major depressive disorder (54%), panic disorder (38%), or other anxiety disorders (38%).
According to an intention-to-treat analysis (N=50), these percentages decreased significantly to 24% (PTSD and major depression), 16% (panic disorder) and 14% (other anxiety disorders) at 1-year follow-up. According to a complete data analysis, at posttreatment no victims (n=31) still presented major depressive or panic disorder, only 3.2% presented PTSD and 9.7% presented other anxiety disorders, whereas at 1-year follow-up, no victims presented any disorders (n=22). At posttreatment and at the 1-, 3-, 6-month, and 1-year follow-ups, large statistically and clinically significant decreases in PTSD, depression, and anxiety symptomatology were found (d=1.26 to 2.52 at 1-year follow-up).
These results suggest that efficacious treatments for recent victims are also useful in the usual clinical practice for victims with very long-term emotional disorders.</description><identifier>ISSN: 0214-9915</identifier><identifier>EISSN: 1886-144X</identifier><identifier>DOI: 10.7334/psicothema2018.165</identifier><identifier>PMID: 31634084</identifier><language>eng</language><publisher>Spain: Colegio Oficial de Psicólogos (PSICODOC)</publisher><subject>Affective Symptoms - etiology ; Affective Symptoms - therapy ; Analysis of Variance ; Anxiety disorders ; Anxiety Disorders - etiology ; Anxiety Disorders - therapy ; Behavior modification ; Clinical significance ; Cognitive behavioral therapy ; Cognitive Behavioral Therapy - methods ; Depressive Disorder, Major - etiology ; Depressive Disorder, Major - therapy ; Emotional disorders ; Female ; Follow-Up Studies ; Humans ; Intention to Treat Analysis ; Male ; Middle Aged ; Panic attacks ; Panic Disorder - etiology ; Panic Disorder - therapy ; Post traumatic stress disorder ; Stress Disorders, Post-Traumatic - etiology ; Stress Disorders, Post-Traumatic - therapy ; Terrorism - psychology ; Time Factors ; Trauma and Stressor Related Disorders - etiology ; Trauma and Stressor Related Disorders - therapy</subject><ispartof>Psicothema, 2019-11, Vol.31 (4), p.400-406</ispartof><rights>2019. Notwithstanding the ProQuest Terms and conditions, you may use this content in accordance with the associated terms available at https://www.psicothema.com/PublicationNorms2022.pdf</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2778314780/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2778314780?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,860,12724,12753,21367,21371,27901,27902,33429,33430,33721,33722,34311,34312,36242,36243,43592,43781,44049,44380,74022,74273,74566,74906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31634084$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moreno, Natalia</creatorcontrib><creatorcontrib>Sanz, Jesús</creatorcontrib><creatorcontrib>García-Vera, María P</creatorcontrib><creatorcontrib>Gesteira, Clara</creatorcontrib><creatorcontrib>Gutiérrez, Sara</creatorcontrib><creatorcontrib>Zapardiel, Alejandro</creatorcontrib><creatorcontrib>Cobos, Beatriz</creatorcontrib><creatorcontrib>Marotta-Walters, Sylvia</creatorcontrib><title>Effectiveness of trauma-focused cognitive behavioral therapy for terrorism victims with very long-term emotional disorders</title><title>Psicothema</title><addtitle>Psicothema</addtitle><description>There are no published studies on the clinical utility of psychotherapy in victims of terrorism who suffer emotional disorders many years after the attacks.
A course of trauma-focused cognitive behavioral therapy was administered to 50 victims of terrorist attacks that occurred an average of 23 years previously and who presented isolated or concurrent posttraumatic stress disorder (PTSD; 74%), major depressive disorder (54%), panic disorder (38%), or other anxiety disorders (38%).
According to an intention-to-treat analysis (N=50), these percentages decreased significantly to 24% (PTSD and major depression), 16% (panic disorder) and 14% (other anxiety disorders) at 1-year follow-up. According to a complete data analysis, at posttreatment no victims (n=31) still presented major depressive or panic disorder, only 3.2% presented PTSD and 9.7% presented other anxiety disorders, whereas at 1-year follow-up, no victims presented any disorders (n=22). At posttreatment and at the 1-, 3-, 6-month, and 1-year follow-ups, large statistically and clinically significant decreases in PTSD, depression, and anxiety symptomatology were found (d=1.26 to 2.52 at 1-year follow-up).
These results suggest that efficacious treatments for recent victims are also useful in the usual clinical practice for victims with very long-term emotional disorders.</description><subject>Affective Symptoms - etiology</subject><subject>Affective Symptoms - therapy</subject><subject>Analysis of Variance</subject><subject>Anxiety disorders</subject><subject>Anxiety Disorders - etiology</subject><subject>Anxiety Disorders - therapy</subject><subject>Behavior modification</subject><subject>Clinical significance</subject><subject>Cognitive behavioral therapy</subject><subject>Cognitive Behavioral Therapy - methods</subject><subject>Depressive Disorder, Major - etiology</subject><subject>Depressive Disorder, Major - therapy</subject><subject>Emotional disorders</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Intention to Treat Analysis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Panic attacks</subject><subject>Panic Disorder - etiology</subject><subject>Panic Disorder - therapy</subject><subject>Post traumatic stress disorder</subject><subject>Stress Disorders, Post-Traumatic - etiology</subject><subject>Stress Disorders, Post-Traumatic - therapy</subject><subject>Terrorism - psychology</subject><subject>Time Factors</subject><subject>Trauma and Stressor Related Disorders - etiology</subject><subject>Trauma and Stressor Related Disorders - therapy</subject><issn>0214-9915</issn><issn>1886-144X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpdkctKxDAUhoMoOl5ewIUE3Lip5tYmXYqMFxDcKLgraXriRJpmTNqR8enN4AV0dRbn-79z4EfomJJzybm4WCZnwrgArxmh6pxW5RaaUaWqggrxvI1mhFFR1DUt99B-Sq-ElBWXbBftcVpxQZSYoY-5tWBGt4IBUsLB4jHqyevCBjMl6LAJL4Pb7HELC71yIeoe56NRL9fYhohHiDFElzxeuSzyCb-7cYFXENe4D8NLkQGPwYfRhSFnO5dC7CCmQ7RjdZ_g6HseoKfr-ePVbXH_cHN3dXlfGKbYWJiKV6SqW2ZaBRVnipaktnUJRHQKGNFSWeC1YFLq2oCtu5JKAS1ruVaUt_wAnX15lzG8TZDGxrtkoO_1AGFKDeNESrGxZvT0H_oappi_zpSUilMhFckU-6JMDClFsM0yOq_juqGk2TTT_G2myc3k0Mm3emo9dL-Rnyr4J4Bpjws</recordid><startdate>20191101</startdate><enddate>20191101</enddate><creator>Moreno, Natalia</creator><creator>Sanz, Jesús</creator><creator>García-Vera, María P</creator><creator>Gesteira, Clara</creator><creator>Gutiérrez, Sara</creator><creator>Zapardiel, Alejandro</creator><creator>Cobos, Beatriz</creator><creator>Marotta-Walters, Sylvia</creator><general>Colegio Oficial de Psicólogos (PSICODOC)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7XB</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20191101</creationdate><title>Effectiveness of trauma-focused cognitive behavioral therapy for terrorism victims with very long-term emotional disorders</title><author>Moreno, Natalia ; 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A course of trauma-focused cognitive behavioral therapy was administered to 50 victims of terrorist attacks that occurred an average of 23 years previously and who presented isolated or concurrent posttraumatic stress disorder (PTSD; 74%), major depressive disorder (54%), panic disorder (38%), or other anxiety disorders (38%).
According to an intention-to-treat analysis (N=50), these percentages decreased significantly to 24% (PTSD and major depression), 16% (panic disorder) and 14% (other anxiety disorders) at 1-year follow-up. According to a complete data analysis, at posttreatment no victims (n=31) still presented major depressive or panic disorder, only 3.2% presented PTSD and 9.7% presented other anxiety disorders, whereas at 1-year follow-up, no victims presented any disorders (n=22). At posttreatment and at the 1-, 3-, 6-month, and 1-year follow-ups, large statistically and clinically significant decreases in PTSD, depression, and anxiety symptomatology were found (d=1.26 to 2.52 at 1-year follow-up).
These results suggest that efficacious treatments for recent victims are also useful in the usual clinical practice for victims with very long-term emotional disorders.</abstract><cop>Spain</cop><pub>Colegio Oficial de Psicólogos (PSICODOC)</pub><pmid>31634084</pmid><doi>10.7334/psicothema2018.165</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| source | Research Library; MEDLINE; Research Library (Alumni Edition); DOAJ Directory of Open Access Journals; Research Library Prep; EZB-FREE-00999 freely available EZB journals; ProQuest Central |
| subjects | Affective Symptoms - etiology Affective Symptoms - therapy Analysis of Variance Anxiety disorders Anxiety Disorders - etiology Anxiety Disorders - therapy Behavior modification Clinical significance Cognitive behavioral therapy Cognitive Behavioral Therapy - methods Depressive Disorder, Major - etiology Depressive Disorder, Major - therapy Emotional disorders Female Follow-Up Studies Humans Intention to Treat Analysis Male Middle Aged Panic attacks Panic Disorder - etiology Panic Disorder - therapy Post traumatic stress disorder Stress Disorders, Post-Traumatic - etiology Stress Disorders, Post-Traumatic - therapy Terrorism - psychology Time Factors Trauma and Stressor Related Disorders - etiology Trauma and Stressor Related Disorders - therapy |
| title | Effectiveness of trauma-focused cognitive behavioral therapy for terrorism victims with very long-term emotional disorders |
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