Testimony Psychotherapy in Bosnian Refugees: A Pilot Study
Objective:The authors sought to describe the use of the testimony method of psychotherapy in a group of traumatized adult refugees from genocide in Bosnia-Herzegovina. Method:The subjects were 20 Bosnian refugees in Chicago who gave written informed consent to participate in a case series study of t...
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| Veröffentlicht in: | The American journal of psychiatry 1998-12, Vol.155 (12), p.1720-1726 |
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| creator | Weine, Stevan M. Kulenovic, Alma Dzubur Pavkovic, Ivan Gibbons, Robert |
| description | Objective:The authors sought to describe the use of the testimony method of psychotherapy in a group of traumatized adult refugees from genocide in Bosnia-Herzegovina. Method:The subjects were 20 Bosnian refugees in Chicago who gave written informed consent to participate in a case series study of testimony psychotherapy. All subjects received testimony psychotherapy, averaging six sessions, approximately 90 minutes, weekly or biweekly. Subjects received standardized instruments for posttraumatic stress disorder (PTSD), depression, traumatic events, global functioning, and prior psychiatric history. The instruments were administered before treatment, at the conclusion of the treatment, and at the 2- and 6-month follow-ups.Results:The posttreatment assessments demonstrated significant decreases in the rate of PTSD diagnosis, PTSD symptom severity, and the severity of reexperiencing, avoidance, and hyperarousal symptom clusters. Depressive symptoms demonstrated a significant decrease, and there was a significant increase in scores on the Global Assessment of Functioning Scale. Two-month and 6-month follow-up assessments demonstrated further significant decreases in all symptoms and an increase in scores on the Global Assessment of Functioning Scale. Conclusions:This pilot study provides preliminary evidence that testimony psychotherapy may lead to improvements in PTSD and depressive symptoms, as well as to improvement of functioning, in survivors of state-sponsored violence. Am J Psychiatry 1998; 155: 1720-1726 |
| doi_str_mv | 10.1176/ajp.155.12.1720 |
| format | Article |
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Method:The subjects were 20 Bosnian refugees in Chicago who gave written informed consent to participate in a case series study of testimony psychotherapy. All subjects received testimony psychotherapy, averaging six sessions, approximately 90 minutes, weekly or biweekly. Subjects received standardized instruments for posttraumatic stress disorder (PTSD), depression, traumatic events, global functioning, and prior psychiatric history. The instruments were administered before treatment, at the conclusion of the treatment, and at the 2- and 6-month follow-ups.Results:The posttreatment assessments demonstrated significant decreases in the rate of PTSD diagnosis, PTSD symptom severity, and the severity of reexperiencing, avoidance, and hyperarousal symptom clusters. Depressive symptoms demonstrated a significant decrease, and there was a significant increase in scores on the Global Assessment of Functioning Scale. Two-month and 6-month follow-up assessments demonstrated further significant decreases in all symptoms and an increase in scores on the Global Assessment of Functioning Scale. Conclusions:This pilot study provides preliminary evidence that testimony psychotherapy may lead to improvements in PTSD and depressive symptoms, as well as to improvement of functioning, in survivors of state-sponsored violence. Am J Psychiatry 1998; 155: 1720-1726</description><identifier>ISSN: 0002-953X</identifier><identifier>EISSN: 1535-7228</identifier><identifier>DOI: 10.1176/ajp.155.12.1720</identifier><identifier>PMID: 9842782</identifier><identifier>CODEN: AJPSAO</identifier><language>eng</language><publisher>Washington, DC: American Psychiatric Publishing</publisher><subject>Adult ; Biological and medical sciences ; Bosnia and Herzegovina ; Bosnian people ; Depressive Disorder - etiology ; Depressive Disorder - psychology ; Depressive Disorder - therapy ; Evaluation ; Female ; Follow-Up Studies ; Genocide ; Humans ; Life Change Events ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Pilot Projects ; Post traumatic stress disorder ; Psychiatric Status Rating Scales - statistics & numerical data ; Psychological trauma ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychotherapies. Psychological and clinical counseling ; Psychotherapy ; Psychotherapy - methods ; Refugees ; Refugees - psychology ; Severity of Illness Index ; Stress Disorders, Post-Traumatic - diagnosis ; Stress Disorders, Post-Traumatic - etiology ; Stress Disorders, Post-Traumatic - psychology ; Stress Disorders, Post-Traumatic - therapy ; Testimony ; Therapy ; Treatment Outcome ; Treatments ; Violence - psychology ; Warfare</subject><ispartof>The American journal of psychiatry, 1998-12, Vol.155 (12), p.1720-1726</ispartof><rights>1999 INIST-CNRS</rights><rights>Copyright American Psychiatric Association Dec 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a475t-90cde3220f96ae8209d0ec4aae50d40355699df5300e66c70af53679ccfd48993</citedby><cites>FETCH-LOGICAL-a475t-90cde3220f96ae8209d0ec4aae50d40355699df5300e66c70af53679ccfd48993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/ajp.155.12.1720$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/ajp.155.12.1720$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>315,782,786,2859,21635,21636,21637,27878,27933,27934,31009,77804,77809</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1651208$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9842782$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weine, Stevan M.</creatorcontrib><creatorcontrib>Kulenovic, Alma Dzubur</creatorcontrib><creatorcontrib>Pavkovic, Ivan</creatorcontrib><creatorcontrib>Gibbons, Robert</creatorcontrib><title>Testimony Psychotherapy in Bosnian Refugees: A Pilot Study</title><title>The American journal of psychiatry</title><addtitle>Am J Psychiatry</addtitle><description>Objective:The authors sought to describe the use of the testimony method of psychotherapy in a group of traumatized adult refugees from genocide in Bosnia-Herzegovina. Method:The subjects were 20 Bosnian refugees in Chicago who gave written informed consent to participate in a case series study of testimony psychotherapy. All subjects received testimony psychotherapy, averaging six sessions, approximately 90 minutes, weekly or biweekly. Subjects received standardized instruments for posttraumatic stress disorder (PTSD), depression, traumatic events, global functioning, and prior psychiatric history. The instruments were administered before treatment, at the conclusion of the treatment, and at the 2- and 6-month follow-ups.Results:The posttreatment assessments demonstrated significant decreases in the rate of PTSD diagnosis, PTSD symptom severity, and the severity of reexperiencing, avoidance, and hyperarousal symptom clusters. Depressive symptoms demonstrated a significant decrease, and there was a significant increase in scores on the Global Assessment of Functioning Scale. Two-month and 6-month follow-up assessments demonstrated further significant decreases in all symptoms and an increase in scores on the Global Assessment of Functioning Scale. Conclusions:This pilot study provides preliminary evidence that testimony psychotherapy may lead to improvements in PTSD and depressive symptoms, as well as to improvement of functioning, in survivors of state-sponsored violence. Am J Psychiatry 1998; 155: 1720-1726</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bosnia and Herzegovina</subject><subject>Bosnian people</subject><subject>Depressive Disorder - etiology</subject><subject>Depressive Disorder - psychology</subject><subject>Depressive Disorder - therapy</subject><subject>Evaluation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Genocide</subject><subject>Humans</subject><subject>Life Change Events</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Pilot Projects</subject><subject>Post traumatic stress disorder</subject><subject>Psychiatric Status Rating Scales - statistics & numerical data</subject><subject>Psychological trauma</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychotherapies. Psychological and clinical counseling</subject><subject>Psychotherapy</subject><subject>Psychotherapy - methods</subject><subject>Refugees</subject><subject>Refugees - psychology</subject><subject>Severity of Illness Index</subject><subject>Stress Disorders, Post-Traumatic - diagnosis</subject><subject>Stress Disorders, Post-Traumatic - etiology</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Stress Disorders, Post-Traumatic - therapy</subject><subject>Testimony</subject><subject>Therapy</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><subject>Violence - psychology</subject><subject>Warfare</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkctLxDAQxoMouj7OnoSi4smuk6Rpkr2tiy9YcPEB3kJMU-3Sl0176H9vli0qgniaDPObb77wIXSIYYwxjy_0sh5jxsaYjDEnsIFGmFEWckLEJhoBAAkloy87aNe5pW-BcrKNtqWICBdkhCZP1rVZUZV9sHC9ea_ad9voug-yMrisXJnpMniwafdmrZsE02CR5VUbPLZd0u-jrVTnzh4MdQ89X189zW7D-f3N3Ww6D3XEWRtKMImlhEAqY20FAZmANZHWlkESAWUsljJJGQWwcWw4aP-OuTQmTSIhJd1DZ2vduqk-Om9XFZkzNs91aavOKQ4gvcz_IONCcMmpB49_gcuqa0r_CeV9RjziMfPQyV8QZlhQCoQKT12sKdNUzjU2VXWTFbrpFQa1Skj5hPwCU5ioVUJ-42jQ7V4Lm3zxQyR-fjrMtTM6Txtdmsx9y8YME1gdPl9juq6zH9b-uPoJafujyQ</recordid><startdate>19981201</startdate><enddate>19981201</enddate><creator>Weine, Stevan M.</creator><creator>Kulenovic, Alma Dzubur</creator><creator>Pavkovic, Ivan</creator><creator>Gibbons, Robert</creator><general>American Psychiatric Publishing</general><general>American Psychiatric Association</general><scope>IQODW</scope><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>HAWNG</scope><scope>HBMBR</scope><scope>IBDFT</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>19981201</creationdate><title>Testimony Psychotherapy in Bosnian Refugees: A Pilot Study</title><author>Weine, Stevan M. ; Kulenovic, Alma Dzubur ; Pavkovic, Ivan ; Gibbons, Robert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a475t-90cde3220f96ae8209d0ec4aae50d40355699df5300e66c70af53679ccfd48993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bosnia and Herzegovina</topic><topic>Bosnian people</topic><topic>Depressive Disorder - etiology</topic><topic>Depressive Disorder - psychology</topic><topic>Depressive Disorder - therapy</topic><topic>Evaluation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Genocide</topic><topic>Humans</topic><topic>Life Change Events</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Pilot Projects</topic><topic>Post traumatic stress disorder</topic><topic>Psychiatric Status Rating Scales - statistics & numerical data</topic><topic>Psychological trauma</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychotherapies. Psychological and clinical counseling</topic><topic>Psychotherapy</topic><topic>Psychotherapy - methods</topic><topic>Refugees</topic><topic>Refugees - psychology</topic><topic>Severity of Illness Index</topic><topic>Stress Disorders, Post-Traumatic - diagnosis</topic><topic>Stress Disorders, Post-Traumatic - etiology</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Stress Disorders, Post-Traumatic - therapy</topic><topic>Testimony</topic><topic>Therapy</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><topic>Violence - psychology</topic><topic>Warfare</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weine, Stevan M.</creatorcontrib><creatorcontrib>Kulenovic, Alma Dzubur</creatorcontrib><creatorcontrib>Pavkovic, Ivan</creatorcontrib><creatorcontrib>Gibbons, Robert</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 13</collection><collection>Periodicals Index Online Segment 14</collection><collection>Periodicals Index Online Segment 27</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - 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Method:The subjects were 20 Bosnian refugees in Chicago who gave written informed consent to participate in a case series study of testimony psychotherapy. All subjects received testimony psychotherapy, averaging six sessions, approximately 90 minutes, weekly or biweekly. Subjects received standardized instruments for posttraumatic stress disorder (PTSD), depression, traumatic events, global functioning, and prior psychiatric history. The instruments were administered before treatment, at the conclusion of the treatment, and at the 2- and 6-month follow-ups.Results:The posttreatment assessments demonstrated significant decreases in the rate of PTSD diagnosis, PTSD symptom severity, and the severity of reexperiencing, avoidance, and hyperarousal symptom clusters. Depressive symptoms demonstrated a significant decrease, and there was a significant increase in scores on the Global Assessment of Functioning Scale. Two-month and 6-month follow-up assessments demonstrated further significant decreases in all symptoms and an increase in scores on the Global Assessment of Functioning Scale. Conclusions:This pilot study provides preliminary evidence that testimony psychotherapy may lead to improvements in PTSD and depressive symptoms, as well as to improvement of functioning, in survivors of state-sponsored violence. Am J Psychiatry 1998; 155: 1720-1726</abstract><cop>Washington, DC</cop><pub>American Psychiatric Publishing</pub><pmid>9842782</pmid><doi>10.1176/ajp.155.12.1720</doi><tpages>7</tpages></addata></record> |
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| ispartof | The American journal of psychiatry, 1998-12, Vol.155 (12), p.1720-1726 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; American Psychiatric Publishing Journals (1997-Present); EZB-FREE-00999 freely available EZB journals; Periodicals Index Online |
| subjects | Adult Biological and medical sciences Bosnia and Herzegovina Bosnian people Depressive Disorder - etiology Depressive Disorder - psychology Depressive Disorder - therapy Evaluation Female Follow-Up Studies Genocide Humans Life Change Events Male Medical sciences Middle Aged Miscellaneous Pilot Projects Post traumatic stress disorder Psychiatric Status Rating Scales - statistics & numerical data Psychological trauma Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapies. Psychological and clinical counseling Psychotherapy Psychotherapy - methods Refugees Refugees - psychology Severity of Illness Index Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - etiology Stress Disorders, Post-Traumatic - psychology Stress Disorders, Post-Traumatic - therapy Testimony Therapy Treatment Outcome Treatments Violence - psychology Warfare |
| title | Testimony Psychotherapy in Bosnian Refugees: A Pilot Study |
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