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Region Hovedstaden - en del af Københavns Universitetshospital
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Cognitive behavioral psychotherapeutic treatment at a psychiatric trauma clinic for Refugees: description and evaluation

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Satisfaction of trauma-affected refugees treated with antidepressants and Cognitive Behavioural Therapy

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  3. Activity of daily living performance amongst Danish asylum seekers: a cross-sectional study

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  4. Psychotherapy with traumatised refugees – the design of a randomised clinical trial

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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.

OriginalsprogEngelsk
TidsskriftTorture (on-line udgave af Torture Journal)
Vol/bind25
Udgave nummer1
Sider (fra-til)17-32
Antal sider16
ISSN1997-3322
StatusUdgivet - 2015

ID: 45427513