Adapting CBT for traumatized refugees and ethnic minority patients: ExampleS from culturally adapted CBT (CA-CBT)

Transcultural Psychiatry

Volumn 49, Issue 2, 2012, Pages 340-365

  Hinton, Devon E ^a   Rivera, Edwin I ^b   Hofmann, Stefan G ^c   Barlow, David H ^c   Otto, Michael W ^c  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b Arbour Counseling Services   (United States)

^c BOSTON UNIVERSITY   (United States)

Author keywords

CBT; cultural adaptation; ethnic minorities; PTSD; refugees

Indexed keywords

ANGER; ANXIETY DISORDER; AROUSAL; ARTICLE; BREATHING EXERCISE; CATASTROPHIZING; COGNITION; COGNITIVE THERAPY; COMORBIDITY; CULTURAL ANTHROPOLOGY; DYSPHORIA; EMOTIONALITY; ETHNIC GROUP; FEAR; GENERALIZED ANXIETY DISORDER; HUMAN; HYPEREKPLEXIA; MEDITATION; MUSCLE RELAXATION; MUSCLE STRETCHING; PANIC; POSTTRAUMATIC STRESS DISORDER; REFUGEE; SLEEP DISORDER; SOMATIZATION; STRESS;

ACCULTURATION; ANXIETY DISORDERS; AROUSAL; COGNITIVE THERAPY; CULTURE; EMOTIONS; ETHNIC GROUPS; HUMANS; PANIC DISORDER; REFUGEES; STRESS DISORDERS, POST-TRAUMATIC;

EID: 84859788182     PISSN: 13634615     EISSN: 14617471     Source Type: Journal    
DOI: 10.1177/1363461512441595     Document Type: Article

References (62)

1. Ayduk O, Kross E (2010). From a distance: Implications of spontaneous self-distancing for adaptive self-reflection. Journal of Personality and Social Psychology, 98(5), 809-829.
2. Barlow D H (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York, NY: Guilford Press.
3. Bluhm R L, Williamson P C, Osuch E A, Frewen P A, Stevens T K, Boksman K, …Lanius R A (2009). Alterations in default network connectivity in posttraumatic stress disorder related to early-life trauma. Journal of Psychiatry and Neuroscience, 34(3), 187-194.
4. Brewin C, Dalgleish T, Joseph S (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103, 670-686.
5. Cahill S P, Foa E B, Hembree E A, Marshall R D, Nacash N (2006). Dissemination of exposure therapy in the treatment of posttraumatic stress disorder. Journal of Traumatic Stress, 19(5), 597-610.
6. Clark D, Ehlers A (2004). Posttraumatic stress disorder: From cognitive theory to therapy. In LeahyR L, (Ed.), Contemporary cognitive therapy (pp. 141-160). New York, NY: Guilford.
7. Cloitre M, Cohen L R, Koenen K C (2006). Treating survivors of childhood abuse: Psychotherapy for the interrupted life. New York, NY: Guilford.
8. Cloitre M, Koenen K C, Cohen L R, Han H (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse. Journal of Consulting and Clinical Psychology, 70(5), 1067-1074.
9. Craske M G, Kircanski K, Zelikowsky M, Mystkowski J, Chowdhury N, Baker A (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46(1), 5-27.
10. Craske M G, Roy-Byrne P P, Stein M B, Sullivan G, Sherbourne C, Bystritsky A (2009). Treatment for anxiety disorders: Efficacy to effectiveness to implementation. Behaviour Research and Therapy, 47(11), 931-937.
11. De Jong J, Clarke L (1996). Mental health of refugees. Geneva, Switzerland: World Health Organization.
12. Ehrenreich J T, Fairholme C P, Buzzella B A, Ellard K K, Barlow D H (2007). The role of emotion in psychological therapy. Clinical Psychology: Science and Practice, 14(4), 422-428.
13. Ellard K K, Fairholme C P, Boisseau C L, Farchione T J, Barlow D H (2010). Unified protocol for the transdiagnostic treatment of emotional disorders: Protocol development and initial outcome data. Cognitive and Behavioral Practice, 77, 88-101.
14. Fairholme C P, Boisseau C L, Ellard K K, Ehrenreich J T, Barlow D H (2010). Emotions, emotion regulation, and psychological treatment: A unified perspective. In KingA M, SloanD M, (Eds.), Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment (pp. 283-309). New York, NY: Guilford.
15. Foa E B, Rothbaum B O (1998). Treating the trauma of rape: Cognitive-behavioral therapy for PTSD. New York, NY: Guilford.
16. Follette V, Palm K M, Pearson A N (2006). Mindfulness and trauma: Implications for treatment. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 24, 45-61.
17. Gone J P (2009). A community-based treatment for Native American historical trauma: Prospectes for evidence-based practice. Journal of Consulting and Clinical Psychology, 77, 751-761.
18. Gone J P (2010). Psychotherapy and traditional healing for American Indians: Exploring the prospects for therapeutic integration. The Counseling Psychologist, 38, 166-235.
19. Hagengimana A, Hinton D (2009). Ihahamuka, a Rwandan syndrome of response to the genocide: Blocked flow, spirit assault, and shortness of breath. In HintonD E, GoodB J, (Eds.), Culture and panic disorder (pp. 205-229). Stanford, CA: Stanford University Press.
20. Hayes S C, Strosahl K D, Wilson K D (1999). Acceptance and commitment therapy. New York, NY: Guilford Press.
21. Hinton D. E. (2000). Musical healing and cultural syndromes in Isan: Landscape, conceptual metaphor, and embodiment. Unpublished doctoral thesis, Harvard University.
22. Hinton D E (2008). Healing through flexibility primers. In KeonB, (Ed.), The Oxford handbook of medical ethnomusicology (pp. 121-163). Oxford, UK: Oxford University Press.
23. Hinton D E, Chhean D, Pich V, Safren S A, Hofmann S G, Pollack M H (2005). A randomized controlled trial of cognitive-behavior therapy for Cambodian refugees with treatment-resistant PTSD and panic attacks: A cross-over design. Journal of Traumatic Stress, 18(6), 617-629.
24. Hinton D E, Hinton A, Chhean D, Pich V, Loeum J R, Pollack M H (2009). Nightmares among Cambodian refugees: The breaching of concentric ontological security. Culture, Medicine, and Psychiatry, 33, 219-265.
25. Hinton D E, Hofmann S G, Pitman R K, Pollack M H, Barlow D H (2008). The panic attack–PTSD model: Applicability to orthostatic panic among Cambodian refugees. Cognitive Behaviour Therapy, 27, 101-116.
26. Hinton D E, Hofmann S G, Pollack M H, Otto M W (2009). Mechanisms of efficacy of CBT for Cambodian refugees with PTSD: Improvement in emotion regulation and orthostatic blood pressure response. CNS Neuroscience and Therapeutics, 15(3), 255-263.
27. Hinton D E, Hofmann S G, Rivera E, Otto M W, Pollack M H (2011). Culturally adapted CBT for Latino women with treatment-resistant PTSD: A pilot study comparing CA-CBT to applied muscle relaxation. Behaviour Research and Therapy, 49, 275-280.
28. Hinton D E, Lewis-Fernández R (2010a). Idioms of distress among trauma survivors: Subtypes and clinical utility. Culture, Medicine and Psychiatry, 34, 209-218.
29. Hinton D E, Lewis-Fernández R (2010b). “Idioms of distress” (culturally salient indicators of distress) and anxiety disorders. In SimpsonH B, NeriaY, Lewis-FernándezR, SchneierF, (Eds.), Anxiety disorders: Theory, research, and clinical perspectives (pp. 127-138). Cambridge, UK: Cambridge University Press.
30. Hinton D E, Lewis-Fernández R (2011). The cross-cultural validity of posttraumatic stress disorder: Implications for DSM-5. Depression and Anxiety, 28, 783-801.
31. Hinton D E, Lewis-Fernández R, Pollack M H (2009). A model of the generation of ataque de nervios: The role of fear of negative affect and fear of arousal symptoms. CNS Neuroscience and Therapeutics, 15, 264-275.
32. Hinton D E, Nickerson A, Bryant R A (2011). Worry, worry attacks, and PTSD among Cambodian refugees: A path analysis investigation. Social Science and Medicine, 72, 1817-1825.
33. Hinton D E, Otto M W (2006). Symptom presentation and symptom meaning among traumatized Cambodian refugees: Relevance to a somatically focused cognitive–behavior therapy. Cognitive and Behavioral Practice, 13, 249-260.
34. Hinton D E, Pham T, Tran M, Safren S A, Otto M W, Pollack M H (2004). CBT for Vietnamese refugees with treatment-resistant PTSD and panic attacks: A pilot study. Journal of Traumatic Stress, 17(5), 429-433.
35. Hinton D E, Pich V, Chhean D, Pollack M H (2005). “The ghost pushes you down”: Sleep paralysis-type panic attacks in a Khmer refugee population. Transcultural Psychiatry, 42, 46-78.
36. Hinton D E, Pich V, Marques L, Nickerson A, Pollack M H (2010). Khyâl attacks: A key idiom of distress among traumatized Cambodia refugees. Culture, Medicine and Psychiatry, 34, 244-278.
37. Hinton D. E., Pich V., Nickerson A., Hofmann S. G., Otto M. W., Pollack M. H. (in press). Mindfulness and acceptance techniques as applied to refugee and ethnic minority populations: Examples from culturally adapted CBT (CA-CBT). Cognitive and Behavioral Practice.
38. Hinton D E, Rasmussen A, Nou L, Pollack M H, Good M J (2009). Anger, PTSD, and the nuclear family: A study of Cambodian refugees. Social Science and Medicine, 69, 1387-1394.
39. Hofmann S G (2008). Cognitive processes during fear acquisition and extinction in animals and humans: Implications for exposure therapy of anxiety disorders. Clinical Psychology Review, 28(2), 199-210.
40. Hofmann S G, Grossman P, Hinton D E (2011). Loving-kindness and compassion meditation: Potential for cognitive behavioral therapy. Clinical Psychology Review, 31, 1126-1132.
41. Kashdan T B (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865-878.
42. King A M, Sloan D M, (Eds.) (2010). Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment. New York, NY: Guilford.
43. Kok B E, Fredrickson B L (2010). Upward spirals of the heart: Autonomic flexibility, as indexed by vagal tone, reciprocally and prospectively predicts positive emotions and social connectedness. Biological Psychology, 85(3), 432-436.
44. Lester K, Resick P A, Young-Xu Y, Artz C (2010). Impact of race on early treatment termination and outcomes in posttraumatic stress disorder treatment. Journal of Consulting and Clinical Psychology, 78(4), 480-489.
45. Markowitz J C (2010). IPT and PTSD. Depression and Anxiety, 27(10), 879-881.
46. Orsillo S M, Roemer L (2009). Mindfulness and acceptance-based behavioral therapies in practice. New York, NY: Guilford.
47. Otto M W, Hinton D E (2006). Modifying exposure-based CBT for Cambodian refugees with posttraumatic stress disorder. Cognitive and Behavioral Practice, 13(4), 261-270.
48. Otto M W, Powers M B, Fischmann D (2005). Emotional exposure in the treatment of substance use disorders: Conceptual model, evidence, and future directions. Clinical Psychology Review, 25(6), 824-839.
49. Patra S, Telles S (2009). Positive impact of cyclic meditation on subsequent sleep. Medical Science Monitor, 15(7), 375-381.
50. Resick P, Schnicke M (1996). Cognitive processing therapy for rape victims. London, UK: Sage.
51. Roemer L, Orsillo S M, Salters-Pedneault K (2008). Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: Evaluation in a randomized controlled trial. Journal of Consulting and Clinical Psychology, 76(6), 1083-1089.
52. Rothschild B (2000). The body remembers: The psychophysiology of trauma and trauma treatment. New York, NY: W. W. Norton.
53. Schauer M, Neuner F, Elbert T (2005). Narrative exposure therapy: A short-term intervention for traumatic stress disorders after war, terror or torture. Gottingen, Germany: Hogrefe & Huber.
54. Silver S M, Wilson J P (1988). Native American healing and purification rituals for war stress. In Wilson J P, Harel Z, Kahana B, (Eds.), Human adaptation to extreme stress: From the Holocaust to Vietnam (pp. 337-356). New York, NY: Plenum.
55. Teasdale J D (1996). Clinically relevant theory: Intergrating clinical insight with cognitive science. In Salkovskis P M, (Ed.), Frontiers of cognitive therapy (pp. 26-47). New York, NY: Guilford.
56. Tol W A, Komproe I H, Susanty D, Jordans M J, Macy R D, De Jong J T (2008). School-based mental health intervention for children affected by political violence in Indonesia: A cluster randomized trial. JAMA, 300(6), 655-662.
57. Turner V W (1967). The forest of symbols: Aspects of Ndembu ritual. Ithaca, NY: Cornell University Press.
58. Van der Kolk B A (1994). The body keeps the score: Memory and the evolving psychobiology of posttraumatic stress. Harvard Review of Psychiatry, 1(5), 253-265.
59. Wald J, Taylor S (2007). Efficacy of interoceptive exposure therapy combined with trauma-related exposure therapy for posttraumatic stress disorder: A pilot study. Journal of Anxiety Disorders, 21(8), 1050-1060.
60. Wald J, Taylor S (2008). Responses to interoceptive exposure in people with posttraumatic stress disorder (PTSD): A preliminary analysis of induced anxiety reactions and trauma memories and their relationship to anxiety sensitivity and PTSD symptom severity. Cognitive Behaviour Therapy, 37(2), 90-100.
61. Wells A (2009). Metacognitive therapy for anxiety and depression. New York, NY: Guilford.
62. Wilamowska Z A, Thompson-Hollands J, Fairholme C P, Ellard K K, Farchione T J, Barlow D H (2010). Conceptual background, development, and preliminary data from the unified protocol for transdiagnostic treatment of emotional disorders. Depression and Anxiety, 27(10), 882-890.