Cognitive behavioral therapy for PTSD and somatization: An open trial

被引:3
作者
Benitez, Carlos I. Perez [1 ]
Zlotnick, Caron [2 ]
Gomez, Judelysse [1 ]
Rendon, Maria J. [1 ]
Swanson, Amelia [1 ]
机构
[1] Univ Miami, Coral Gables, FL 33146 USA
[2] Brown Univ, Butler Hosp, Alpert Med Sch, Providence, RI 02906 USA
关键词
Cognitive behavioral therapy; Posttraumatic stress disorder; Multiple unexplained physical symptoms; Open trial; Somatic symptoms; POSTTRAUMATIC-STRESS-DISORDER; PRIMARY-CARE; ABRIDGED SOMATIZATION; VIETNAM VETERANS; SYMPTOMS; COMMUNITY; COMORBIDITY; ANXIETY; PSYCHOTHERAPY; PREVALENCE;
D O I
10.1016/j.brat.2013.02.005
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
No treatment, to date, has been developed to improve both posttraumatic stress disorder (PTSD) and medically unexplained physical symptoms (MUPS), despite mounting evidence of high comorbidity between PTSD and MUPS. This study assessed the feasibility, acceptability, and treatment outcomes of an adapted cognitive behavioral therapy for PTSD and abridged somatization in a sample of eight participants. Fifteen percent of completers did not meet PTSD criteria after treatment completion and 62.5% improved their somatic symptoms. There was a significant difference between pre- and post-treatment depression symptoms, as well as in psychological and physical functioning measures. Results indicated a small to moderate effect size (d = 0.27-0.78) in PTSD severity scores, and moderate to large effect size in depression symptoms and psychosocial and physical functioning variables (d = 0.39-1.12). Preliminary evidence of acceptability indicates that the current CBT intervention may be suitable for Latinos individuals with PTSD and MUPS. (c) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:284 / 289
页数:6
相关论文
共 59 条
[1]   Cognitive-behavioral therapy for somatization disorder - A randomized controlled trial [J].
Allen, Lesley A. ;
Woolfolk, Robert L. ;
Escobar, Javier I. ;
Gara, Michael A. ;
Hamer, Robert M. .
ARCHIVES OF INTERNAL MEDICINE, 2006, 166 (14) :1512-1518
[2]   Post-traumatic stress disorder and somatization symptoms: a prospective study [J].
Andreski, P ;
Chilcoat, H ;
Breslau, N .
PSYCHIATRY RESEARCH, 1998, 79 (02) :131-138
[3]  
[Anonymous], CLIN TOOLS SOFTWARE
[4]  
[Anonymous], 1999, MENT HLTH REP SURG G
[5]  
[Anonymous], 2005, Cognitive therapy for challenging problems
[6]   Somatization in primary care: A comparative survey of immigrants from various ethnic groups in Rome, Italy [J].
Aragona, M ;
Tarsitani, L ;
Colosimo, F ;
Martinelli, B ;
Raad, H ;
Maisano, B ;
Geraci, S .
INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE, 2005, 35 (03) :241-248
[7]   AMPLIFICATION, SOMATIZATION, AND THE SOMATOFORM DISORDERS [J].
BARSKY, AJ .
PSYCHOSOMATICS, 1992, 33 (01) :28-34
[8]  
Beck A.T., 2005, Anxiety Disorders and Phobias: A Cognitive Perspective
[9]   AN INVENTORY FOR MEASURING DEPRESSION [J].
BECK, AT ;
ERBAUGH, J ;
WARD, CH ;
MOCK, J ;
MENDELSOHN, M .
ARCHIVES OF GENERAL PSYCHIATRY, 1961, 4 (06) :561-&
[10]   Culturally centered psychosocial interventions [J].
Bernal, G ;
Sáez-Santiago, E .
JOURNAL OF COMMUNITY PSYCHOLOGY, 2006, 34 (02) :121-132