A Pilot Study of Racial and Ethnic Differences in Mental Health Outcomes During the First 6 Weeks of Trauma-Focused Treatment

被引：0
作者：
Bita Ghafoori
Su Fern Khoo
机构：
[1] California State University Long Beach,Department of Advanced Studies in Education and Counseling
来源：
Community Mental Health Journal | 2020年 / 56卷
关键词：
Intervention; Race; Ethnicity; Early treatment response; Posttraumatic stress disorder;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
The objective of this research was to investigate the relationship between race/ethnicity, intervention type, and mental health outcomes at 6 weeks into treatment in a low-income, diverse community-based sample of adults seeking treatment for traumatic stress. Adult patients (N = 163) received either prolonged exposure (PE) or present centered therapy (PCT). Results suggest significant within group differences with moderate to large effect sizes after six sessions of PE or PCT by race/ethnicity. Logistic regression analyses indicated that after adjusting for significant sociodemographic covariates, at the 6-week time-point the White group had increased likelihood of: probable PTSD compared to the Latinx group; probable anxiety compared to the Black group, Latinx group, and Other group; and probable depression compared to the Other group. Covariate adjusted models also found that at 6 weeks individuals in the PCT group had significantly greater odds of probable PTSD compared to those in the PE group. Implications for behavioral healthcare in a community-based setting are discussed.
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收藏
页码：1592 / 1602
页数：10
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  • [1] Barker-Collo S(2003)Models of response to childhood sexual abuse: Their implications for treatment Trauma, Violence, & Abuse 4 95-111
  • [2] Read J(2008)Early withdrawal from mental health treatment: Implications for psychotherapy practice Psychotherapy: Theory, Research, Practice, Training 45 247-267
  • [3] Barrett MS(2007)Psychological treatments for chronic post-traumatic stress disorder: Systematic review and meta-analysis The British Journal of Psychiatry 190 97-104
  • [4] Chua W-J(2015)The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation Journal of Traumatic Stress 28 489-498
  • [5] Crits-Christoph P(2009)The epidemiology of trauma, PTSD, and other posttrauma disorders Trauma, Violence, & Abuse 10 198-210
  • [6] Gibbons MB(2012)Treating ethnic minority adults with anxiety disorders: Current status and future recommendations Journal of Anxiety Disorders 26 488-501
  • [7] Thompson D(1992)A power primer Psychological Bulletin 112 155-159
  • [8] Bisson JI(2015)Treatment of complex trauma on the front lines: A preliminary look at child outcomes in an agency sample Child & Adolescent Social Work Journal 32 529-543
  • [9] Ehlers A(2001)Treating low-income and African American women with posttraumatic stress disorder: A case series Behavior Therapy 32 585-601
  • [10] Matthews R(1986)Emotional processing of fear: Exposure to corrective information Psychological Bulletin 99 20-35
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