Article

Outcome of Cognitive Behavioral Therapy in Adolescents After Natural Disaster

Iran University of Medical Sciences, Tehran Institute of Psychiatry (Mental Health Research Center), Tehran, Iran.
Journal of Adolescent Health (Impact Factor: 3.61). 06/2008; 42(5):466-72. DOI: 10.1016/j.jadohealth.2007.09.011
Source: PubMed
ABSTRACT
The authors evaluated the effectiveness of cognitive behavioral therapy (CBT) among adolescents exposed to the 2004 earthquake in Bam, Iran.
Four months after the earthquake, 135 adolescents as a case group and 33 adolescents as a comparison group were evaluated with the Impact of Event Scale Revised (IES-R). Two therapists were trained in CBT in 3-day classes according to a manual provided by mental health services. After conducting CBT in the case group, both groups were evaluated again with IES-R.
The severity of posttraumatic stress symptoms significantly decreased among the subjects given CBT in the case group. The improvement in posttraumatic stress symptoms was attributable to improvement in each of three-symptom categories (intrusion, avoidance, and arousal) and in the total score of posttraumatic stress disorder (p < .05).
The findings demonstrate the efficacy of CBT in alleviating posttraumatic stress symptoms among adolescents after a catastrophic disaster.

Full-text preview

Available from: yangzi-a.org
  • Source
    • "CBT have been found to be effective in reducing subsequent psychopathology after the exposure to disaster. [66,67] There are randomised controlled studies to support the findings that early intervention CBT group had less of PTSD when compared a control group.6869707172 Although these studies report of positive results but there are no long-term follow-up studies. "
    [Show abstract] [Hide abstract] ABSTRACT: Disaster mental health is based on the principles of 'preventive medicine' This principle has necessitated a paradigm shift from relief centered post-disaster management to a holistic, multi-dimensional integrated community approach of health promotion, disaster prevention, preparedness and mitigation. This has ignited the paradigm shift from curative to preventive aspects of disaster management. This can be understood on the basis of six 'R's such as Readiness (Preparedness), Response (Immediate action), Relief (Sustained rescue work), Rehabilitation (Long term remedial measures using community resources), Recovery (Returning to normalcy) and Resilience (Fostering). Prevalence of mental health problems in disaster affected population is found to be higher by two to three times than that of the general population. Along with the diagnosable mental disorders, affected community also harbours large number of sub-syndromal symptoms. Majority of the acute phase reactions and disorders are self-limiting, whereas long-term phase disorders require assistance from mental health professionals. Role of psychotropic medication is very limited in preventing mental health morbidity. The role of cognitive behaviour therapy (CBT) in mitigating the mental health morbidity appears to be promising. Role of Psychological First Aid (PFA) and debriefing is not well-established. Disaster management is a continuous and integrated cyclical process of planning, organising, coordinating and implementing measures to prevent and to manage disaster effectively. Thus, now it is time to integrate public health principles into disaster mental health.
    Full-text · Article · Dec 2015 · Indian Journal of Psychological Medicine
  • Source
    • "For more information on CBT, see the following papers: (Dattilio and Freeman, 2007; DeRosa et al., 2013; Ehlers et al., 2010; EPC Project, 2012; Jaycox et al., 2010; Kowalik et al., 2011; Pfefferbaum et al., 2014b; Pfefferbaum et al., 2014c; Shooshtary et al., 2008; Silverman et al., 2008; L.K. Taylor and Weems, 2011; Wethington et al., 2008). "
    [Show abstract] [Hide abstract] ABSTRACT: Post-disaster considerations following the Canterbury sequence of earthquakes and aftershocks (December 2015) NB. The following is a lay summary of a more extensive report. For ease of reading referencing within this summary has been kept to a minimum. Complete referencing can be found in the full report available at www.collaborative.org.nz Introduction A literature review of current multidisciplinary academic findings on post-disaster scenarios around the world was commissioned with assistance from The Collaborative Trust and the University of Canterbury. What the review aimed to discover was how members of communities affected by disaster can be supported in order to cope better and, specifically, how we might make use of up-to-date research in ways relevant to communities and young people in the Greater Christchurch Area.
    Full-text · Conference Paper · Dec 2015
  • Source
    • "CBT have been found to be effective in reducing subsequent psychopathology after the exposure to disaster. [66,67] There are randomised controlled studies to support the findings that early intervention CBT group had less of PTSD when compared a control group.6869707172 Although these studies report of positive results but there are no long-term follow-up studies. "
    [Show abstract] [Hide abstract] ABSTRACT: Disaster mental health is based on the principles of ‘preventive medicine’ This principle has necessitated a paradigm shift from relief centered post-disaster management to a holistic, multi-dimensional integrated community approach of health promotion, disaster prevention, preparedness and mitigation. This has ignited the paradigm shift from curative to preventive aspects of disaster management. This can be understood on the basis of six ‘R’s such as Readiness (Preparedness), Response (Immediate action), Relief (Sustained rescue work), Rehabilitation (Long term remedial measures using community resources), Recovery (Returning to normalcy) and Resilience (Fostering). Prevalence of mental health problems in disaster affected population is found to be higher by two to three times than that of the general population. Along with the diagnosable mental disorders, affected community also harbours large number of sub-syndromal symptoms. Majority of the acute phase reactions and disorders are self-limiting, whereas long-term phase disorders require assistance from mental health professionals. Role of psychotropic medication is very limited in preventing mental health morbidity. The role of cognitive behaviour therapy (CBT) in mitigating the mental health morbidity appears to be promising. Role of Psychological First Aid (PFA) and debriefing is not well‐established. Disaster management is a continuous and integrated cyclical process of planning, organising, coordinating and implementing measures to prevent and to manage disaster effectively. Thus, now it is time to integrate public health principles into disaster mental health.
    Full-text · Article · Sep 2015 · Indian Journal of Psychological Medicine
Show more