Cognitive-Behavior Therapy for Khmer Refugees

高棉难民认知行为疗法

• 批准号: 7006974
• 负责人: DEVON HINTON
• 金额: $ 17.74万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-02-07 至 2008-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7006974
• 关键词: anticonvulsants; behavioral /social science research tag; benzodiazepines; clinical research; cognitive behavior therapy; culture; human subject; human therapy evaluation; interview; mental health epidemiology; panic disorder; patient oriented research; posttraumatic stress disorder; psychological shock; psychophysiology; questionnaires; southeast Asia

DESCRIPTION (provided by applicant): This is an application for a Mentored Patient-Oriented Research Career Development Award with a focus on developing expertise in treatment development and outcome assessment for anxiety disorders in minority and refugee populations. The Candidate proposes to build upon his clinical and research experience treating refugee populations in order to develop cognitive-behavioral interventions for refugee populations and to test the outcome with standard assessment measures and measures of culture-specific anxiety psychopathology. Post-traumatic stress disorder and panic attacks are common in Southeast Asian refugee populations but there is relatively little research available to guide the provision of culturally sensitive treatment for affected individuals. The proposed study is designed as an early step in addressing this treatment gap in a systematic manner. Research Plan: The study investigates the efficacy of a 12-week cognitive-behavioral therapy intervention for Cambodian refugees with PTSD, the treatment guided by a manual, and outcome assessed with standard psychometric instruments, culturally specific scales, and orthostatic challenge. Environment: The proposed study will be based at a Southeast Asian Refugee Clinic affiliated with the Massachusetts General Hospital and will complement a program of training and supervised research under the mentorship of Dr. Mark Pollack with consultation from experts. Career Development Plan: Training will emphasize learning skills to develop culturally appropriate assessment and treatment for traumatized non-English speaking groups. To lay the foundation for future independent investigation by the candidate, training will include supervision with consultants regarding outcome assessment, cognitive behavioral therapy, instrument validation, a psychophysiological outcome measure (i.e., orthostatic challenge), and a structured ethnographic interview, as well as taking courses at the Harvard School of Public Health on statistics and instrument development and evaluation.

描述（由申请人提供）：这是一个申请指导的注重患者的研究职业发展奖，重点是在少数群体和难民群体的焦虑症治疗发展和结果评估方面发展专业知识。候选人提议以他的临床和研究经验为基础，以治疗难民人群，以开发对难民人群的认知行为干预措施，并通过标准评估措施和文化特异性焦虑心理病理学的措施来测试结果。创伤后应激障碍和恐慌发作在东南亚难民人群中很常见，但是几乎没有可用的研究来指导为受影响的个体提供对文化敏感的治疗。拟议的研究被设计为以系统的方式解决该治疗差距的早期一步。研究计划：该研究研究了为柬埔寨难民使用PTSD进行的12周认知行为疗法干预措施的功效，由手动指导的治疗以及通过标准心理测量仪器，文化特定于文化的量表和矫形挑战评估的结果。环境：拟议的研究将基于马萨诸塞州综合医院隶属的东南亚难民诊所，并将在马克·波拉克（Mark Pollack）博士的指导下与专家咨询的指导下进行培训和监督研究计划。职业发展计划：培训将强调学习技能，以为受创伤的非英语小组开发适当的文化评估和治疗。为了奠定候选人未来独立调查的基础，培训将包括与顾问有关结果评估，认知行为疗法，仪器验证，心理生理学结果指标（即，正常人的挑战）以及结构化的民族志访谈以及对统计和仪器开发公共卫生和仪器开发和仪器开发和评估学院的培训。