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Culturally modified cognitive processing therapy for Karen refugees with posttraumatic stress disorder: A pilot study
Jessica Bernardi1, Mini Dahiya2, Laura Jobson1
1Monash Institute of Cognitive and Clinical Neurosciences and School of Psychological Sciences, Monash University, Melbourne, Australia.
Clinical Psychology & Psychotherapy
|May 10, 2019
Summary
A modified Cognitive Processing Therapy (CPT) group program showed feasibility and acceptability for Karen refugees with posttraumatic stress disorder (PTSD). While effective immediately post-treatment, symptom relapse occurred at follow-up, indicating a need for enhanced support strategies.
Area of Science:
- Psychiatry
- Trauma Studies
- Refugee Health
Background:
- Karen refugees from Myanmar experience prolonged civil war trauma.
- Myanmar refugees are a significant population resettled in Western countries.
- Posttraumatic stress disorder (PTSD) is prevalent among this demographic.
Purpose of the Study:
- To assess the feasibility and acceptability of a modified Cognitive Processing Therapy (CPT) group program.
- To evaluate the efficacy of the CPT group program for Karen refugees with PTSD.
- To examine treatment outcomes at posttreatment and 3-month follow-up.
Main Methods:
- A modified CPT group program was administered to seven Karen refugees diagnosed with PTSD.
- Feasibility and acceptability were measured through satisfaction and dropout rates.
- PTSD symptom severity was assessed using standardized measures at pretreatment, posttreatment, and 3-month follow-up.
Main Results:
- The CPT program was highly acceptable, with no dropouts and high participant satisfaction.
- All participants no longer met PTSD diagnostic criteria immediately posttreatment.
- At 3-month follow-up, 57% no longer met PTSD criteria, but 57% experienced symptom worsening compared to posttreatment.
Conclusions:
- Modified CPT is feasible and acceptable for Karen refugees with PTSD.
- While initial treatment gains are significant, symptom relapse is a concern.
- Further research is needed to develop strategies for sustained benefits from empirically supported treatments for refugees.
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