CBT for Vietnamese refugees with treatment-resistant PTSD and panic attacks: a pilot study

J Trauma Stress. 2004 Oct;17(5):429-33. doi: 10.1023/B:JOTS.0000048956.03529.fa.


We examined the feasibility, acceptability, and therapeutic efficacy of a culturally adapted cognitive-behavior therapy (CBT) for twelve Vietnamese refugees with treatment-resistant posttraumatic stress disorder (PTSD) and panic attacks. These patients were treated in two separate cohorts of six with staggered onset of treatment. Repeated measures Group x Time ANOVAs and between-group comparisons indicated significant improvements, with large effect sizes (Cohen's d) for all outcome measures: Harvard Trauma Questionnaire (HTQ; d = 2.5); Anxiety Sensitivity Index (ASI: d = 4.3); Hopkins Symptom Checklist-25 (HSCL-25), anxiety subscale (d = 2.2); and Hopkins Symptom Checklist-25, depression subscale (d = 2.0) scores. Likewise, the severity of (culturally related) headache-and orthostasis-cued panic attacks improved significantly across treatment

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Cognitive Behavioral Therapy*
  • Cultural Characteristics
  • Female
  • Humans
  • Male
  • Panic Disorder / complications
  • Panic Disorder / ethnology
  • Panic Disorder / therapy*
  • Refugees / psychology*
  • Severity of Illness Index
  • Stress Disorders, Post-Traumatic / complications
  • Stress Disorders, Post-Traumatic / ethnology
  • Stress Disorders, Post-Traumatic / therapy*
  • Treatment Outcome
  • Vietnam / ethnology