Treatment Outcomes of Cognitive Behavioural Therapy for Earthquake-Related Distress

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research Pub Date : 2025-02-14 DOI:10.1002/capr.70002

Cate F. Woods, Virginia V. W. McIntosh, Christopher M. Frampton, Frances A. Carter, Helen C. Colhoun, Jennifer Jordan, Rebekah A. Smith, Caroline Bell

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Abstract

Background

Cognitive behavioural therapy (CBT) is an effective treatment for post-traumatic stress disorder (PTSD), but few studies have examined its effectiveness among individuals exposed to natural disasters. Group CBT could be an efficient way to treat disaster-related PTSD, but it is unclear how the outcome of group and individual formats compare.

Aims

The current study used a non-controlled design to examine CBT outcomes among adults with severe, ongoing earthquake-related distress and a non-randomised design to compare the outcomes of group and individual CBT.

Materials & Methods

Participants were 175 adults with earthquake-related PTSD or adjustment disorder consecutively referred for treatment at a specialist mental health service between one and four and a half years post-earthquake. Participants completed a diagnostic interview and self-report measures pertaining to PTSD severity; depression, anxiety, and stress; fear and avoidance; social adjustment; aggression; and resilience before and after treatment.

Results

Following treatment, 92.3% of participants (with available interview data) no longer met criteria for their primary earthquake-related disorder (PTSD or adjustment disorder), and significant reductions in PTSD severity were observed. Following treatment, participants had significantly fewer mental disorders, less depression, anxiety, stress, fear, avoidance, and aggression, and greater social adjustment and resilience. Treatment format (group vs. individual) and timing of treatment presentation were not associated with any treatment outcomes of interest.

Conclusion

Findings suggest CBT is effective for individuals exposed to natural disasters when delivered in real-world post-disaster settings. Group CBT is an efficient way to treat large numbers of people using limited resources, strengthening the rationale for group treatment following natural disasters.

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认知行为疗法对地震相关痛苦的治疗效果

认知行为疗法（CBT）是治疗创伤后应激障碍（PTSD）的有效方法，但很少有研究考察其在遭受自然灾害的个体中的有效性。团体CBT可能是治疗灾难相关PTSD的有效方法，但目前尚不清楚团体和个人形式的结果如何比较。目前的研究采用非对照设计来检查严重的、持续的地震相关痛苦的成年人的CBT结果，并采用非随机设计来比较团体和个人CBT的结果。材料,研究对象是175名患有地震相关创伤后应激障碍或适应障碍的成年人，这些成年人在地震后1年至4年半期间连续转诊到专业心理健康服务机构接受治疗。参与者完成了与创伤后应激障碍严重程度有关的诊断性访谈和自我报告测量；抑郁、焦虑和压力；恐惧和回避；社会调整;侵略;以及治疗前后的复原力。结果治疗后，92.3%的参与者（可获得访谈数据）不再符合其原发性地震相关障碍（PTSD或适应障碍）的标准，并且观察到PTSD严重程度显着降低。治疗后，参与者的精神障碍明显减少，抑郁、焦虑、压力、恐惧、逃避和攻击减少，社会适应能力和恢复能力增强。治疗形式（组vs个人）和治疗时间与任何治疗结果无关。结论研究结果表明，CBT在现实世界的灾后环境中对遭受自然灾害的个体有效。群体CBT是一种利用有限资源治疗大量人群的有效方法，加强了自然灾害后群体治疗的理论基础。

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来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.