Effectiveness of trauma-focused cognitive behavioral therapy for terrorism victims with very long-term emotional disorders
- Natalia Moreno
- Jesús Sanz 1
- María Paz García-Vera 1
- Clara Gesteira 1
- Sara Gutiérrez 1
- Alejandro Zapardie
- Beatriz Cobos
- Sylvia Marotta-Walters 2
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1
Universidad Complutense de Madrid
info
- 2 The George Washington University
ISSN: 0214-9915, 1886-144X
Año de publicación: 2019
Volumen: 31
Número: 4
Páginas: 400-406
Tipo: Artículo
Otras publicaciones en: Psicothema
Resumen
Background: There are no published studies on the clinical utility of psychotherapy in victims of terrorism who suffer emotional disorders many years after the attacks. Method: A course of trauma-focused cognitive behavioral therapy was administered to 50 victims of terrorist attacks that occurred an average of 23 years previously and who presented isolated or concurrent posttraumatic stress disorder (PTSD; 74%), major depressive disorder (54%), panic disorder (38%), or other anxiety disorders (38%). Results: According to an intention-to-treat analysis (N=50), these percentages decreased significantly to 24% (PTSD and major depression), 16% (panic disorder) and 14% (other anxiety disorders) at 1-year follow-up. According to a complete data analysis, at posttreatment no victims (n=31) still presented major depressive or panic disorder, only 3.2% presented PTSD and 9.7% presented other anxiety disorders, whereas at 1-year follow-up, no victims presented any disorders (n=22). At posttreatment and at the 1-, 3-, 6-month, and 1-year follow-ups, large statistically and clinically significant decreases in PTSD, depression, and anxiety symptomatology were found (d=1.26 to 2.52 at 1-year follow-up). Conclusions: These results suggest that efficacious treatments for recent victims are also useful in the usual clinical practice for victims with very long-term emotional disorders
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