A Pilot Randomized Clinical Trial of a Novel, Culturally Adapted, Trauma-Focused Cognitive-Behavioral Intervention for War-Related PTSD in Iraqi Women

Zemestani, Mehdi; Mohammed, Ako Faiq; Ismael, Azad Ali; Vujanovic, Anka A.

doi:10.1016/j.beth.2022.01.009

Cited by 7 publications

(3 citation statements)

References 81 publications

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“…Although therapeutic interventions are beyond the scope of this study, these findings support the need for increased screening and possible treatment for civilians and service members exposed to combat or war zones. The WHO has ascertained that the majority of those with PTSD from less affluent countries tend to go untreated, and those who have access to treatment typically do not receive evidence-based treatment (Zemestani et al, 2022). Therefore, since evidence-based treatments for PTSD are available, the main problem on a global level likely has more to do with the dissemination of those treatments to the civilians and military personnel and veterans who need them most (Schnyder et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

The role of combat exposure on drinking behavior and subjective well-being: A Rubin Causal Model approach.

McKee

Budnick

Walters

et al. 2024

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Investigating the role of combat exposure on behavioral outcomes has been limited due to ethical and logistical constraints. Method: Using a large data set from UK BioBank of U.K. citizens (n = 157,161), we created hypothetical randomized experiments, with treatment conditions for combat exposure or no combat exposure matched for relevant covariates and compared differences in combat exposure groups on a broad range of alcohol-related and subjective well-being outcomes. Additionally, using a randomizationbased approach, we calculated 95% Fisherian intervals for constant treatment effects consistent with the matched data and the hypothetical combat exposure intervention. Results: Results suggest that combat exposure plays a role in several negative outcomes related to alcohol behavior and subjective well-being, such as increased typical daily alcohol consumption (estimated average causal effect [ACE] = 0.0545, Fisher pvalue = .0119) and less general health happiness (estimated ACE = −0.1077, Fisher p-value , 1/ 100,000). Conclusions: This study expands our current understanding of the role of combat exposure on many alcohol and subjective well-being-related measures. We also show that the Rubin Causal Model provides a rigorous and valid approach to better understand myriad other issues in psychological science. Clinical Impact StatementFindings support the need for screening and evidence-based treatment for war-related trauma, in an inclusive manner for civilians, military personnel, and veterans. Most affected persons in less affluent countries do not receive treatment, or receive treatment that is not evidence-based. Empirically supported treatments for trauma exist but are not widely available in less affluent countries and areas. This is a problem with dissemination and delivery of effective treatment. Evidence-based treatment should emphasize alcohol consumption, subjective well-being, and sleep health, as areas of potential need, as well as fruitful outcome measures for assessing progress and recovery.

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Section: Discussionmentioning

confidence: 99%

The role of combat exposure on drinking behavior and subjective well-being: A Rubin Causal Model approach.

McKee

Budnick

Walters

et al. 2024

Psychological Trauma: Theory, Research, Practice, and Policy

View full text Add to dashboard Cite

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“…However, in the course of this study, no cases of deterioration of patients' condition in connection with TF CBT were reported. M. Zemestani et al (2022) report the results of a randomised clinical trial of the culturally adapted TF CBT method. The study describes the effectiveness of the technique in reducing PTSD symptoms among a population of Iraqi women affected by military operations.…”

Section: Discussionmentioning

confidence: 99%

Modern psychological assistance technologies for internally displaced persons

Bretsko,

D. Shcherban,

Yamchuk

2023

Scientific Bulletin of Mukachevo State University Series “Pedagogy and Psychology”

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Since the full-scale invasion of Ukraine by Russia, many Ukrainians have fled their homes in search of safer places, thus the problem of developing convenient and effective methods of providing psychological support to the maximum number of citizens has become urgent. The research aims to develop a technology for helping internally displaced persons based on exposure therapy methods. The study sample consisted of 84 respondents who had the official status of internally displaced persons. To quantify the parameters of the stressful state, the PCL-5 post-traumatic stress disorder diagnostic tool was used, and the updated Oxford Happiness Inventory (OHI) was used to determine the emotional state. At the beginning of the study, 67% of respondents in the sample had a level of symptoms sufficient to diagnose post-traumatic stress disorder, which indicates a high level of psychological distress. The methods of trauma-focused cognitive behavioural therapy and Eye Movement Desensitisation and Reprocessing were used for psychotherapeutic procedures. The use of both methods proved to be effective in improving the overall psychological state of the respondents. The use of trauma-focused cognitive behavioural therapy led to a 9.0% reduction in symptoms of post-traumatic stress disorder and a 37.73% increase in happiness compared to the control group. The method of desensitisation and eye movement processing led to a 15.41% reduction in symptoms of post-traumatic stress disorder and a 35.30% increase in subjective indicators of happiness compared to the control group. The combined use of both methods showed the best results: after three months, there was a 19.72% reduction in post-traumatic stress disorder symptoms and a 42.54% increase in happiness scores compared to the control group. Based on the data demonstrated in this paper, the combined use of trauma-focused cognitive behavioural therapy and eye movement desensitisation and reprocessing can be recommended to reduce the severity of post-traumatic stress symptoms and improve the well-being of internally displaced persons

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“…In addition, cognitive trauma therapy for battered women (CCT-BW) is effective in several clinical trials for the treatment of PTSD in abused women (Zemestani et al, 2022). This treatment combines cognitive-behavioral therapy with relaxation techniques and psychoeducation.…”

Section: Treatment Of Ptsdmentioning

confidence: 99%

Supporting Women to Heal from Trauma and Post-Traumatic Stress Disorder

ElBarazi

Ahmed

2022

Illness, Crisis & Loss

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It is normal to feel anxious, terrified, and agitated after being involved in a potentially dangerous or traumatic incident. Most emotions disappear after a few weeks have passed. Some people continue to have these emotions for many months or even years following the traumatic event. This article looks at how post-traumatic stress disorder (PTSD) might manifest differently in men and women. It was discussed how PTSD develops, what causes it, how it affects women, and what treatments are available. PTSD is far more common in women than in males. PTSD can result in feelings of guilt and worry, as well as shame, hopelessness, depression, and frustration. When someone suffering from PTSD is treated with empathy, compassion, understanding, and acceptance, she feels safe and secure, which has been linked to the development and improvement of PTSD symptoms. With the aid of loved ones, it is possible to overcome feelings of helplessness, grief, and hopelessness. Patients suffering from PTSD may benefit from the encouragement and support of their friends and family. With the help of their loved ones, women may enhance their health and well-being.

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A Pilot Randomized Clinical Trial of a Novel, Culturally Adapted, Trauma-Focused Cognitive-Behavioral Intervention for War-Related PTSD in Iraqi Women

Cited by 7 publications

References 81 publications

The role of combat exposure on drinking behavior and subjective well-being: A Rubin Causal Model approach.

The role of combat exposure on drinking behavior and subjective well-being: A Rubin Causal Model approach.

Modern psychological assistance technologies for internally displaced persons

Supporting Women to Heal from Trauma and Post-Traumatic Stress Disorder

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