Change in quality of life after cognitive behavior therapy for anxiety disorders

Ghanem, Mohamed; Mansour, M; Fekry, Mohamed; Hatata, Hisham A.; El-Khouly, Ghada; Aly, Reham

doi:10.1097/01.xme.0000395561.63321.ee

Cited by 2 publications

(3 citation statements)

References 41 publications

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“…Second, we sought to evaluate preliminary evidence of the program's effectiveness. The current findings support and build on the small number of studies investigating the impact of CBT interventions on Arab populations and contribute to the growing body of research supporting the effectiveness of the PTSD Coach program (Ghanem et al, 2011; Kuhn et al., 2017).…”

Section: Discussionsupporting

confidence: 71%

“…Culturally adapted models for use of cognitive behavioral therapy (CBT) in Egypt have generally retained the standard core components of CBT, including units on affective regulation, cognitive restructuring, and sleep (Jalal et al., 2017). Moreover, CBT has been used in Egypt and has established evidence for the treatment of anxiety (Ghanem et al., 2011). Previous research has suggested that extensions of CBT to online modalities may be a promising avenue for care in Egypt, especially given the limited number of care providers (Gericke et al., 2018).…”

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confidence: 99%

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PTSD Coach Online–Arabic: A Randomized Controlled Pilot Trial to Examine Feasibility, Acceptability, and Preliminary Effectiveness

Miller‐Graff

Ellis

Hosny

2020

Journal of Traumatic Stress

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The Egyptian Revolution of 2011 resulted in high‐level exposure to sociopolitical violence, placing a large burden on the mental health care system that cannot be effectively met given the small number of available providers in Egypt. We conducted a nonblinded, randomized controlled pilot trial of an online, self‐directed tool for managing posttraumatic stress symptoms (PTSS). The study aimed to evaluate the feasibility, acceptability, and preliminary effectiveness of the PTSD Coach Online–Arabic. Trauma‐exposed Egyptian adults with clinically significant PTSS (N = 87; intervention group: n = 41) completed assessments at baseline, weekly over the treatment period, posttest, and 3‐month follow‐up. Of participants who completed weekly surveys, 88.9% used the program; 22.0% of participants reported regular, weekly use. Most tools received good likeability and perceived benefit scores, but lower perceived benefit scores on three tools suggest that some content may require additional adaptation. Intent‐to‐treat analyses using multilevel modeling with multiple imputation to account for missing data were conducted. Effect sizes for PTSS were below the cutoff for small effects at posttest, d = −0.14, but demonstrated a small positive effect at 3‐months, d = −0.25. There was a small positive effect of treatment on anxiety at posttest, d = −0.37, and a medium effect at 3‐month follow‐up, d = −0.49. Treatment effects for depressed mood were below the cutoff for small effects at posttest and 3‐months, ds = −0.14 and −0.18. These findings suggest that the PTSD Coach Online–Arabic may be a promising supplemental resource for support in this setting.

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Section: Discussionsupporting

confidence: 71%

mentioning

confidence: 99%

PTSD Coach Online–Arabic: A Randomized Controlled Pilot Trial to Examine Feasibility, Acceptability, and Preliminary Effectiveness

Miller‐Graff

Ellis

Hosny

2020

Journal of Traumatic Stress

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“…Cognitive behavioral treatments have been adapted for use in Egypt, and there is evidence of their effectiveness for treating posttraumatic stress, anxiety, and depression in this context (Ghanem et al, 2011;Jalal, Samir, & Hinton, 2017;Kamal & Fathy, 2013), suggesting that this theoretical framework might be especially well-suited for online interventions in Egypt as well.…”

Section: Introductionmentioning

confidence: 99%

Lessons learned in adapting an online intervention program for posttraumatic stress for use in Egypt

Ellis

Miller‐Graff

2020

Transcult Psychiatry

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Cultural adaptation of evidence-based treatments is a pressing priority for global health, and previous research has informed recommendations for guiding the process of translation and adaptation. As research in the domain of cultural adaptation and evaluation of evidence-based treatments progresses, it is critical that researchers communicate key lessons learned, so that models of adaptation can be continuously refined and reconsidered. The work described in this article aimed to translate and culturally adapt an online intervention to address symptoms of posttraumatic stress—the PTSD Coach Online—for use with young adults in Egypt. The cultural adaptation framework proposed by Bernal and colleagues (1995) was used, and focus groups and interviews with members of the target population, mental health professionals, and service users were conducted. The authors encountered a number of challenges in treatment adaptation that generated important insights for future work. Specifically, this case study highlights the importance of translation teams with diverse backgrounds and experiences, the critical nature of iterative feedback throughout the adaptation process, and the importance of a long time-horizon for optimal adaptation.

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Change in quality of life after cognitive behavior therapy for anxiety disorders

Cited by 2 publications

References 41 publications

PTSD Coach Online–Arabic: A Randomized Controlled Pilot Trial to Examine Feasibility, Acceptability, and Preliminary Effectiveness

PTSD Coach Online–Arabic: A Randomized Controlled Pilot Trial to Examine Feasibility, Acceptability, and Preliminary Effectiveness

Lessons learned in adapting an online intervention program for posttraumatic stress for use in Egypt

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