Cognitive-Behavioral Therapy (CBT) for Post-Traumatic Stress Disorder (PTSD): Development of a Culturally-Adapted Intervention for Spanish-Speaking Individuals with PTSD
Dr. Gail Berg Endowed Research Grant, via BU
10/01/12 – 09/30/13
Contact: Jennifer Gottlieb
Trauma exposure, and its frequent outcome PTSD has been found to be quite common among people in the U.S., as over 50% have reported exposure to at least one traumatic event, and approximately 10% of those go on to develop PTSD. Several studies have demonstrated that members of vulnerable populations are more apt to be exposed to multiple traumatic events and to develop PTSD at significantly higher rates than those in the general population. Members of ethnic racial minorities experience additive chronic stressors, including exposure to racism, extreme poverty, immigration, political violence from home countries and chronic urban community violence, all of which serve as additive risk factors in the development and maintenance of PTSD. For instance, Latino individuals are more vulnerable to developing PTSD and those with PTSD experience more severe symptoms than persons from other ethnic backgrounds. Despite the high rates of trauma and PTSD that Latinos experience, there are very few evidence-based interventions to address this disorder within the Spanish-speaking population. More consumer-friendly, culturally appropriate, and effective PTSD interventions for the Spanish-speaking population are greatly needed.
Our group (Mueser, Gottlieb, and other colleagues) has developed an effective CBT for PTSD intervention, specifically for use with vulnerable populations, and aimed for individuals with special needs and challenges (including severe PTSD symptoms, the existence of multiple traumatic events, co-occurring psychiatric symptoms, problematic substance use, cognitive difficulties, functional impairment, chaotic living environments, and poor mental health service use and adherence), similar to many of the challenges faced by the Latino population. In this study, a culturally appropriate, user-friendly, acceptable, and effective intervention, based on our original CBT for PTSD treatment, for use with the Spanish-speaking Latino adult population will be developed. Via an evidence-driven process, the investigators will adapt and translate the existing treatment manual, and evaluate its feasibility and effectiveness via a small pilot study. Spanish-speaking frontline mental health clinicians in the Boston community will be trained and supervised in the competent delivery of the intervention with a small group of treatment-eligible Spanish-speaking Latino clients with PTSD. Clients’ perceptions of the acceptability of the intervention and its impact on PTSD and associated symptoms will be evaluated, as will the clinicians’ experiences and satisfaction with the adapted intervention. Further appropriate revisions will be made following the pilot process, culminating in the development of a larger grant application for federal funding to allow for future testing, evaluation, and culturally-appropriate and efficacious modifications of this CBT for PTSD intervention.
|BU Center for Psychiatric Rehabilitation Staff||Role|
|Jennifer Gottlieb, Ph.D.||Principal Investigator|
|Kim Mueser, Ph.D.||Co-Investigator|
|Maria Restrepo-Toro, M.S.||Co-Investigator|
|Melvin Delgado, Ph.D. – BU Dept. of Social work||Consultant|
|Other Study Staff||Role|
|Margarita Alegria, Ph.D.||Center for Multicultural Mental Health Research,
Harvard Medical School
|Lisa Fortuna, M.D., M.P.H.||University of Massachusetts Medical School||Consultant|
|Carolina Olavarria, B.S.||Consultant|
No documents are available at this time. Please use the project contact for specific inquiries.
Inquiries related to the project should be addressed to:
Boston University, Center for Psychiatric Rehabilitation
940 Commonwealth Avenue West, 2nd Floor
Boston, MA 02215