Treatment Outcomes of Cognitive Behavioural Therapy for Earthquake‐Related Distress

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Auteurs principaux: Cate F. Woods, Virginia V. W. McIntosh, Christopher M. Frampton, Frances A. Carter, Helen C. Colhoun, Jennifer Jordan, Rebekah A. Smith, Caroline Bell
Format: Artículo Open Access
Publié: Wiley 2025
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author Cate F. Woods
Virginia V. W. McIntosh
Christopher M. Frampton
Frances A. Carter
Helen C. Colhoun
Jennifer Jordan
Rebekah A. Smith
Caroline Bell
author_facet Cate F. Woods
Virginia V. W. McIntosh
Christopher M. Frampton
Frances A. Carter
Helen C. Colhoun
Jennifer Jordan
Rebekah A. Smith
Caroline Bell
Cate F. Woods
Virginia V. W. McIntosh
Christopher M. Frampton
Frances A. Carter
Helen C. Colhoun
Jennifer Jordan
Rebekah A. Smith
Caroline Bell
collection Wiley Open Access
contents Treatment Outcomes of Cognitive Behavioural Therapy for Earthquake‐Related Distress Cate F. Woods Virginia V. W. McIntosh Christopher M. Frampton Frances A. Carter Helen C. Colhoun Jennifer Jordan Rebekah A. Smith Caroline Bell Counselling and Psychotherapy Research ABSTRACTBackgroundCognitive 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.AimsThe 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 & MethodsParticipants 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.ResultsFollowing 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.ConclusionFindings 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. 10.1002/capr.70002 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1002/capr.70002
format Artículo Open Access
id wiley_oa_10_1002_capr_70002
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by/4.0/
publishDate 2025
publisher Wiley
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spellingShingle Treatment Outcomes of Cognitive Behavioural Therapy for Earthquake‐Related Distress
Cate F. Woods
Virginia V. W. McIntosh
Christopher M. Frampton
Frances A. Carter
Helen C. Colhoun
Jennifer Jordan
Rebekah A. Smith
Caroline Bell
Counselling and Psychotherapy Research
Treatment Outcomes of Cognitive Behavioural Therapy for Earthquake‐Related Distress Cate F. Woods Virginia V. W. McIntosh Christopher M. Frampton Frances A. Carter Helen C. Colhoun Jennifer Jordan Rebekah A. Smith Caroline Bell Counselling and Psychotherapy Research ABSTRACTBackgroundCognitive 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.AimsThe 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 & MethodsParticipants 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.ResultsFollowing 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.ConclusionFindings 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. 10.1002/capr.70002 http://creativecommons.org/licenses/by/4.0/
title Treatment Outcomes of Cognitive Behavioural Therapy for Earthquake‐Related Distress
topic Counselling and Psychotherapy Research
url https://onlinelibrary.wiley.com/doi/10.1002/capr.70002