Cognitive-behavior therapy vs exposure therapy in the treatment of PTSD inrefugees

The present study investigated the efficacy of cognitive-behavior therapy ( CBT) and exposure therapy (E) in the treatment of post-traumatic stress dis order (PTSD) in refugees. Sixteen outpatients fulfilling the DSM-IV criteri a for PTSD were randomized to one of the two treatments. Assessor and self- report measures of PTSD-symptoms, generalized anxiety, depression, quality of life and cognitive schemas were administered before and after treatment, and at a 6-month follow-up. The patients were treated individually for 16- 20 weekly sessions. The results showed that both treatments resulted in lar ge improvements on all the measures, which were maintained at the follow-up . There was no difference between E and CBT on any measure. E and CBT led t o a 48 and 53% reduction on PTSD-symptoms, respectively, a 49 and 50% reduc tion on generalized anxiety, and a 54 and 57% reduction on depression. The results were maintained at the 6-month follow-up. The conclusion that can b e drawn is that both E and CBT can be effective treatments for PTSD in refu gees. (C) 2001 Elsevier Science Ltd. All rights reserved.