Cognitive Behavioral Therapy for Postdisaster Distress: A Community Based Treatment Program for Survivors of Hurricane Katrina

  • Jessica L. Hamblen
  • Fran H. Norris
  • Siobhan Pietruszkiewicz
  • Laura E. Gibson
  • April Naturale
  • Claudine Louis
Original Paper

Abstract

Many disaster survivors suffer from postdisaster distress regardless of whether or not they meet criteria for specific psychiatric diagnoses. Cognitive Behavior Therapy for Postdisaster Distress (CBT-PD), a ten-session manualized intervention, was developed to address a range of cognitive, emotional, and behavioral reactions to disaster. Trained community-based therapists provided CBT-PD to adult survivors of Hurricane Katrina as part of InCourage, a program sponsored by the Baton Rouge Area Foundation. Participants (n = 88) who were assessed at referral, pretreatment, intermediate treatment, and posttreatment showed significant and large improvements. The overall pre-post effect size was 1.4 in intention-to-treat analyses. Improvements were comparable for persons with more severe distress and persons with moderate distress at referral. Benefits were maintained at follow-up for the 66 adults who have been assessed.

Keywords

Disaster mental health services Hurricane Katrina Cognitive behavioral therapy 

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Copyright information

© U.S. Department of Veterans Affairs  2009

Authors and Affiliations

  • Jessica L. Hamblen
    • 1
    • 2
  • Fran H. Norris
    • 1
    • 2
  • Siobhan Pietruszkiewicz
    • 3
  • Laura E. Gibson
    • 4
  • April Naturale
    • 5
  • Claudine Louis
    • 2
  1. 1.National Center for PTSDVA Medical CenterWhite River JunctionUSA
  2. 2.Dartmouth Medical SchoolHanoverUSA
  3. 3.Louisiana State UniversityBaton RougeUSA
  4. 4.University of VermontBurlingtonUSA
  5. 5.New York University Silver School of Social WorkNew York CityUSA

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