BACKGROUND There are no published studies on the clinical utility of psychotherapy in victims of terrorism who suffer emotional disorders many years after the attacks. METHOD A course of trauma-focused cognitive behavioral therapy was administered to 50 victims of terrorist attacks that occurred an average of 23 years previously and who presented isolated or concurrent posttraumatic stress disorder (PTSD; 74%), major depressive disorder (54%), panic disorder (38%), or other anxiety disorders (38%). RESULTS According to an intention-to-treat analysis (N=50), these percentages decreased significantly to 24% (PTSD and major depression), 16% (panic disorder) and 14% (other anxiety disorders) at 1-year follow-up. According to a complete data analysis, at posttreatment no victims (n=31) still presented major depressive or panic disorder, only 3.2% presented PTSD and 9.7% presented other anxiety disorders, whereas at 1-year follow-up, no victims presented any disorders (n=22). At posttreatment and at the 1-, 3-, 6-month, and 1-year follow-ups, large statistically and clinically significant decreases in PTSD, depression, and anxiety symptomatology were found (d=1.26 to 2.52 at 1-year follow-up). CONCLUSIONS These results suggest that efficacious treatments for recent victims are also useful in the usual clinical practice for victims with very long-term emotional disorders.

中文翻译：

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以创伤为重点的认知行为疗法对患有非常长期的情绪障碍的恐怖主义受害者的有效性。

背景技术尚未有关于心理疗法在恐怖袭击后多年遭受情感障碍的恐怖主义受害者中临床应用的公开研究。方法对50例平均在23年前发生的恐怖袭击的受害者进行了针对创伤的认知行为疗法疗程，他们遭受的是孤立性或并发的创伤后应激障碍（PTSD； 74％），重度抑郁症（54％），恐慌症（38％）或其他焦虑症（38％）。结果根据意向性治疗分析（N = 50），在随访1年时，这些百分比显着下降至24％（PTSD和重度抑郁），16％（惊恐障碍）和14％（其他焦虑症）。向上。根据完整的数据分析，在治疗后，没有受害者（n = 31）仍然表现出严重的抑郁或恐慌症，只有3名。2％的患者患有PTSD，9.7％的患者患有其他焦虑症，而在1年的随访中，没有受害者出现任何焦虑症（n = 22）。在治疗后以及1、3、6和1年的随访中，发现PTSD，抑郁症和焦虑症的统计学和临床​​显着降低（在1年随访中，d = 1.26至2.52） -向上）。结论这些结果表明，对于患有长期情感障碍的受害者，对新近受害者的有效治疗在常规临床实践中也很有用。1年随访时从26降至2.52）。结论这些结果表明，对于患有长期情感障碍的受害者，对新近受害者的有效治疗在常规临床实践中也很有用。1年随访时从26降至2.52）。结论这些结果表明，对于患有长期情感障碍的受害者，对新近受害者的有效治疗在常规临床实践中也很有用。