Objective: A parallel randomized clinical trial evaluated the efficacy of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) for victims of terrorist attacks with long-term psychopathology. 120 adult Spanish victims, who met the criteria for current posttraumatic stress disorder (PTSD), major depressive disorder (MDD), and/or anxiety disorders related to exposure to terrorist attacks that occurred 18 years ago, on average, were randomly assigned to 16 weekly sessions of TF-CBT ( = 60) or waiting list control conditions ( = 60). Participants who completed TF-CBT ( = 25) experienced significant pre-post decreases in diagnostic rates and in posttraumatic stress, depression, and anxiety symptoms.
View Article and Find Full Text PDFBackground: Scientific literature on posttraumatic growth (PTG) after terrorist attacks has primarily focused on persons who had not been directly exposed to terrorist attacks or persons who had been directly exposed to them, but who were assessed few months or years after the attacks.
Methods: We examined long-term PTG in 210 adults directly exposed to terrorist attacks in Spain a mean of 29.6 years after the attacks (range: 2-47 years).
Abundant scientific literature shows that exposure to traumatic situations during childhood or adolescence has long-term psychopathological consequences, for example, in the form of a higher prevalence of emotional disorders in adulthood. However, an evolutionary perspective suggests that there may be differential vulnerabilities depending on the age at which the trauma was suffered. As there are no studies on the psychopathological impact in adulthood of attacks suffered during childhood or adolescence, the objective of this study was to analyze the influence of the age at which a terrorist attack was suffered in the presence of emotional disorders many years after the attack.
View Article and Find Full Text PDFBackground: 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.