Outcome of cognitive behavioral therapy in adolescents after natural disaster
Abstract
Purpose The authors evaluated the effectiveness of cognitive behavioral therapy (CBT) among adolescents exposed to the 2004 earthquake in Bam, Iran.Methods Four months after the earthquake, 135 adolescents as a case group and 33 adolescents as a comparison group were evaluated with the Impact of Event Scale Revised (IES-R). Two therapists were trained in CBT in 3-day classes according to a manual provided by mental health services. After conducting CBT in the case group, both groups were evaluated again with IES-R.Results The severity of posttraumatic stress symptoms significantly decreased among the subjects given CBT in the case group. The improvement in posttraumatic stress symptoms was attributable to improvement in each of three-symptom categories (intrusion, avoidance, and arousal) and in the total score of posttraumatic stress disorder (p < .05).Conclusions The findings demonstrate the efficacy of CBT in alleviating posttraumatic stress symptoms among adolescents after a catastrophic disaster.
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CBT-based interventions have been found effective in reducing distress and subclinical symptoms in individuals who have experienced traumatic events.
“Furthermore, interventions based on cognitive behavioral therapy (CBT) have been found to be effective in reducing distress and subclinical symptoms in individuals who have experienced traumatic events, e.g., [8,9].”
Of two clinical trials and three RCTs of interventions in displacement locations, two RCTs met the review's inclusion criteria.
“Additionally, of two clinical trials63,64 and three RCTs56,65,67 of interventions delivered in locations of displacement, two RCTs met our inclusion criteria.”
From Mental health and psychosocial support in humanitarian settings: linking practice and research (2011) · cites this paper as [63]
Shooshtary and co-workers found that group cognitive behavioural therapy improved PTSD symptoms in 11-12-year-olds four months after the 2003 Bam earthquake, but not in a non-randomised waiting list control group.
“Shooshtary and co-workers63 assessed a group cognitive behavioural therapy 4 months after the 2003 Bam earthquake and reported improvements in PTSD symptoms in 11–12-year-olds but not in a non-randomised waiting list control group.”
From Mental health and psychosocial support in humanitarian settings: linking practice and research (2011) · cites this paper as [63]
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Robinson, E., Chapman, C., Orchard, F., Dixon, C., & John, M. (2026) · Journal of Child and Adolescent Mental Health · doi:10.2989/17280583.2025.2581754
Mental Health and Psychosocial Support
Ievers‐Landis, C. E., Patil, M., & Burkhart, K. M. (2026) · Springer eBooks · doi:10.1007/978-3-032-27013-9_18
- Authors
- Shooshtary, M. H., Panaghi, L., & Moghadam, J. A.
- Affiliations
- Shahid Beheshti University (IR)
- Iran University of Medical Sciences (IR)
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2008-05
- Volume
- 42
- Issue
- 5
- Pages
- 466-472
- ISSN
- 1054-139X (ISSN-L)
- OpenAlex
- W1988139227
- Cited by
- 74
- References
- 31
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 12 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 6 · 2015: 4 · 2014: 10 · 2013: 7 · 2012: 5
- FWCI
- 4.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Keywords
- cognitive behavioral therapy, adolescents, post-traumatic stress disorder, natural disasters, disaster mental health, posttraumatic stress symptoms, treatment efficacy
- MeSH terms
- Adolescent, Psychology, Adolescent, Adult, Analysis of Variance, Child, Disasters, Female, Humans, Iran, Male, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy, Case-Control Studies, Treatment Outcome
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