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Ethno-cultural predictors, which determine features of cognitive behavioral therapy of persons with PTSD

Published online by Cambridge University Press:  23 March 2020

M. Sulaimanova  and
R. Sulaimanov
M. Sulaimanova
Affiliation:
Kyrgyz-Slavic University, Medical Psychology- Psychiatry- and Psychotherapy, Bishkek, Kyrgyz Republic
R. Sulaimanov
Affiliation:
Osnabrück Universität, Cognitive Science, Osnabrück, Germany

Abstract

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Objective

Study of the predictors of ethno-cultural adaptation among male population with PTSD.

Materials and methods

We examined 72 males (age: 18–52) with PTSD (F43.1), acquired in interethnic Kyrgyz-Uzbek conflict. In the process of CBT 3 psychotherapeutic groups were formed: 1st (2 homogenous subgroups) included 24 ethnic Kyrgyz, 2nd (2 homogenous subgroups): 24 ethnic Uzbeks, 3rd (2 heterogeneous subgroups): 12 Uzbeks, 12 Kyrgyz.

Methods

Semi-formalized interview, standardized scales for evaluating PTSD, anxiety, depression, aggression, loneliness.

Results

High levels of aggressiveness among Kyrgyz: 52.4, among Uzbeks: 51.7 (P < 0.05), loneliness among Kyrgyz: 38.9, among Uzbeks: 46.2 (P < 0.05), anxiety among Kyrgyz: 48.8, among Uzbeks: 52.4 (P < 0.05), depression among Kyrgyz: 57.5, among Uzbeks: 61.1 (P < 0.05) are mutually conditioning factors. In the CBT process, the values decreased: in 1st group anxiety level to 44.4 (P < 0.05), depression: 54.2 (P < 0.05); aggressiveness: 48.2 (P < 0.05), loneliness: 38.4 (P < 0.05); in 2nd: anxiety: 49.4 (P < 0.05), depression: 59.8 (P < 0.05), aggressiveness: 47.3 (P < 0.05), loneliness: 42.4 (P < 0.05); in 3rd: anxiety: 41,1 (P < 0.05), depression: 52.2 (P < 0.05), aggressiveness: 46.5 (P < 0.05), loneliness: 35.5 (P < 0.05).

Conclusions

High levels of aggressiveness and loneliness among the respondents of both ethnic groups are the predictors of PTSD. Emphasized anxiety-phobic (group 1) and anxiety-depressive (group 2) disorders are the activating mechanisms of adaptation processes in micro-society (psychotherapeutic group). Dominating anxiety-phobic disorders (group 1), anxiety-depressive disorders (group 2), and their entanglement with values of aggressiveness and loneliness determine development and stability of clinical-psychopathologic manifestations as dysthymic disorders, which is an indicator for biological treatment. Heterogeneous group, as a result of CBT, has shown activation of psychological adaptation mechanism by the dissociative type, which is one of the mechanisms of ethno-cultural adaptation and requires subsequent research.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster viewing: Cultural psychiatry
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S518
Copyright
Copyright © European Psychiatric Association 2017
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