Treatment of Traumatized Victims of War and Torture: A Randomized Controlled Comparison of Narrative Exposure Therapy and Stress Inoculation Training

Hensel-Dittmann D, Schauer M, Ruf M, Catani C, Odenwald M, Elbert T, Neuner F (2011)
Psychotherapy and Psychosomatics 80(6): 345-352.

Download
Es wurde kein Volltext hochgeladen. Nur Publikationsnachweis!
Zeitschriftenaufsatz | Veröffentlicht | Englisch
Autor
; ; ; ; ; ;
Abstract / Bemerkung
Background: The aim of the present randomized controlled trial was to compare the outcome of 2 active treatments for posttraumatic stress disorder (PTSD) as a consequence of war and torture: narrative exposure therapy (NET) and stress inoculation training (SIT). Methods: Twenty-eight PTSD patients who had experienced war and torture, most of them asylum seekers, received 10 treatment sessions of either NET or SIT at the Outpatient Clinic for Refugees, University of Konstanz, Germany. Posttests were carried out 4 weeks after treatment, and follow-up tests were performed 6 months and 1 year after treatment. The main outcome measure was the PTSD severity score according to the Clinician-Administered PTSD Scale (CAPS) at each time point. Results: A significant reduction in PTSD severity was found for NET, but not for SIT. A symptom reduction in the NET group occurred between pretest and the 6-month follow-up examination, the effect size being d = 1.42 (for SIT: d = 0.12), and between pretest and the 1-year follow-up, the effect size being d = 1.59 (for SIT: d = 0.19). The rates and scores of major depression and other comorbid disorders did not decrease significantly over time in either of the 2 treatment groups. Conclusions: The results indicate that exposure treatments like NET lead to a significant PTSD symptom reduction even in severely traumatized refugees and asylum seekers. Copyright (C) 2011 S. Karger AG, Basel
Erscheinungsjahr
Zeitschriftentitel
Psychotherapy and Psychosomatics
Band
80
Zeitschriftennummer
6
Seite
345-352
ISSN
eISSN
PUB-ID

Zitieren

Hensel-Dittmann D, Schauer M, Ruf M, et al. Treatment of Traumatized Victims of War and Torture: A Randomized Controlled Comparison of Narrative Exposure Therapy and Stress Inoculation Training. Psychotherapy and Psychosomatics. 2011;80(6):345-352.
Hensel-Dittmann, D., Schauer, M., Ruf, M., Catani, C., Odenwald, M., Elbert, T., & Neuner, F. (2011). Treatment of Traumatized Victims of War and Torture: A Randomized Controlled Comparison of Narrative Exposure Therapy and Stress Inoculation Training. Psychotherapy and Psychosomatics, 80(6), 345-352. doi:10.1159/000327253
Hensel-Dittmann, D., Schauer, M., Ruf, M., Catani, C., Odenwald, M., Elbert, T., and Neuner, F. (2011). Treatment of Traumatized Victims of War and Torture: A Randomized Controlled Comparison of Narrative Exposure Therapy and Stress Inoculation Training. Psychotherapy and Psychosomatics 80, 345-352.
Hensel-Dittmann, D., et al., 2011. Treatment of Traumatized Victims of War and Torture: A Randomized Controlled Comparison of Narrative Exposure Therapy and Stress Inoculation Training. Psychotherapy and Psychosomatics, 80(6), p 345-352.
D. Hensel-Dittmann, et al., “Treatment of Traumatized Victims of War and Torture: A Randomized Controlled Comparison of Narrative Exposure Therapy and Stress Inoculation Training”, Psychotherapy and Psychosomatics, vol. 80, 2011, pp. 345-352.
Hensel-Dittmann, D., Schauer, M., Ruf, M., Catani, C., Odenwald, M., Elbert, T., Neuner, F.: Treatment of Traumatized Victims of War and Torture: A Randomized Controlled Comparison of Narrative Exposure Therapy and Stress Inoculation Training. Psychotherapy and Psychosomatics. 80, 345-352 (2011).
Hensel-Dittmann, D., Schauer, Margarete, Ruf, Martina, Catani, Claudia, Odenwald, Michael, Elbert, Thomas, and Neuner, Frank. “Treatment of Traumatized Victims of War and Torture: A Randomized Controlled Comparison of Narrative Exposure Therapy and Stress Inoculation Training”. Psychotherapy and Psychosomatics 80.6 (2011): 345-352.

26 Zitationen in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

[Psychosocial care of refugees in Germany : Insights from the emergency relief and development aid].
Bajbouj M, Alabdullah J, Ahmad S, Schidem S, Zellmann H, Schneider F, Heuser I., Nervenarzt 89(1), 2018
PMID: 28405699
Hsp90 and FKBP51: complex regulators of psychiatric diseases.
Criado-Marrero M, Rein T, Binder EB, Porter JT, Koren J, Blair LJ., Philos Trans R Soc Lond B Biol Sci 373(1738), 2018
PMID: 29203717
Effect of a combined brief narrative exposure therapy with case management versus treatment as usual in primary care for patients with traumatic stress sequelae following intensive care medicine: study protocol for a multicenter randomized controlled trial (PICTURE).
Gensichen J, Schultz S, Adrion C, Schmidt K, Schauer M, Lindemann D, Unruh N, Kosilek RP, Schneider A, Scherer M, Bergmann A, Heintze C, Joos S, Briegel J, Scherag A, König HH, Brettschneider C, Schulze TG, Mansmann U, Linde K, Lühmann D, Voigt K, Gehrke-Beck S, Koch R, Zwissler B, Schneider G, Gerlach H, Kluge S, Koch T, Walther A, Atmann O, Oltrogge J, Sauer M, Schnurr J, Elbert T, PICTURE Study Group., Trials 19(1), 2018
PMID: 30201053
Psychotherapeutic Group Intervention for Traumatized Male Refugees Using Imaginative Stabilization Techniques-A Pilot Study in a German Reception Center.
Zehetmair C, Kaufmann C, Tegeler I, Kindermann D, Junne F, Zipfel S, Herpertz SC, Herzog W, Nikendei C., Front Psychiatry 9(), 2018
PMID: 30420815
Narrative Exposure Therapy: A Proposed Model to Address Intimate Partner Violence-Related PTSD in Parenting and Pregnant Adolescents.
Volpe EM, Quinn CR, Resch K, Sommers MS, Wieling E, Cerulli C., Fam Community Health 40(3), 2017
PMID: 26422231
[Systematic review and evidence mapping of empirical studies on health status and medical care among refugees and asylum seekers in Germany (1990-2014)].
Bozorgmehr K, Mohsenpour A, Saure D, Stock C, Loerbroks A, Joos S, Schneider C., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 59(5), 2016
PMID: 27090243
Identification and characterization of HPA-axis reactivity endophenotypes in a cohort of female PTSD patients.
Zaba M, Kirmeier T, Ionescu IA, Wollweber B, Buell DR, Gall-Kleebach DJ, Schubert CF, Novak B, Huber C, Köhler K, Holsboer F, Pütz B, Müller-Myhsok B, Höhne N, Uhr M, Ising M, Herrmann L, Schmidt U., Psychoneuroendocrinology 55(), 2015
PMID: 25745955
Efficacy of Narrative Writing as an Intervention for PTSD: Does the Evidence Support Its Use?
Sloan DM, Sawyer AT, Lowmaster SE, Wernick J, Marx BP., J Contemp Psychother 45(4), 2015
PMID: 26640295
The effect of trauma-focused therapy on the altered T cell distribution in individuals with PTSD: evidence from a randomized controlled trial.
Morath J, Gola H, Sommershof A, Hamuni G, Kolassa S, Catani C, Adenauer H, Ruf-Leuschner M, Schauer M, Elbert T, Groettrup M, Kolassa IT., J Psychiatr Res 54(), 2014
PMID: 24726027
A comparison of Narrative Exposure Therapy and Prolonged Exposure therapy for PTSD.
Mørkved N, Hartmann K, Aarsheim LM, Holen D, Milde AM, Bomyea J, Thorp SR., Clin Psychol Rev 34(6), 2014
PMID: 25047447
Attentional bias modification in posttraumatic stress disorder: a randomized controlled trial.
Schoorl M, Putman P, Van Der Does W., Psychother Psychosom 82(2), 2013
PMID: 23295710
Non-specialist health worker interventions for the care of mental, neurological and substance-abuse disorders in low- and middle-income countries.
van Ginneken N, Tharyan P, Lewin S, Rao GN, Meera SM, Pian J, Chandrashekar S, Patel V., Cochrane Database Syst Rev (11), 2013
PMID: 24249541
Psychological therapies for chronic post-traumatic stress disorder (PTSD) in adults.
Bisson JI, Roberts NP, Andrew M, Cooper R, Lewis C., Cochrane Database Syst Rev (12), 2013
PMID: 24338345
Efficacy of writing for recovery on traumatic grief symptoms of Afghani refugee bereaved adolescents: a randomized control trial.
Kalantari M, Yule W, Dyregrov A, Neshatdoost H, Ahmadi SJ., Omega (Westport) 65(2), 2012
PMID: 22953510

33 References

Daten bereitgestellt von Europe PubMed Central.

Common mental disorders in postconflict settings.
de Jong JT, Komproe IH, Van Ommeren M., Lancet 361(9375), 2003
PMID: 12826440
Traumatic events and symptoms of post-traumatic stress disorder amongst Sudanese nationals, refugees and Ugandans in the West Nile.
Karunakara UK, Neuner F, Schauer M, Singh K, Hill K, Elbert T, Burnha G., Afr Health Sci 4(2), 2004
PMID: 15477186
Long-term consequences of traumatic experiences: an assessment of former political detainees in Romania.
Bichescu D, Schauer M, Saleptsi E, Neculau A, Elbert T, Neuner F., Clin Pract Epidemiol Ment Health 1(1), 2005
PMID: 16185364
Posttraumatic stress disorder symptoms in Bosnian refugees 3 1/2 years after resettlement.
Vojvoda D, Weine SM, McGlashan T, Becker DF, Southwick SM., J Rehabil Res Dev 45(3), 2008
PMID: 18629750
Psychological trauma and evidence for enhanced vulnerability for posttraumatic stress disorder through previous trauma among West Nile refugees.
Neuner F, Schauer M, Karunakara U, Klaschik C, Robert C, Elbert T., BMC Psychiatry 4(), 2004
PMID: 15504233

Gäbel, Z Klin Psychol 35(), 2006
CBT for Vietnamese refugees with treatment-resistant PTSD and panic attacks: a pilot study.
Hinton DE, Pham T, Tran M, Safren SA, Otto MW, Pollack MH., J Trauma Stress 17(5), 2004
PMID: 15633922

Snodgrass, J Trauma Stress 6(), 1993
Testimony psychotherapy in Bosnian refugees: a pilot study.
Weine SM, Kulenovic AD, Pavkovic I, Gibbons R., Am J Psychiatry 155(12), 1998
PMID: 9842782
Cognitive-behavioral treatment of tortured asylum seekers: a case study.
Basoglu M, Ekblad S, Baarnhielm S, Livanou M., J Anxiety Disord 18(3), 2004
PMID: 15125982
Can asylum-seekers with posttraumatic stress disorder be successfully treated? A randomized controlled pilot study.
Neuner F, Kurreck S, Ruf M, Odenwald M, Elbert T, Schauer M., Cogn Behav Ther 39(2), 2010
PMID: 19816834
A comparison of exposure therapy, stress inoculation training, and their combination for reducing posttraumatic stress disorder in female assault victims.
Foa EB, Dancu CV, Hembree EA, Jaycox LH, Meadows EA, Street GP., J Consult Clin Psychol 67(2), 1999
PMID: 10224729
Treatment of posttraumatic stress disorder by trained lay counselors in an African refugee settlement: a randomized controlled trial.
Neuner F, Onyut PL, Ertl V, Odenwald M, Schauer E, Elbert T., J Consult Clin Psychol 76(4), 2008
PMID: 18665696
The development of a Clinician-Administered PTSD Scale.
Blake DD, Weathers FW, Nagy LM, Kaloupek DG, Gusman FD, Charney DS, Keane TM., J Trauma Stress 8(1), 1995
PMID: 7712061
The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10.
Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC., J Clin Psychiatry 59 Suppl 20(), 1998
PMID: 9881538
A rating scale for depression.
HAMILTON M., J. Neurol. Neurosurg. Psychiatry 23(), 1960
PMID: 14399272
Development of a rating scale for primary depressive illness.
Hamilton M., Br J Soc Clin Psychol 6(4), 1967
PMID: 6080235

Weathers, Psychol Assess 11(), 1999
Cognitive therapy for post-traumatic stress disorder: development and evaluation.
Ehlers A, Clark DM, Hackmann A, McManus F, Fennell M., Behav Res Ther 43(4), 2005
PMID: 15701354
Randomized trial of prolonged exposure for posttraumatic stress disorder with and without cognitive restructuring: outcome at academic and community clinics.
Foa EB, Hembree EA, Cahill SP, Rauch SA, Riggs DS, Feeny NC, Yadin E., J Consult Clin Psychol 73(5), 2005
PMID: 16287395
Prolonged exposure in patients with chronic PTSD: predictors of treatment outcome and dropout.
van Minnen A, Arntz A, Keijsers GP., Behav Res Ther 40(4), 2002
PMID: 12002900

Export

Markieren/ Markierung löschen
Markierte Publikationen

Open Data PUB

Web of Science

Dieser Datensatz im Web of Science®

Quellen

PMID: 21829046
PubMed | Europe PMC

Suchen in

Google Scholar