Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings: A Randomized Controlled Trial in Rwanda

Jacob N, Neuner F, Maedl A, Schaal S, Elbert T (2014)
Psychotherapy and Psychosomatics 83(6): 354-363.

Download
Es wurde kein Volltext hochgeladen. Nur Publikationsnachweis!
Zeitschriftenaufsatz | Veröffentlicht | Englisch
Autor
; ; ; ;
Abstract / Bemerkung
Background: Dissemination of psychotherapeutic modules to local counselors seems a key requirement for coping with mental health disasters in conflict regions. We tested a train-the-trainer (TTT) dissemination model for the treatment of posttraumatic stress disorder (PTSD). Methods: We randomly assigned widowed or orphaned survivors of the 1994 Rwandan genocide with a PTSD diagnosis to narrative exposure therapy (NET) treatment (NET-1, n = 38) or to a 6-month waiting list (WL) condition to be followed by treatment (WL/NET-2, n = 38). Expert therapists trained a first dissemination generation of local Rwandan psychologists in NET complemented by 2 sessions of interpersonal psychotherapy modules. Under the supervision of the experts, these Rwandan psychologists (a) provided NET to the NET-1 participants and (b) subsequently trained and supervised a second generation of local psychologists. This second dissemination generation provided treatment to the WL/NET-2 group. The primary outcome measure was the Clinician-Administered PTSD Scale total score before therapy and at 3-and 12-month follow-ups. Results: At the 3-month follow-up, the NET-1 participants suffered significantly and substantially less from PTSD symptoms than the participants in the WL group. The treatment gains of NET-1 were maintained and increased at follow-up, with a within-group effect size of Cohen's d = 1.47 at the 12-month follow-up. After treatment by the second dissemination generation of therapists, the WL/NET-2 participants improved to an extent similar to that of the NET-1 group at follow-ups, with an effect size of Cohen's d = 1.37 at the 12-month follow-up. Conclusions: A TTT model of PTSD treatment dissemination can be effective in resource-poor postconflict societies. (C) 2014 S. Karger AG, Basel
Erscheinungsjahr
Zeitschriftentitel
Psychotherapy and Psychosomatics
Band
83
Zeitschriftennummer
6
Seite
354-363
ISSN
PUB-ID

Zitieren

Jacob N, Neuner F, Maedl A, Schaal S, Elbert T. Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings: A Randomized Controlled Trial in Rwanda. Psychotherapy and Psychosomatics. 2014;83(6):354-363.
Jacob, N., Neuner, F., Maedl, A., Schaal, S., & Elbert, T. (2014). Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings: A Randomized Controlled Trial in Rwanda. Psychotherapy and Psychosomatics, 83(6), 354-363. doi:10.1159/000365114
Jacob, N., Neuner, F., Maedl, A., Schaal, S., and Elbert, T. (2014). Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings: A Randomized Controlled Trial in Rwanda. Psychotherapy and Psychosomatics 83, 354-363.
Jacob, N., et al., 2014. Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings: A Randomized Controlled Trial in Rwanda. Psychotherapy and Psychosomatics, 83(6), p 354-363.
N. Jacob, et al., “Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings: A Randomized Controlled Trial in Rwanda”, Psychotherapy and Psychosomatics, vol. 83, 2014, pp. 354-363.
Jacob, N., Neuner, F., Maedl, A., Schaal, S., Elbert, T.: Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings: A Randomized Controlled Trial in Rwanda. Psychotherapy and Psychosomatics. 83, 354-363 (2014).
Jacob, Nadja, Neuner, Frank, Maedl, Anna, Schaal, Susanne, and Elbert, Thomas. “Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings: A Randomized Controlled Trial in Rwanda”. Psychotherapy and Psychosomatics 83.6 (2014): 354-363.

14 Zitationen in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

Psychological therapies for the treatment of mental disorders in low- and middle-income countries affected by humanitarian crises.
Purgato M, Gastaldon C, Papola D, van Ommeren M, Barbui C, Tol WA., Cochrane Database Syst Rev 7(), 2018
PMID: 29975811
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
Addressing critical gaps in the treatment of eating disorders.
Kazdin AE, Fitzsimmons-Craft EE, Wilfley DE., Int J Eat Disord 50(3), 2017
PMID: 28102908
Perpetuating the cycle of violence in South African low-income communities: attraction to violence in young men exposed to continuous threat.
Hinsberger M, Sommer J, Kaminer D, Holtzhausen L, Weierstall R, Seedat S, Madikane S, Elbert T., Eur J Psychotraumatol 7(), 2016
PMID: 26747683

Export

Markieren/ Markierung löschen
Markierte Publikationen

Open Data PUB

Web of Science

Dieser Datensatz im Web of Science®

Quellen

PMID: 25323203
PubMed | Europe PMC

Suchen in

Google Scholar