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| Name | Class |
|---|---|
| World Bank | OTHER |
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The project aims to investigate if trauma-related disorders and appetitive aggression can be reduced in former ex-combatants in DR Congo when a specific intervention (Narrative Exposure Therapy for Forensic Offender Rehabilitation, FORNET) is delivered by trained local personnel (phase 1). In a second step, the project aims to investigates the treatment success if this specific therapy is carried out by local personnel who have been trained by other local personnel ("train the trainer", phase 2) under the supervision of experts of the University of Konstanz.
The reintegration of former child soldiers and ex-combatants is a big challenge in war-torn countries. Former child soldiers and ex-combatants often suffer from mental health problems and show enhanced levels of aggression. The present study focuses on the reduction of appetitive aggression and the improvement of mental health in former child soldiers and ex-combatants in DR Congo.
The project consists of four steps:
The study is conceived as a randomized controlled study. In phase 1 and in phase 2, study participants will be randomized allocated to the intervention group (FORNET) and the control group (no intervention). The treatment effect will be measured by pre-post and 6-months follow-up evaluations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| NET for Forensic Offender Rehabilitation | Experimental | Narrative Exposure Therapy for Forensic Offender Rehabilitation (FORNET) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NET for Forensic Offender Rehabilitation (FORNET): a variant of Narrative Exposure Therapy | Behavioral | During the proposed therapy, the client constructs a chronological narrative of his or her whole life which includes all traumatic experiences and perpetrated violent acts. All emotions, cognitions, sensory information, and physiological reactions are activated and linked to the autobiographical context.In five sessions the trained therapist and the client try to go through all important traumatic experiences and perpetrated violent acts. The sixth session is a group session with four to five clients. The group session is oriented on Interpersonal Psychotherapy and focuses on the role change from soldier to civilian. |
| Measure | Description | Time Frame |
|---|---|---|
| Appetitive Aggression (Appetitive Aggression Scale) | 6 months | |
| Symptoms of post-traumatic stress disorder (Post-traumatic Diagnostic Scale, PDS) | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Symptoms of depression (Patient Health Questionnaire (PHQ-9) | 6 months | |
| Functionality (Work and Social Adjustment Scale) | 6 months | |
| Substance abuse |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Thomas Elbert, Prof. Dr. | University of Konstanz | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Transit Camp for ex-combatants/Reintegration camp for ex-combatants (ETN) | Goma | Republic of the Congo |
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| Control group | Other | The control group receives no intervention. |
|
| 6 months |
| Re-integration questionnaire | 6 months |
| ID | Term |
|---|---|
| D013313 | Stress Disorders, Post-Traumatic |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
| D008722 | Methods |
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