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| Name | Class |
|---|---|
| Vivo international e.V. | INDUSTRY |
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Throughout the last 10 years Narrative Exposure Therapy (NET) has evolved as one of the most effective, culturally sensitive trauma interventions. In the present study the effectiveness of NET delivered by trained health personnel in a sample of survivors of sexual and gender based violence (SGBV) who suffer from Posttraumatic Stress Disorder (PTSD) will be assessed. Structured baseline, 3 and 6 month follow up interviews will be administered to assess the main outcome measures PTSD and shame. The trial will take place in Goma, DR Congo, where SGBV and its sequelae has been a major problem.
Participants will be recruited through local NGOs and eligible clients randomized to the treatment (NET; app. N=100) or treatment-as-usual control (app. N=100) group, respectively. At baseline, 3-month and 6-month post-treatment, sociodemographic data, trauma exposure - esp. SGBV, PTSD, dissociation, shame, functionality and depression will be assessed in a structured interview. The interviews will be conducted by blind Congolese psychological interviewers after an intensive 3-weeks training and continuous supervision.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Narrative Exposure Therapy | Active Comparator | According to the NET manual (one lifeline session and 7 exposure sessions; see Schauer et al. 2011). |
|
| Treatment-as-usual | Active Comparator | Social support (provided on demand) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Narrative Exposure Therapy | Behavioral |
|
| |
| Social Support |
| Measure | Description | Time Frame |
|---|---|---|
| PSS-I: Posttraumatic Stress Disorder symptom severity (sumscore and diagnosis) | PTSD Symptom Scale - Interview (PSS-I; Foa & Tolin, 2000) | Change from baseline to 3 and 6 months post treatment |
| SVQ: Severity of shame (sumscore) | Shame Variability Questionnaire (Brown, Rizvi & Linehan, unpublished) | Change from baseline to 3 and 6 months post treatment |
| Measure | Description | Time Frame |
|---|---|---|
| ShutD: Severity of Shutdown Dissociation Symptoms (sumscore) | Shutdown Dissociation Scale (Schalinski et al., 2015) | Change from baseline to 3 and 6 months post treatment |
| PHQ: Depression symptom severity (sumscore) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Konstanz | Konstanz | Baden-Wurttemberg | 78464 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Schauer, M., Schauer, M., Neuner, F., & Elbert, T. (2011). Narrative exposure therapy: A short-term treatment for traumatic stress disorders. Hogrefe Publishing. |
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| ID | Term |
|---|---|
| D013313 | Stress Disorders, Post-Traumatic |
| D003075 | Coitus |
| ID | Term |
|---|---|
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |
| D012725 | Sexual Behavior |
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| Behavioral |
A local counselors provides social support on demand. |
|
Patient Health Questionnaire - 9 (PHQ-9; Kroenke & Spitzer, 2002)
| Change in 3 and 6 months post treatment |
| Functionality (sumscore) | Local Functionality Index (LFI; Bass et al., 2013) | 3 and 6 months post treatment |
| D001519 | Behavior |