Long-Term Post- War Adjustment in Bosnian Adolescents, Their Parents and Teachers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 144
- 主要终点
- UCLA PTSD Reaction Index
研究概览
简要总结
Context: This is the first multi-site randomized controlled study of the effectiveness of a group treatment for war-exposed adolescents delivered in-country within a public school system.
Objective: To evaluate the effectiveness of a trauma/grief-focused group treatment program in reducing symptoms of posttraumatic stress disorder (PTSD), depression, and traumatic grief in war-exposed Bosnian youths attending 10 secondary schools located in Central Bosnia.
详细描述
Design: A randomized controlled trial conducted during the 2000-2001 school year, with 4-month follow-up, compared group treatment to a psychoeducation/skill-based school milieu intervention.
Setting and Participants: Students attending 10 Bosnian secondary schools exposed to severe trauma, traumatic loss, and severe adversity, reporting severe persisting symptoms of PTSD, depression, or traumatic grief, and functional impairment.
Intervention: Students were randomly assigned to either 17-session Trauma and Grief Component Therapy (n=71), or a school milieu intervention (n=73), both conducted by trained school counselors.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 14 Years 至 19 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Significant trauma exposure before, during, or after the war (e.g., serious physical injury, life threat, witnessing death or serious injury, traumatic bereavement);
- •Significant current distress, especially severe persisting symptoms of PTSD, depression, or traumatic grief;
- •Significant functional impairment in family or peer relationships and school performance
排除标准
- •Acute risk status (e.g., suicidal plans and intent)
- •Psychosis
- •Severe substance abuse (severe enough to interfere with engagement in treatment).
结局指标
主要结局
UCLA PTSD Reaction Index
时间窗: Pre-treatment, post-treatment, and at 4-month follow-up
Depression Self-Rating Scale
时间窗: Pre-treatment, post-treatment, and 4-month follow-up
UCLA Grief Scale
时间窗: Pre-treatment, post-treatment
次要结局
- Cognitive Distortions Scale(Pre-treatment and post-treatment)
- War Exposure Index(Pre-treatment (screening survey))
- Post-War Adversities Scale(Pre-treatment (screening survey))
- Trauma Reminder Screening Scale(Pre-treatment (screening survey))
- Loss Reminder Screening Scale(Pre-treatment (screening survey))
- Youth Outcome Questionnaire (Somatic and Interpersonal Problems Subscales)(Pre- and post-treatment)