Narrative Exposure Therapy for Survivors of Sexual and Gender Based Violence in Eastern DR Congo
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Posttraumatic Stress Disorder
- Sponsor
- University of Konstanz
- Enrollment
- 201
- Locations
- 1
- Primary Endpoint
- SVQ: Severity of shame (sumscore)
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
Anke Köbach
Postdoctoral Researcher
University of Konstanz
Eligibility Criteria
Inclusion Criteria
- •SGBV survivors (event happened more than 4 weeks ago)
- •PTSD diagnosis (DSM-5)
Exclusion Criteria
- •Acute psychosis
- •Signs of cerebro-organic disease
- •Acute drug or alcohol intoxication
Outcomes
Primary Outcomes
SVQ: Severity of shame (sumscore)
Time Frame: Change from baseline to 3 and 6 months post treatment
Shame Variability Questionnaire (Brown, Rizvi \& Linehan, unpublished)
PSS-I: Posttraumatic Stress Disorder symptom severity (sumscore and diagnosis)
Time Frame: Change from baseline to 3 and 6 months post treatment
PTSD Symptom Scale - Interview (PSS-I; Foa \& Tolin, 2000)
Secondary Outcomes
- PHQ: Depression symptom severity (sumscore)(Change in 3 and 6 months post treatment)
- Functionality (sumscore)(3 and 6 months post treatment)
- ShutD: Severity of Shutdown Dissociation Symptoms (sumscore)(Change from baseline to 3 and 6 months post treatment)