A Randomized Controlled Wait-list Pilot Study Examining the Feasibility and Impact of a Combined Psychotherapy and Physiotherapy Group Treatment Program for Survivors of Torture Incarcerated in an Adult Prison in Kurdistan, Iraq
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Northwestern University
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Hopkins Symptom Checklist-25
Study Overview
Brief Summary
The aim of this study is to assess the impact and feasibility of an interdisciplinary group treatment approach, involving psychotherapy and physiotherapy, with survivors of torture that are incarcerated in a prison in Kurdistan, Iraq. The primary aim is to develop initial estimates of treatment effects on symptoms and poor functioning consistent with centralized pain and post-traumatic stress disorder, anxiety, and/or depression. The secondary aim is to assess the feasibility of studying this interdisciplinary treatment program in which local Kurdish psychotherapists and physiotherapists provide a 10-week intervention in a prison, in the Kurdish Sorani language, and to Kurdish participants that present with mental health symptoms, physical complaints, and poor functioning
Detailed Description
The aim of this randomized wait-list controlled pilot study is to assess the impact and feasibility of an interdisciplinary group treatment approach, involving psychotherapy and physiotherapy, with survivors of torture that are incarcerated in a prison in Kurdistan, Iraq. The primary aim is to develop initial estimates of treatment effects on symptoms and poor functioning consistent with centralized pain and post-traumatic stress disorder, anxiety, and/or depression. It is hypothesized that participants in the study will present with statistically significant improvements in some to all measures of symptoms and function. The secondary aim is to assess the feasibility of studying this interdisciplinary treatment program in which local Kurdish psychotherapists and physiotherapists provide a 10-week intervention in a prison, in the Kurdish Sorani language, and to Kurdish participants that present with mental health symptoms, physical complaints, and poor functioning
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 100 Years (Adult, Older Adult)
- Sex
- Male
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age equal to or greater than 18 years
- •Incarcerated in the reformatory where research is conducted
- •Native speaker of Sorani, a Kurdish language
- •History of torture is reported and documented during the psychotherapy intake
- •Presents with symptoms consistent with post-traumatic stress disorder, anxiety, and/or depression evident by a total score of greater than or equal to 1.75 on Hopkins Symptoms Checklist-25 and/or by a total score greater than or equal to 2.5 on the Harvard Trauma Questionnaire Part 4
- •Presents with symptoms consistent with centralized pain evident by a score of greater than or equal to 40 on the Central Sensitization Inventory Part A.
Exclusion Criteria
- •Reports he will not remain in the current reformatory for at least 6 months from the onset of the study
- •Is unable to make the time commitment required to participate
- •Presents with symptoms consistent with a psychiatric condition which makes participation in the study unsafe for himself or others, based on the evaluation by the treating psychotherapist
- •Presents with a high risk to self or others which makes participation in the study unsafe for himself or others, based on evaluation by the treating psychotherapist
- •Participation is deemed unsafe due to a severe medical condition previously diagnosed by a medical doctor and/or signs/symptoms consistent with a possible medical condition based on the evaluation by the treating physiotherapist, 6.) reports previously receiving treatment by Wchan
- •Current substance abuse reported by participant or identified by treating psychotherapist
- •Currently receiving mental health services and/or physiotherapy services from other organization
- •Reports unresolvable conflict with participant/s enrolled in the study.
Arms & Interventions
Treatment group
Participants randomly assigned to the treatment group will participate in an interdisciplinary treatment program in which local Kurdish psychotherapists and physiotherapists provide a 10-week intervention program. Treatment will consist of group physiotherapy and group psychotherapy
Intervention: Physiotherapy (Other)
Treatment group
Participants randomly assigned to the treatment group will participate in an interdisciplinary treatment program in which local Kurdish psychotherapists and physiotherapists provide a 10-week intervention program. Treatment will consist of group physiotherapy and group psychotherapy
Intervention: Psychotherapy (Other)
Wait-list group
Participants randomly assigned to the wait-list group will not receive treatment but will participate in outcome data collection for comparison purposes.
Outcomes
Primary Outcomes
Hopkins Symptom Checklist-25
Time Frame: 10 weeks
The HSCL-25 is a 25-question symptom inventory which measures symptoms of anxiety and depression.
Secondary Outcomes
- Patient Specific Functional Scale(10-weeks)
- Pittsburgh Sleep Quality Index(10-weeks)
- Harvard Trauma Questionnaire Part 4(10 weeks)
- Patient's Global Impression of Change Scale(10-weeks)
- General Self Efficacy Scale(10-weeks)
- Central Sensitization Inventory(10-weeks)
Investigators
Jeff Hartman
Assistant professor
Northwestern University