Addressing Heightened Levels of Aggression in Traumatized Offenders With Psychotherapeutic Means: A Randomized Controlled Trial in Eastern DR Congo
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 402
- 试验地点
- 2
- 主要终点
- Appetitive aggression (sumscore; 0-60 indicating higher levels)
研究概览
简要总结
Heightened levels of aggression are fuelling violent incidents at all levels, especially in post-war regions. Narrative Exposure Therapy for Forensic Offender Rehabilitation (FORNET) aims to address trauma symptoms along with reactive and instrumental/appetitive aggression to encounter the downward cycle of perpetration and enforce a sustainable (re-)integration into civil life. In the present study, the investigators provide an adapted version of FORNET to former combatants in the North Kivu, Eastern DR Congo. Structured baseline, 3 and 6 month follow up interviews will be administered to assess the main outcome measures recent violent acts and appetitive aggression.
详细描述
Participants will be recruited through local NGOs and eligible clients randomized to the treatment or waitlist control group, respectively. The treatment will be provided by supervised local counsellors after a 4-week training. At baseline, 3-month and 6-month follow up, sociodemographic data, trauma exposure, perpetrated violent acts, PTSD, recent aggression, functionality and drug dependency will be assessed. The interviews will be conducted by blind Congolese psychological interviewers after an intensive 3-weeks training and continuous supervision.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 16 Years 至 80 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Eligibility criteria
- •Former participant of an armed group in DR Congo
- •Involvement in violent attacks
- •Inclusion Criteria:
- •PTSD diagnosis or AAS sum score of 22 or higher
排除标准
- •Acute intoxification (alcohol or other drugs)
- •Acute psychotic symptoms
- •Sign of cerebro-organic diseases
结局指标
主要结局
Appetitive aggression (sumscore; 0-60 indicating higher levels)
时间窗: Change from baseline to 3-5 and 6-9 months post treatment
Appetitive Aggression Scale (Weierstall \& Ebert, 2011)
Current violent behavior (sumscore; 0-96 indicating more acts)
时间窗: Change from baseline to 3-5 and 6-9 months post treatment
A list of violent offenses perpetrated during the last 3 months (formerly used in Burundi; Crombach/Augsburger/Nandi)
次要结局
- PSS-I: Posttraumatic Stress Disorder (sumscore, 0-80 indicating higher severity)(Change from baseline to 3-5 and 6-9 months post treatment)
研究者
Anke Köbach
Postdoctoral Researcher
University of Konstanz