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Treating post-traumatic stress disorder in survivors of community and domestic violence using narrative exposure therapy : a case series in two public health centers in Rio de Janeiro/Brazil

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2023

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Narrog, Jeanine Arabella
Pickler, Bianca
Avanci, Joviana Quintes
Assis, Simone Gonçalves de

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Ciencia & Saude Coletiva. Associação Brasileira de Pós-Graduação em Saúde Coletiva. 2023, 28(6), pp. 1619-1630. ISSN 1413-8123. eISSN 1678-4561. Available under: doi: 10.1590/1413-81232023286.16532022

Zusammenfassung

Prevalence of violence in Brazil is high, which contributes to an increasing number of trauma-related disorders, especially post-traumatic stress disorder (PTSD). This study aims to present a case series of PTSD patients treated with narrative exposure therapy (NET) in two public health centers in Rio de Janeiro (Brazil). Health professionals were trained in a two-week workshop to deliver NET. Exposure to violence and other potentially traumatic events, as well as PTSD were assessed by interviewers before treatment and six months later in follow-up interviews conducted by blind assessors. Multiple traumatic events, including different types of childhood and sexual abuse, intimate partner violence and community violence were reported. Five patients were exposed to community violence, and one to domestic violence, during or after NET treatment. Treatment delivery was integrated into the routine of health centers. Eight patients completed NET and presented a substantial reduction in PTSD severity at six-month follow-up. NET is a feasible and effective treatment for PTSD patients exposed to ongoing violence, and can be integrated into established public health services.

Zusammenfassung in einer weiteren Sprache

A prevalência de exposição à violência é alta no Brasil, contribuindo para o aumento do número de transtornos relacionados a traumas, especialmente o transtorno de estresse pós-traumático (TEPT). Este estudo tem por objetivo apresentar uma série de casos de pacientes com TEPT que passaram pela terapia de exposição narrativa (NET) em dois centros de saúde do Rio de Janeiro. Os profissionais de saúde receberam duas semanas de treinamento NET. A exposição à violência e a outros eventos potencialmente traumáticos, bem como o TEPT, foram avaliados por entrevistadores antes do tratamento e seis meses depois em entrevistas de acompanhamento conduzidas por avaliadores sob condição cega. O tratamento foi integrado à rotina dos serviços. Oito pacientes completaram a NET e apresentaram redução substancial na severidade do TEPT. Todos reportaram exposição a eventos traumáticos múltiplos, incluindo diferentes tipos de abuso infantil, sexual, violência por parceiro íntimo e comunitária. Cinco pacientes foram expostos à violência comunitária e um à violência doméstica durante ou após o tratamento. Esta série de casos mostra que a NET é um tratamento eficaz para pacientes com TEPT expostos a violências contínuas e pode ser integrado nos serviços públicos de saúde.

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320 Politik

Schlagwörter

Post-traumatic stress disorder, Narrative exposure therapy, Violence, Trauma

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ISO 690SERPELONI, Fernanda, Jeanine Arabella NARROG, Bianca PICKLER, Joviana Quintes AVANCI, Simone Gonçalves de ASSIS, Anke KOEBACH, 2023. Treating post-traumatic stress disorder in survivors of community and domestic violence using narrative exposure therapy : a case series in two public health centers in Rio de Janeiro/Brazil. In: Ciencia & Saude Coletiva. Associação Brasileira de Pós-Graduação em Saúde Coletiva. 2023, 28(6), pp. 1619-1630. ISSN 1413-8123. eISSN 1678-4561. Available under: doi: 10.1590/1413-81232023286.16532022
BibTex
@article{Serpeloni2023-06Treat-69004,
  year={2023},
  doi={10.1590/1413-81232023286.16532022},
  title={Treating post-traumatic stress disorder in survivors of community and domestic violence using narrative exposure therapy : a case series in two public health centers in Rio de Janeiro/Brazil},
  number={6},
  volume={28},
  issn={1413-8123},
  journal={Ciencia & Saude Coletiva},
  pages={1619--1630},
  author={Serpeloni, Fernanda and Narrog, Jeanine Arabella and Pickler, Bianca and Avanci, Joviana Quintes and Assis, Simone Gonçalves de and Koebach, Anke}
}
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