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Kontrollierte Therapieevaluation der Narrativen Expositionstherapie (NET) im Vergleich zu Stress-Impfungs-Training (SIT) bei posttraumatischer Belastungsstörung in Folge organisierter Gewalt

Kontrollierte Therapieevaluation der Narrativen Expositionstherapie (NET) im Vergleich zu Stress-Impfungs-Training (SIT) bei posttraumatischer Belastungsstörung in Folge organisierter Gewalt

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HENSEL-DITTMANN, Dorothea, 2007. Kontrollierte Therapieevaluation der Narrativen Expositionstherapie (NET) im Vergleich zu Stress-Impfungs-Training (SIT) bei posttraumatischer Belastungsstörung in Folge organisierter Gewalt [Dissertation]. Konstanz: University of Konstanz

@phdthesis{HenselDittmann2007Kontr-11096, title={Kontrollierte Therapieevaluation der Narrativen Expositionstherapie (NET) im Vergleich zu Stress-Impfungs-Training (SIT) bei posttraumatischer Belastungsstörung in Folge organisierter Gewalt}, year={2007}, author={Hensel-Dittmann, Dorothea}, address={Konstanz}, school={Universität Konstanz} }

Hensel-Dittmann, Dorothea deu A controlled treatment evaluation of narrative exposure therapy (NET) in comparison with stress inoculation training (SIT) for post-traumatic stress disorder as a consequence of organized violence Hensel-Dittmann, Dorothea 2011-03-25T09:25:30Z application/pdf 2011-03-25T09:25:30Z Kontrollierte Therapieevaluation der Narrativen Expositionstherapie (NET) im Vergleich zu Stress-Impfungs-Training (SIT) bei posttraumatischer Belastungsstörung in Folge organisierter Gewalt The repeated experience of violence has been shown to lead to the development of post-traumatic stress disorder (PTSD) in many cases. Refugees and asylum seekers in Germany have often fled from their countries of origin because of organized violence. They tend to show high rates of PTSD. To date, little research has been done on psychological treatments for this population. More specifically, there is a lack of systematic comparisons of different active treatments.<br />The current thesis describes a randomized controlled clinical trial comparing two treatments for post-traumatic stress disorder (PTSD) as a consequence of organized violence. The study was conducted in Germany. The sample mainly consisted of asylum seekers who had fled from their countries of origin after having experienced violence. Most of them had an insecure legal status of residency in Germany. Some subjects were former German Democratic Republic residents who had experienced organized violence. Twenty-eight persons were matched pairwise according to sex and origin and were randomly allocated to one of the two treatments. They received 10 treatment sessions of either NarrativeExposure Therapy (NET) or Stress Inoculation Training (SIT). Standardized diagnostic interviews were conducted before treatment and 4 weeks, 6 months and one year after the end of treatment. All participants suffered from a comorbid mood disorder before the start of treatment (82 % major depression, 18 % dysthymia).<br />The whole sample showed a significant reduction in PTSD rate over time at the six-months follow-up examination, but this was not the case when the two treatment groups were analysed separately. PTSD symptom severity decreased significantly across both treatment groups between the pretest and the six-months follow-up examination. However, regarding the two treatment groups separately, a significant reduction in PTSD severity was found for NET, but not for SIT. The symptom reduction in the NET group occurred between pretest and six-months follow-up examination, the effect size being d = 1.43 (for SIT: d = 0.12). There was no significant difference between NET and SIT regarding PTSD severity at any assessment point. The rates of major depression and other comorbid disorders did not decrease significantly over time in either of the two treatment groups. The scores of depressive symptoms also did not show a significant reduction over time.<br />The results indicate that exposure treatments like Narrative Exposure Therapy lead to a significant PTSD symptom reduction even in refugees and asylum seekers with mainly insecure asylum status. However, this status might have hindered successful treatment of comorbid disorders. 2007 deposit-license

Dateiabrufe seit 01.10.2014 (Informationen über die Zugriffsstatistik)

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