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Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings : A Randomized Controlled Trial in Rwanda

Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings : A Randomized Controlled Trial in Rwanda

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JACOB, Nadja, Frank NEUNER, Anna MAEDL, Susanne SCHAAL, Thomas ELBERT, 2014. Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings : A Randomized Controlled Trial in Rwanda. In: Psychotherapy and Psychosomatics. 83(6), pp. 354-363. ISSN 0033-3190. eISSN 1423-0348

@article{Jacob2014Disse-30339, title={Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings : A Randomized Controlled Trial in Rwanda}, year={2014}, doi={10.1159/000365114}, number={6}, volume={83}, issn={0033-3190}, journal={Psychotherapy and Psychosomatics}, pages={354--363}, author={Jacob, Nadja and Neuner, Frank and Maedl, Anna and Schaal, Susanne and Elbert, Thomas} }

<rdf:RDF xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#" xmlns:bibo="http://purl.org/ontology/bibo/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:xsd="http://www.w3.org/2001/XMLSchema#" > <rdf:Description rdf:about="https://kops.uni-konstanz.de/rdf/resource/123456789/30339"> <dc:contributor>Jacob, Nadja</dc:contributor> <dc:date rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2015-03-17T12:58:43Z</dc:date> <dcterms:title>Dissemination of Psychotherapy for Trauma Spectrum Disorders in Postconflict Settings : A Randomized Controlled Trial in Rwanda</dcterms:title> <dc:contributor>Neuner, Frank</dc:contributor> <dc:creator>Neuner, Frank</dc:creator> <bibo:uri rdf:resource="http://kops.uni-konstanz.de/handle/123456789/30339"/> <dc:creator>Maedl, Anna</dc:creator> <dc:language>eng</dc:language> <dc:creator>Schaal, Susanne</dc:creator> <dcterms:abstract xml:lang="eng">Background: Dissemination of psychotherapeutic modules to local counselors seems a key requirement for coping with mental health disasters in conflict regions. We tested a train-the-trainer (TTT) dissemination model for the treatment of posttraumatic stress disorder (PTSD). Methods: We randomly assigned widowed or orphaned survivors of the 1994 Rwandan genocide with a PTSD diagnosis to narrative exposure therapy (NET) treatment (NET-1, n = 38) or to a 6-month waiting list (WL) condition to be followed by treatment (WL/NET-2, n = 38). Expert therapists trained a first dissemination generation of local Rwandan psychologists in NET complemented by 2 sessions of interpersonal psychotherapy modules. Under the supervision of the experts, these Rwandan psychologists (a) provided NET to the NET-1 participants and (b) subsequently trained and supervised a second generation of local psychologists. This second dissemination generation provided treatment to the WL/NET-2 group. The primary outcome measure was the Clinician-Administered PTSD Scale total score before therapy and at 3- and 12-month follow-ups. Results: At the 3-month follow-up, the NET-1 participants suffered significantly and substantially less from PTSD symptoms than the participants in the WL group. The treatment gains of NET-1 were maintained and increased at follow-up, with a within-group effect size of Cohen's d = 1.47 at the 12-month follow-up. After treatment by the second dissemination generation of therapists, the WL/NET-2 participants improved to an extent similar to that of the NET-1 group at follow-ups, with an effect size of Cohen's d = 1.37 at the 12-month follow-up. Conclusions: A TTT model of PTSD treatment dissemination can be effective in resource-poor postconflict societies.</dcterms:abstract> <dc:contributor>Schaal, Susanne</dc:contributor> <dc:creator>Elbert, Thomas</dc:creator> <dcterms:issued>2014</dcterms:issued> <dc:contributor>Elbert, Thomas</dc:contributor> <dcterms:available rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2015-03-17T12:58:43Z</dcterms:available> <dc:contributor>Maedl, Anna</dc:contributor> <dcterms:rights rdf:resource="http://nbn-resolving.org/urn:nbn:de:bsz:352-20140905103605204-4002607-1"/> <dc:creator>Jacob, Nadja</dc:creator> </rdf:Description> </rdf:RDF>

Dateiabrufe seit 17.03.2015 (Informationen über die Zugriffsstatistik)

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