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Feasibility and Effectiveness of Narrative Exposure Therapy and Cognitive Behavioral Therapy in a Context of Ongoing Violence in South Africa

Feasibility and Effectiveness of Narrative Exposure Therapy and Cognitive Behavioral Therapy in a Context of Ongoing Violence in South Africa

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HINSBERGER, Martina, Leon HOLTZHAUSEN, Jessica SOMMER, Debra KAMINER, Thomas ELBERT, Soraya SEEDAT, Sarah WILKER, Anselm CROMBACH, Roland WEIERSTALL, 2017. Feasibility and Effectiveness of Narrative Exposure Therapy and Cognitive Behavioral Therapy in a Context of Ongoing Violence in South Africa. In: Psychological Trauma: Theory, Research, Practice, and Policy. 9(3), pp. 282-291. ISSN 1942-9681. eISSN 1942-969X

@article{Hinsberger2017Feasi-37562, title={Feasibility and Effectiveness of Narrative Exposure Therapy and Cognitive Behavioral Therapy in a Context of Ongoing Violence in South Africa}, year={2017}, doi={10.1037/tra0000197}, number={3}, volume={9}, issn={1942-9681}, journal={Psychological Trauma: Theory, Research, Practice, and Policy}, author={Hinsberger, Martina and Holtzhausen, Leon and Sommer, Jessica and Kaminer, Debra and Elbert, Thomas and Seedat, Soraya and Wilker, Sarah and Crombach, Anselm and Weierstall, Roland} }

<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/123456789/37562"> <dc:date rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2017-02-17T10:41:59Z</dc:date> <dcterms:available rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2017-02-17T10:41:59Z</dcterms:available> <dc:creator>Holtzhausen, Leon</dc:creator> <dc:creator>Elbert, Thomas</dc:creator> <dc:contributor>Seedat, Soraya</dc:contributor> <dc:contributor>Wilker, Sarah</dc:contributor> <dc:creator>Hinsberger, Martina</dc:creator> <dc:creator>Wilker, Sarah</dc:creator> <dc:contributor>Holtzhausen, Leon</dc:contributor> <dc:contributor>Hinsberger, Martina</dc:contributor> <bibo:uri rdf:resource="https://kops.uni-konstanz.de/handle/123456789/37562"/> <dc:contributor>Sommer, Jessica</dc:contributor> <dcterms:abstract xml:lang="eng">Objective: In an observer-blinded intervention trial, we tested the reduction of posttraumatic stress symptoms, aggressive attitude, and behavior in young males living in a context of ongoing community and gang violence by means of (a) forensic offender rehabilitation narrative exposure therapy (FORNET), and (b) the cognitive-behavioral intervention "Thinking for a Change" (TFAC). A waiting list served as the control condition. Method: A total of 39 young men were included in the data analysis: 15 completed FORNET, 11 underwent cognitive-behavioral therapy (CBT), and 13 were on a waiting list for later treatment. The primary efficacy endpoints were the PTSD Symptom Scale-Interview (PSS-I) severity score, the Appetitive Aggression Scale (AAS) score, and the number of perpetrated violent event types 8 months (on average) after treatment. Results: Only in the sample receiving FORNET were posttraumatic stress disorder (PTSD) scores significantly reduced at the first follow-up (Cohen's d = -0.97) and significantly different from those of the control group (Cohen's d = -1.03). The changes in scores for appetitive aggression and perpetrated events were not significant for any of the treatment conditions. Conclusions: The study shows that trauma-focused treatment can reduce the psychological symptoms of posttraumatic stress even for individuals living under unsafe conditions in low-income urban communities. However, achieving changes in violent behavior within a context of ongoing violence may require more than the treatment of trauma-related suffering, confrontation with one's offenses, or cognitive-behavioral interventions.</dcterms:abstract> <dcterms:title>Feasibility and Effectiveness of Narrative Exposure Therapy and Cognitive Behavioral Therapy in a Context of Ongoing Violence in South Africa</dcterms:title> <dc:contributor>Weierstall, Roland</dc:contributor> <dc:creator>Sommer, Jessica</dc:creator> <dc:creator>Crombach, Anselm</dc:creator> <dc:creator>Kaminer, Debra</dc:creator> <dc:contributor>Crombach, Anselm</dc:contributor> <dcterms:issued>2017</dcterms:issued> <dc:contributor>Elbert, Thomas</dc:contributor> <dc:language>eng</dc:language> <dc:creator>Weierstall, Roland</dc:creator> <dc:contributor>Kaminer, Debra</dc:contributor> <dc:creator>Seedat, Soraya</dc:creator> </rdf:Description> </rdf:RDF>

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