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Long-term effects of psychotherapy in a context of continuous community and gang violence : changes in aggressive attitude in high-risk South African adolescents

Long-term effects of psychotherapy in a context of continuous community and gang violence : changes in aggressive attitude in high-risk South African adolescents

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HINSBERGER, Martina, Leon HOLTZHAUSEN, Jessica SOMMER, Debra KAMINER, Thomas ELBERT, Soraya SEEDAT, Mareike AUGSBURGER, Maggie SCHAUER, Roland WEIERSTALL, 2019. Long-term effects of psychotherapy in a context of continuous community and gang violence : changes in aggressive attitude in high-risk South African adolescents. In: Behavioural and Cognitive Psychotherapy. ISSN 1352-4658. eISSN 1469-1833. Available under: doi: 10.1017/S1352465819000365

@article{Hinsberger2019-05-31Longt-46341, title={Long-term effects of psychotherapy in a context of continuous community and gang violence : changes in aggressive attitude in high-risk South African adolescents}, year={2019}, doi={10.1017/S1352465819000365}, issn={1352-4658}, journal={Behavioural and Cognitive Psychotherapy}, author={Hinsberger, Martina and Holtzhausen, Leon and Sommer, Jessica and Kaminer, Debra and Elbert, Thomas and Seedat, Soraya and Augsburger, Mareike and Schauer, Maggie and Weierstall, Roland} }

Augsburger, Mareike Weierstall, Roland Schauer, Maggie Background: Post-traumatic stress but also aggressive attitudes and behaviour can be found in adolescents living in a context of ongoing community and gang violence in the low-income urban areas of Cape Town, South Africa.<br /><br />Aims: We investigated the long-term effects (15–20 months after therapy) of (a) Narrative Exposure Therapy for Forensic Offender Rehabilitation (FORNET) and (b) the cognitive behavioural intervention ‘Thinking for a Change’ (CBT) on post-traumatic stress disorder (PTSD) and aggression compared with a waiting list.<br /><br />Method: Fifty-four young males participated in the treatment trial, of which 17 completed the FORNET intervention, 11 the CBT intervention, and 26 were on a waiting list. The primary outcome was the change score for the Appetitive Aggression Scale; secondary outcomes were the PTSD Symptom Scale-Interview change scores, and the number of perpetrated violent event types.<br /><br />Results: The reduction in scores for PTSD that had been observed in FORNET completers at the first follow-up were still significant at the second long-term follow-up (Cohen’s d = 0.86). In this treatment arm (FORNET), the scores for appetitive aggression were also significantly reduced (Cohen’s d = 1.00). There were no significant changes observed for CBT or for the waiting list.<br /><br />Conclusions: The study indicates that FORNET can successfully reduce post-traumatic stress as well as the attraction to violence even for individuals living under conditions of continuous traumatic stress. Long-term effects of psychotherapy in a context of continuous community and gang violence : changes in aggressive attitude in high-risk South African adolescents Hinsberger, Martina Seedat, Soraya Weierstall, Roland Elbert, Thomas 2019-07-11T14:05:22Z eng Kaminer, Debra Augsburger, Mareike Elbert, Thomas Holtzhausen, Leon Seedat, Soraya 2019-05-31 2019-07-11T14:05:22Z Holtzhausen, Leon Hinsberger, Martina Sommer, Jessica Kaminer, Debra Sommer, Jessica Schauer, Maggie

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