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Treating trauma and aggression with narrative exposure therapy in former child and adult soldiers : a randomized controlled trial in Eastern DR Congo

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Treating trauma and aggression with narrative exposure therapy in former child and adult soldiers : a randomized controlled trial in Eastern DR Congo

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KOEBACH, Anke, Samuel CARLEIAL, Thomas ELBERT, Sabine SCHMITT, Katy ROBJANT, 2021. Treating trauma and aggression with narrative exposure therapy in former child and adult soldiers : a randomized controlled trial in Eastern DR Congo. In: Journal of consulting and clinical psychology. American Psychological Association. 89(3), pp. 143-155. ISSN 0022-006X. eISSN 1939-2117. Available under: doi: 10.1037/ccp0000632

@article{Koebach2021-03Treat-53707, title={Treating trauma and aggression with narrative exposure therapy in former child and adult soldiers : a randomized controlled trial in Eastern DR Congo}, year={2021}, doi={10.1037/ccp0000632}, number={3}, volume={89}, issn={0022-006X}, journal={Journal of consulting and clinical psychology}, pages={143--155}, author={Koebach, Anke and Carleial, Samuel and Elbert, Thomas and Schmitt, Sabine and Robjant, Katy} }

<rdf:RDF xmlns:dcterms="http://purl.org/dc/terms/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#" xmlns:bibo="http://purl.org/ontology/bibo/" xmlns:dspace="http://digital-repositories.org/ontologies/dspace/0.1.0#" xmlns:foaf="http://xmlns.com/foaf/0.1/" xmlns:void="http://rdfs.org/ns/void#" xmlns:xsd="http://www.w3.org/2001/XMLSchema#" > <rdf:Description rdf:about="https://kops.uni-konstanz.de/rdf/resource/123456789/53707"> <dc:contributor>Schmitt, Sabine</dc:contributor> <dcterms:title>Treating trauma and aggression with narrative exposure therapy in former child and adult soldiers : a randomized controlled trial in Eastern DR Congo</dcterms:title> <foaf:homepage rdf:resource="http://localhost:8080/jspui"/> <dc:creator>Schmitt, Sabine</dc:creator> <dc:contributor>Robjant, Katy</dc:contributor> <dc:creator>Robjant, Katy</dc:creator> <dc:contributor>Carleial, Samuel</dc:contributor> <dcterms:isPartOf rdf:resource="https://kops.uni-konstanz.de/rdf/resource/123456789/43"/> <dc:creator>Carleial, Samuel</dc:creator> <dcterms:available rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2021-05-19T13:29:11Z</dcterms:available> <void:sparqlEndpoint rdf:resource="http://localhost/fuseki/dspace/sparql"/> <dc:language>eng</dc:language> <dc:contributor>Koebach, Anke</dc:contributor> <dspace:isPartOfCollection rdf:resource="https://kops.uni-konstanz.de/rdf/resource/123456789/43"/> <dc:creator>Elbert, Thomas</dc:creator> <dcterms:abstract xml:lang="eng">Objective: Individuals who return from armed groups present with a history of traumatic events including perpetration. Subsequent severe mental stress and heightened levels of reactive and appetitive aggression may persist and if left untreated, frequently impede peacebuilding and societal stability. In this study, we tested a revised adaptation of Narrative Exposure Therapy (NET; Schauer et al., 2011) for Forensic Offender Rehabilitation (FORNET) implemented in a sample of male former combatants in war-torn regions of the DR Congo. Method: We applied a longitudinal parallel-group randomized controlled design with treatment as usual (TAU) as control condition and 3–5 and 6–9 months follow-up assessments. The effect of treatment over time on clinical and social outcomes was tested with GLMMs; appetitive aggression and current violent behavior (CVB) were specified as primary and posttraumatic stress as secondary outcomes. Results: FORNET decreased appetitive aggression (within group Cohen’s dz = 2.00), CVB (dz = .90) and posttraumatic stress (dz = 1.48) significantly more than treatment as usual. Clinical significance was obtained for all outcomes. Remarkably, NET clients also reduced their substance abuse (dz = .68) even though this was not targeted within the intervention. Depression, perceived social acknowledgement and subjective solidarity with (para)military life decreased. Conclusion: FORNET is a compact and scalable psychotherapeutic intervention that effectively reduces current aggressive behavior including physical abuse against children, intimate partner violence (IPV), and community violence. FORNET further decreases appetitive aggression, posttraumatic stress symptoms, and other clinical and social problems that commonly hinder demobilization, reintegration, and post-conflict peacebuilding. (PsycInfo Database Record (c) 2021 APA, all rights reserved)</dcterms:abstract> <dc:contributor>Elbert, Thomas</dc:contributor> <bibo:uri rdf:resource="https://kops.uni-konstanz.de/handle/123456789/53707"/> <dcterms:issued>2021-03</dcterms:issued> <dc:creator>Koebach, Anke</dc:creator> <dc:date rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2021-05-19T13:29:11Z</dc:date> </rdf:Description> </rdf:RDF>

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