Narrative Exposure Therapy for 7-to 16-year-olds: A Randomized Controlled Trial With Traumatized Refugee Children

University of Konstanz and Vivo, Konstanz, Germany.
Journal of Traumatic Stress (Impact Factor: 2.72). 08/2010; 23(4):437-45. DOI: 10.1002/jts.20548
Source: PubMed

ABSTRACT The authors examined the effectiveness of narrative exposure therapy for children (KIDNET) in treating posttraumatic stress disorder (PTSD) in refugee children living in exile. Twenty-six children traumatized by organized violence were randomly assigned to KIDNET or to a waiting list. Significant treatment by time interactions on all PTSD-relevant variables indicated that the KIDNET group, but not the controls, showed a clinically significant improvement in symptoms and functioning. Success of the KIDNET group remained stable at 12-month follow-up. This study confirms previous findings that, if left untreated, PTSD in children may persist for an extended period. However, it also shows that it is possible to effectively treat chronic PTSD and restore functioning in traumatized refugee children in only 8 treatment sessions.

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Available from: Thomas Elbert, Jul 03, 2015
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    ABSTRACT: This article was originally published in the International Encyclopedia of the Social & Behavioral Sciences, 2nd edition, published by Elsevier, and the attached copy is provided by Elsevier for the author's benefit and for the benefit of the author's institution, for non-commercial research and educational use including without limitation use in instruction at your institution, sending it to specific colleagues who you know, and providing a copy to your institution's administrator. All other uses, reproduction and distribution, including without limitation commercial reprints, selling or licensing copies or access, or posting on open internet sites, your personal or institution's website or repository, are prohibited. For exceptions, permission may be sought for such use through Elsevier's permissions site at:
    International Encyclopedia of Social & Behavioral Sciences, 2nd edited by J. Wright, 01/2015: chapter Narrative Exposure Therapy: pages 198-203;
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    ABSTRACT: Purpose: This review examines the effectiveness of narrative exposure therapy (NET) , a short-term intervention for posttraumatic stress disorder (PTSD) in survivors of mass violence and torture, who have often suffered multiple traumas over several years. Methods: Randomized control trials were reviewed if they measured PTSD outcome and were published in English-language, peer-reviewed journals since 2000. Eight studies reviewed here report results with 482 diverse participants, including Sri Lankan children, Rwandan orphans, adult African refugees, and elderly Romanian prisoners. Results: NET produces a significant decrease in PTSD as compared to other treatments, waitlist, or treatment as usual (TAU) . Study strengths include treatment fidelity, use of standard measures, and experimental design. Applications to Practice: Preliminary evidence supports use of NET; evidence may be strengthened by larger trials, independent researchers, and further attention to blinding. Social workers who are concerned with refugee mental health should be trained to use effective methods.
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    ABSTRACT: Das Kernelement von Behandlungsverfahren, deren Wirksamkeit für Überlebende traumatischer Erlebnisse gut belegt ist, ist das zwischenmenschliche Mitteilen der Erfahrungen. Die Narration ereignet sich von Angesicht zu Angesicht, von Sprecher zu Zuhörer. So entsteht die Unmittelbarkeit gemeinsamen Nacherlebens: Die erzählende Person teilt erinnerte und sich neu aktualisierende Emotionen, Gedanken, Fakten und Empfindungen mit. Die Erzählung bezieht sich auf den Verlauf des Geschehens, genauso wie auf die vielschichtigen Bedeutungen des Erlebnisses einschließlich moralischer Implikationen und zukunftsweisender Konsequenzen für das Mensch- und Weltverständnis. Viele Generationen tauschten Informationen über bedeutende, auch schwere und schreckliche Ereignisse, Werte und Erfahrungen am Lagerfeuer aus und gaben diese an ihre Nachkommen weiter. Religionsgemeinschaften haben ihre Lehren in Form von Sammlungen ursprünglich mündlicher, später schriftlich fixierter Geschichten und Gleichnisse überliefert.
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