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


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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    • "Thus, reducing secrecy may be a promising target in the treatment of sexually abused children. Research shows that disclosing traumatic experiences (e.g., through writing and/or talking) in therapy is associated with a range of positive outcomes for adults as well as children (Bradley & Follingstad, 2001; Deblinger, Mannarino, Cohen, Runyon, & Steer, 2011; Graham-Bermann, Kulkarni, & Kanukollu, 2011; Ruf et al., 2010; Van der Oord, Lucassen, Van Emmerik, & Emmelkamp, 2010). Also, traumatized children show better recovery when they are supported by their mother when discussing the impact of traumatic experiences, compared to support by a therapist only (Berkowitz, Smith Stover, & Marans, 2011). "
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    ABSTRACT: Although child sexual abuse (CSA) is associated with psychopathology, limited research examined mechanisms through which CSA leads to psychopathology in children. It is generally assumed that CSA is associated with secrecy among children, to our knowledge this assumption has not yet been empirically tested. This gap in our understanding of the aftermath of CSA is surprising in light of abundant evidence linking secrecy to psychopathology among children. The current study examined whether, as compared to children who have not experienced CSA, CSA victims have a greater tendency for secrecy as reported by mothers and children, and whether psychopathology in CSA victims may be explained by their tendency to keep secrets. Sixty-three non-offending mothers and their sexually abused children (68.3% female; M age=10.89) and 48 mothers and their non-abused children (62.5% female; M age=11.17) completed questionnaires on secrecy and psychopathology (i.e., internalizing and externalizing behavior problems). Mothers of abused children perceived higher levels of secrecy and psychopathology in their children as compared to mothers of non-abused children. There were no differences in child-reported secrecy between abused and non-abused children. Mediation analyses revealed that mother-reported secrecy mediated the association between CSA and psychopathology. These findings suggest that secrecy is a potential mechanism underlying psychopathology associated with CSA, which has important implications for treatment of abused children. Copyright © 2015 Elsevier Ltd. All rights reserved.
    Child Abuse & Neglect 05/2015; 46. DOI:10.1016/j.chiabu.2015.04.019 · 2.47 Impact Factor
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    • "Meanwhile, a number of studies showing the effectiveness of NET have been conducted completely independent from the originators of NET (Zang et al., 2013; Hijazi, 2012; Hijazi et al., 2014; Gwozdziewycz and Mehl-Madrona, 2013; Ejiri et al., 2012; D omen et al., 2012) and thus the NET procedure has been successfully implemented in a variety of countries (e.g., Zech and Vandenbussche, 2010; Jongedijk, 2012, 2014). NET is available in special adaptations for offenders (FORNET; Elbert et al., 2012; Hermenau et al., 2013; Crombach and Elbert, 2014) and for children and adolescents (KIDNET; Schauer et al., 2005, 2004/2011; Onyut et al., 2005; Catani et al., 2009; Ruf et al., 2010; Hermenau et al., 2012; Neuner et al., 2008a; Ruf and Schauer, 2012). "
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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;
    • "Fernandez et al. (2013) reported improvement in trauma related nightmares in children related to PTSD using exposure, relaxation, and rescripting therapy. Ruf et al. (2010) examined the effectiveness of NET for children (KIDNET) in treating PTSD in refugee children living in exile. Results indicated that the KIDNET group showed a clinically significant improvement in symptoms and functioning. "
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    ABSTRACT: Post-traumatic stress disorder with secondary psychotic features is a syndrome that comprises of PTSD-symptoms followed in time by the additional appearance of psychotic features. While diagnostic criteria for this condition are not available, the clinical description of this condition has been described especially in individuals who have experienced severe, chronic, multiple traumatic events. This case study presents the treatment of a survivor of torture with severe PTSD and concomitant psychotic features using the psychosocial approach as a theoretical framework of the clinical presentation and Narrative Exposure therapy as a psychotherapeutic intervention. Narrative Exposure therapy could be a useful psychotherapeutic tool in relieving symptoms related to severe PSTD with secondary psychotic features. The overall implications involved in working with survivors of torture are also discussed.
    Clinical Case Studies 11/2014; DOI:10.1177/1534650114559831
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