Article

The emerging evidence for Narrative Exposure Therapy: A review. Clinical Psychology Review, 30(8), 1030-1039

Traumatic Stress Service, Clinical Treatment Centre, Maudsley Hospital, Denmark Hill, London SE58AZ, United Kingdom.
Clinical psychology review (Impact Factor: 7.18). 12/2010; 30(8):1030-9. DOI: 10.1016/j.cpr.2010.07.004
Source: PubMed

ABSTRACT Individuals who have experienced multiple traumatic events over long periods as a result of war, conflict and organised violence, may represent a unique group amongst PTSD patients in terms of psychological and neurobiological sequelae. Narrative Exposure Therapy (NET) is a short-term therapy for individuals who have PTSD symptoms as a result of these types of traumatic experiences. Originally developed for use in low-income countries, it has since been used to treat asylum seekers and refugees in high-income settings. The treatment involves emotional exposure to the memories of traumatic events and the reorganisation of these memories into a coherent chronological narrative. This review of all the currently available literature investigates the effectiveness of NET in treatment trials of adults and also of KIDNET, an adapted version for children. Results from treatment trials in adults have demonstrated the superiority of NET in reducing PTSD symptoms compared with other therapeutic approaches. Most trials demonstrated that further improvements had been made at follow-up suggesting sustained change. Treatment trials of KIDNET have shown its effectiveness in reducing PTSD amongst children. Emerging evidence suggests that NET is an effective treatment for PTSD in individuals who have been traumatised by conflict and organised violence, even in settings that remain volatile and insecure.

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Available from: Mina Fazel, May 30, 2014
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    • "Narrative exposure therapy (NET) was designed specifically for survivors of multiple traumas and involves techniques similar to CBT such as exposure and cognitive challenge (Schauer et al. 2005; Dossa & Hatem, 2012). Briefly, NET involves the creation of a chronological account of biography with detailed reconstruction of fragmented trauma memories in order to achieve habituation (Robjant & Fazel, 2010; Ertl et al. 2011). NET has been shown to be effective with asylum seekers and refugees (Neuner et al. 2009; Slobodin & de Jong, 2014). "
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    • "Compared to wait-list controls, the KIDNET group demonstrated clinically significant improvements in symptoms and functioning (Ruf et al., 2010). See the NET review of Robjant and Fazel (2010) for further discussion. "
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    • "The emergence of better PTSD outcomes from EMDR and NET, including trials held in the developed and developing world, all indicate that patients are able and willing to face their past. But they may need to approach it, and tell their stories in different ways.18,93 One distinctive difference in NET is that past events are not revisited as frequently. "
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