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Narrative Exposure Therapy Versus Group Interpersonal Psychotherapy

Primary Purpose

Posttraumatic Stress Disorder, Depression, Narrative Exposure Therapy

Status
Terminated
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Narrative Exposure Therapy
group IPT
6 months-baseline
Sponsored by
University of Konstanz
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Posttraumatic Stress Disorder focused on measuring Posttraumatic stress disorder, depression, Narrative Exposure Therapy, Interpersonal Psychotherapy

Eligibility Criteria

13 Years - 29 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Rwandan orphans who have experienced the genocide, who lost at least one parent during the genocide and who were no older than 18 years during the genocide

Exclusion Criteria:

  • Mental retardation
  • Psychotic symptoms or current drug or alcohol

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    No Intervention

    Experimental

    Arm Label

    1

    3

    2

    Arm Description

    NET

    6-months baseline

    group IPT

    Outcomes

    Primary Outcome Measures

    Symptoms of posttraumatic stress disorder, symptoms of depression

    Secondary Outcome Measures

    Full Information

    First Posted
    February 14, 2008
    Last Updated
    February 25, 2008
    Sponsor
    University of Konstanz
    Collaborators
    vivo
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00623298
    Brief Title
    Narrative Exposure Therapy Versus Group Interpersonal Psychotherapy
    Official Title
    Narrative Exposure Therapy Versus Group Interpersonal Psychotherapy -A Controlled Clinical Trial With Orphaned Survivors of the Rwandan Genocide
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2008
    Overall Recruitment Status
    Terminated
    Study Start Date
    January 2005 (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    March 2006 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    University of Konstanz
    Collaborators
    vivo

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The present study is a pragmatic trial that investigates the efficacy and usefulness of two treatment modules in a sample of Rwandan genocide orphans: Narrative Exposure Therapy (NET) versus group-Interpersonal Psychotherapy (IPT). We used a half year baseline to measure the treatment-induced changes. We hypothesized that there would be a greater reduction in posttraumatic stress symptoms in the NET- than in the IPT-group and that IPT would be superior to NET in the reduction of depression symptoms.
    Detailed Description
    The 1994 genocide of Rwanda has left countless children orphaned. 26 Rwandan orphans who fulfilled DSM-IV diagnosis of PTSD were offered participation in a controlled treatment trial. A group adaptation of Interpersonal Psychotherapy (IPT, n = 14) was compared to Narrative Exposure Therapy (NET, n = 12). Main outcome measures were symptoms of PTSD and depression assessed pre-treatment, 3 months after therapy (post-test) and 6 months after therapy (follow-up) using the CAPS, MINI and Hamilton Rating Scale. At post-test, participants in both treatment conditions showed reductions in posttraumatic stress symptoms and depression symptoms. At 6-month follow-up, NET proved to be more effective in the treatment of PTSD. Only 25% (n = 3) of NET-participants but 71% (n = 10) of the IPT-participants still fulfilled PTSD criteria at follow-up. Although there was a significant reduction in depression symptoms in both treatment groups from pre-test to follow-up, NET again proved to be more effective. This treatment-trial demonstrates that NET and group-IPT are suitable treatment modules even when most severe traumatic stress and difficult living conditions have led to chronic mental suffering.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Posttraumatic Stress Disorder, Depression, Narrative Exposure Therapy, Interpersonal Psychotherapy
    Keywords
    Posttraumatic stress disorder, depression, Narrative Exposure Therapy, Interpersonal Psychotherapy

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Masking
    Outcomes Assessor
    Allocation
    Non-Randomized
    Enrollment
    26 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1
    Arm Type
    Experimental
    Arm Description
    NET
    Arm Title
    3
    Arm Type
    No Intervention
    Arm Description
    6-months baseline
    Arm Title
    2
    Arm Type
    Experimental
    Arm Description
    group IPT
    Intervention Type
    Behavioral
    Intervention Name(s)
    Narrative Exposure Therapy
    Intervention Type
    Behavioral
    Intervention Name(s)
    group IPT
    Intervention Type
    Other
    Intervention Name(s)
    6 months-baseline
    Primary Outcome Measure Information:
    Title
    Symptoms of posttraumatic stress disorder, symptoms of depression

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    13 Years
    Maximum Age & Unit of Time
    29 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Rwandan orphans who have experienced the genocide, who lost at least one parent during the genocide and who were no older than 18 years during the genocide Exclusion Criteria: Mental retardation Psychotic symptoms or current drug or alcohol

    12. IPD Sharing Statement

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    Narrative Exposure Therapy Versus Group Interpersonal Psychotherapy

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