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Randomized Controlled Trial of the Effectiveness of Group Treatment With War-Exposed Bosnian Adolescents

Primary Purpose

Posttraumatic Stress Disorder, Depression, Grief (Traumatic Grief and Existential Grief)

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Trauma and Grief Component Therapy for Adolescents (Group Version)
Sponsored by
Brigham Young University
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Posttraumatic Stress Disorder focused on measuring Trauma, Grief, Depression, Adolescent, War, Group, Therapy, Treatment, Intervention, School, Development

Eligibility Criteria

14 Years - 19 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Significant trauma exposure before, during, or after the war (e.g., serious physical injury, life threat, witnessing death or serious injury, traumatic bereavement);
  • Significant current distress, especially severe persisting symptoms of PTSD, depression, or traumatic grief;
  • Significant functional impairment in family or peer relationships and school performance

Exclusion Criteria:

  • Acute risk status (e.g., suicidal plans and intent)
  • Psychosis
  • Severe substance abuse (severe enough to interfere with engagement in treatment).

Sites / Locations

    Outcomes

    Primary Outcome Measures

    UCLA PTSD Reaction Index
    Depression Self-Rating Scale
    UCLA Grief Scale

    Secondary Outcome Measures

    Cognitive Distortions Scale
    War Exposure Index
    Post-War Adversities Scale
    Trauma Reminder Screening Scale
    Loss Reminder Screening Scale
    Youth Outcome Questionnaire (Somatic and Interpersonal Problems Subscales)

    Full Information

    First Posted
    May 30, 2007
    Last Updated
    May 30, 2007
    Sponsor
    Brigham Young University
    Collaborators
    UNICEF
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00480480
    Brief Title
    Randomized Controlled Trial of the Effectiveness of Group Treatment With War-Exposed Bosnian Adolescents
    Official Title
    Long-Term Post- War Adjustment in Bosnian Adolescents, Their Parents and Teachers
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2007
    Overall Recruitment Status
    Completed
    Study Start Date
    September 2000 (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    October 2001 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Brigham Young University
    Collaborators
    UNICEF

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Context: This is the first multi-site randomized controlled study of the effectiveness of a group treatment for war-exposed adolescents delivered in-country within a public school system. Objective: To evaluate the effectiveness of a trauma/grief-focused group treatment program in reducing symptoms of posttraumatic stress disorder (PTSD), depression, and traumatic grief in war-exposed Bosnian youths attending 10 secondary schools located in Central Bosnia.
    Detailed Description
    Design: A randomized controlled trial conducted during the 2000-2001 school year, with 4-month follow-up, compared group treatment to a psychoeducation/skill-based school milieu intervention. Setting and Participants: Students attending 10 Bosnian secondary schools exposed to severe trauma, traumatic loss, and severe adversity, reporting severe persisting symptoms of PTSD, depression, or traumatic grief, and functional impairment. Intervention: Students were randomly assigned to either 17-session Trauma and Grief Component Therapy (n=71), or a school milieu intervention (n=73), both conducted by trained school counselors.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Posttraumatic Stress Disorder, Depression, Grief (Traumatic Grief and Existential Grief)
    Keywords
    Trauma, Grief, Depression, Adolescent, War, Group, Therapy, Treatment, Intervention, School, Development

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    144 (Actual)

    8. Arms, Groups, and Interventions

    Intervention Type
    Behavioral
    Intervention Name(s)
    Trauma and Grief Component Therapy for Adolescents (Group Version)
    Primary Outcome Measure Information:
    Title
    UCLA PTSD Reaction Index
    Time Frame
    Pre-treatment, post-treatment, and at 4-month follow-up
    Title
    Depression Self-Rating Scale
    Time Frame
    Pre-treatment, post-treatment, and 4-month follow-up
    Title
    UCLA Grief Scale
    Time Frame
    Pre-treatment, post-treatment
    Secondary Outcome Measure Information:
    Title
    Cognitive Distortions Scale
    Time Frame
    Pre-treatment and post-treatment
    Title
    War Exposure Index
    Time Frame
    Pre-treatment (screening survey)
    Title
    Post-War Adversities Scale
    Time Frame
    Pre-treatment (screening survey)
    Title
    Trauma Reminder Screening Scale
    Time Frame
    Pre-treatment (screening survey)
    Title
    Loss Reminder Screening Scale
    Time Frame
    Pre-treatment (screening survey)
    Title
    Youth Outcome Questionnaire (Somatic and Interpersonal Problems Subscales)
    Time Frame
    Pre- and post-treatment

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    14 Years
    Maximum Age & Unit of Time
    19 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Significant trauma exposure before, during, or after the war (e.g., serious physical injury, life threat, witnessing death or serious injury, traumatic bereavement); Significant current distress, especially severe persisting symptoms of PTSD, depression, or traumatic grief; Significant functional impairment in family or peer relationships and school performance Exclusion Criteria: Acute risk status (e.g., suicidal plans and intent) Psychosis Severe substance abuse (severe enough to interfere with engagement in treatment).
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Christopher M Layne, Ph.D.
    Organizational Affiliation
    Brigham Young University, Provo, Utah, USA
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Randomized Controlled Trial of the Effectiveness of Group Treatment With War-Exposed Bosnian Adolescents

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