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Psychosocial support for war-traumatized child and adolescent refugees: evaluation of a short-term treatment program.
Aust N Z J Psychiatry. 2005 Jan-Feb; 39(1-2):81-7.AN

Abstract

OBJECTIVE

The purpose of this study was to evaluate a newly designed psychosocial treatment program for war traumatized child and adolescent refugees. The program was designed to reduce emotional distress and improve psychosocial functioning.

METHOD

Ten young Kosovan refugees (mean age 13.3 years) residing in Germany participated in the manual based intervention program. This multimodal program consists of individual, family and group sessions using a psychoeducational approach beside trauma and grief focusing activities, creative techniques and relaxation. Kind and severity of traumatic experiences were gathered by interviewing the child and their caretakers using the Harvard Trauma Questionnaire (HTQ). Psychiatric diagnoses (Schedule for Affective Disorders and Schizophrenia for School-Age Children, K-SADS) were assessed prior to the intervention. Post-traumatic symptomatology (HTQ), emotional problems (Diagnostic System for Psychological Disorders, DYSIPS) and the overall psychosocial functioning (Child Global Assessment Scale, CGAS) were assessed before and after the 12-week intervention.

RESULTS

Following the intervention the degree of overall psychosocial functioning increased substantially in 9 of 10 participants. Furthermore, post-traumatic, anxiety and depressive symptoms were reduced significantly. The rate of post-traumatic stress disorder (PTSD) diagnoses fell from 60% to 30%. The number of patients with PTSD and a high rate of comorbid symptoms (depression and anxiety) as well as a history of severe traumatization remained at 30%.

CONCLUSIONS

This study suggests that the psychosocial treatment program specified for war traumatized adolescents may be useful for the relief of psychiatric sequelae and for an improvement in overall psychosocial functions, but not for the subgroup of severely traumatized patients with complex psychiatric disturbances.

Authors+Show Affiliations

University of Heidelberg, Department of Child and Adolescent Psychiatry, Blumenstrasse, Heidelberg, Germany.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15660709

Citation

Möhlen, Heike, et al. "Psychosocial Support for War-traumatized Child and Adolescent Refugees: Evaluation of a Short-term Treatment Program." The Australian and New Zealand Journal of Psychiatry, vol. 39, no. 1-2, 2005, pp. 81-7.
Möhlen H, Parzer P, Resch F, et al. Psychosocial support for war-traumatized child and adolescent refugees: evaluation of a short-term treatment program. Aust N Z J Psychiatry. 2005;39(1-2):81-7.
Möhlen, H., Parzer, P., Resch, F., & Brunner, R. (2005). Psychosocial support for war-traumatized child and adolescent refugees: evaluation of a short-term treatment program. The Australian and New Zealand Journal of Psychiatry, 39(1-2), 81-7.
Möhlen H, et al. Psychosocial Support for War-traumatized Child and Adolescent Refugees: Evaluation of a Short-term Treatment Program. Aust N Z J Psychiatry. 2005 Jan-Feb;39(1-2):81-7. PubMed PMID: 15660709.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Psychosocial support for war-traumatized child and adolescent refugees: evaluation of a short-term treatment program. AU - Möhlen,Heike, AU - Parzer,Peter, AU - Resch,Franz, AU - Brunner,Romuald, PY - 2005/1/22/pubmed PY - 2005/6/29/medline PY - 2005/1/22/entrez SP - 81 EP - 7 JF - The Australian and New Zealand journal of psychiatry JO - Aust N Z J Psychiatry VL - 39 IS - 1-2 N2 - OBJECTIVE: The purpose of this study was to evaluate a newly designed psychosocial treatment program for war traumatized child and adolescent refugees. The program was designed to reduce emotional distress and improve psychosocial functioning. METHOD: Ten young Kosovan refugees (mean age 13.3 years) residing in Germany participated in the manual based intervention program. This multimodal program consists of individual, family and group sessions using a psychoeducational approach beside trauma and grief focusing activities, creative techniques and relaxation. Kind and severity of traumatic experiences were gathered by interviewing the child and their caretakers using the Harvard Trauma Questionnaire (HTQ). Psychiatric diagnoses (Schedule for Affective Disorders and Schizophrenia for School-Age Children, K-SADS) were assessed prior to the intervention. Post-traumatic symptomatology (HTQ), emotional problems (Diagnostic System for Psychological Disorders, DYSIPS) and the overall psychosocial functioning (Child Global Assessment Scale, CGAS) were assessed before and after the 12-week intervention. RESULTS: Following the intervention the degree of overall psychosocial functioning increased substantially in 9 of 10 participants. Furthermore, post-traumatic, anxiety and depressive symptoms were reduced significantly. The rate of post-traumatic stress disorder (PTSD) diagnoses fell from 60% to 30%. The number of patients with PTSD and a high rate of comorbid symptoms (depression and anxiety) as well as a history of severe traumatization remained at 30%. CONCLUSIONS: This study suggests that the psychosocial treatment program specified for war traumatized adolescents may be useful for the relief of psychiatric sequelae and for an improvement in overall psychosocial functions, but not for the subgroup of severely traumatized patients with complex psychiatric disturbances. SN - 0004-8674 UR - https://www.unboundmedicine.com/medline/citation/15660709/Psychosocial_support_for_war_traumatized_child_and_adolescent_refugees:_evaluation_of_a_short_term_treatment_program_ L2 - https://journals.sagepub.com/doi/10.1111/j.1440-1614.2005.01513.x?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -