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Treatment of traumatized victims of war and torture: a randomized controlled comparison of narrative exposure therapy and stress inoculation training.
Psychother Psychosom. 2011; 80(6):345-52.PP

Abstract

BACKGROUND

The aim of the present randomized controlled trial was to compare the outcome of 2 active treatments for posttraumatic stress disorder (PTSD) as a consequence of war and torture: narrative exposure therapy (NET) and stress inoculation training (SIT).

METHODS

Twenty-eight PTSD patients who had experienced war and torture, most of them asylum seekers, received 10 treatment sessions of either NET or SIT at the Outpatient Clinic for Refugees, University of Konstanz, Germany. Posttests were carried out 4 weeks after treatment, and follow-up tests were performed 6 months and 1 year after treatment. The main outcome measure was the PTSD severity score according to the Clinician-Administered PTSD Scale (CAPS) at each time point.

RESULTS

A significant reduction in PTSD severity was found for NET, but not for SIT. A symptom reduction in the NET group occurred between pretest and the 6-month follow-up examination, the effect size being d = 1.42 (for SIT: d = 0.12), and between pretest and the 1-year follow-up, the effect size being d = 1.59 (for SIT: d = 0.19). The rates and scores of major depression and other comorbid disorders did not decrease significantly over time in either of the 2 treatment groups.

CONCLUSIONS

The results indicate that exposure treatments like NET lead to a significant PTSD symptom reduction even in severely traumatized refugees and asylum seekers.

Authors+Show Affiliations

Department of Psychology, University of Konstanz and Center for Psychiatry Reichenau, Konstanz, Germany. dorle.hensel@uni-konstanz.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21829046

Citation

Hensel-Dittmann, D, et al. "Treatment of Traumatized Victims of War and Torture: a Randomized Controlled Comparison of Narrative Exposure Therapy and Stress Inoculation Training." Psychotherapy and Psychosomatics, vol. 80, no. 6, 2011, pp. 345-52.
Hensel-Dittmann D, Schauer M, Ruf M, et al. Treatment of traumatized victims of war and torture: a randomized controlled comparison of narrative exposure therapy and stress inoculation training. Psychother Psychosom. 2011;80(6):345-52.
Hensel-Dittmann, D., Schauer, M., Ruf, M., Catani, C., Odenwald, M., Elbert, T., & Neuner, F. (2011). Treatment of traumatized victims of war and torture: a randomized controlled comparison of narrative exposure therapy and stress inoculation training. Psychotherapy and Psychosomatics, 80(6), 345-52. https://doi.org/10.1159/000327253
Hensel-Dittmann D, et al. Treatment of Traumatized Victims of War and Torture: a Randomized Controlled Comparison of Narrative Exposure Therapy and Stress Inoculation Training. Psychother Psychosom. 2011;80(6):345-52. PubMed PMID: 21829046.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treatment of traumatized victims of war and torture: a randomized controlled comparison of narrative exposure therapy and stress inoculation training. AU - Hensel-Dittmann,D, AU - Schauer,M, AU - Ruf,M, AU - Catani,C, AU - Odenwald,M, AU - Elbert,T, AU - Neuner,F, Y1 - 2011/08/06/ PY - 2010/03/09/received PY - 2011/03/08/accepted PY - 2011/8/11/entrez PY - 2011/8/11/pubmed PY - 2012/2/18/medline SP - 345 EP - 52 JF - Psychotherapy and psychosomatics JO - Psychother Psychosom VL - 80 IS - 6 N2 - BACKGROUND: The aim of the present randomized controlled trial was to compare the outcome of 2 active treatments for posttraumatic stress disorder (PTSD) as a consequence of war and torture: narrative exposure therapy (NET) and stress inoculation training (SIT). METHODS: Twenty-eight PTSD patients who had experienced war and torture, most of them asylum seekers, received 10 treatment sessions of either NET or SIT at the Outpatient Clinic for Refugees, University of Konstanz, Germany. Posttests were carried out 4 weeks after treatment, and follow-up tests were performed 6 months and 1 year after treatment. The main outcome measure was the PTSD severity score according to the Clinician-Administered PTSD Scale (CAPS) at each time point. RESULTS: A significant reduction in PTSD severity was found for NET, but not for SIT. A symptom reduction in the NET group occurred between pretest and the 6-month follow-up examination, the effect size being d = 1.42 (for SIT: d = 0.12), and between pretest and the 1-year follow-up, the effect size being d = 1.59 (for SIT: d = 0.19). The rates and scores of major depression and other comorbid disorders did not decrease significantly over time in either of the 2 treatment groups. CONCLUSIONS: The results indicate that exposure treatments like NET lead to a significant PTSD symptom reduction even in severely traumatized refugees and asylum seekers. SN - 1423-0348 UR - https://www.unboundmedicine.com/medline/citation/21829046/Treatment_of_traumatized_victims_of_war_and_torture:_a_randomized_controlled_comparison_of_narrative_exposure_therapy_and_stress_inoculation_training_ L2 - https://www.karger.com?DOI=10.1159/000327253 DB - PRIME DP - Unbound Medicine ER -