Treatment of Formerly Abducted Children (FAC) in Uganda

NCT ID: NCT00552006

Last Updated: 2011-03-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

85 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-11-30

Study Completion Date

2009-11-30

Brief Summary

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In the aftermath of traumatic experiences like natural disasters or man-caused traumatic events, such as war experiences, a substantial part of the affected individuals develop a number of psychological symptoms. The characteristic symptom pattern occurring in the aftermath of traumatic events is called posttraumatic stress disorder (PTSD) and includes functional impairment of the affected individuals. The investigators want to test whether Narrative Exposure Therapy (NET) is an effective tool in reducing trauma related symptoms in formerly abducted children and youths and former child soldiers, when applied by lay personnel.

Detailed Description

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Conditions

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Stress Disorders, Post-Traumatic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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NET

Group Type EXPERIMENTAL

Narrative Exposure Therapy

Intervention Type BEHAVIORAL

Narrative Exposure Therapy (NET) is based on Testimony Therapy in combination with cognitive behavioural exposure techniques and elements of client-centered counselling. In cooperation with the therapist the clients can restore their autobiographic memories about their traumatic experiences. In this way fragmentary memories are transformed into a coherent narrative structure. This practice enables the processing of painful emotions and the construction of clear contingencies of dangerous and safe conditions, generally leading to significant emotional recovery. Therapeutic aims are the reduction of PTSD-Symptomload via activation of fear-network and habituation of fear and the placement of traumatic experiences in a reconstructed, detailed and consistent autobiography.

NET will be applied in eight sessions (90-120min/session) in a standardized, manualized manner.

AC

Group Type ACTIVE_COMPARATOR

Academic Counseling

Intervention Type BEHAVIORAL

Missing time in educational life is one major issue for formerly abducted people. The Academic Counseling (AC) intervention is an active Control condition and improves English skills and works at the same time on concentration, learning and memory abilities. The clients will gain some of the abilities and skills they might have lost or developed weaknesses in due to their abduction.

AC will be applied in eight sessions (90-120min/session) in a standardized, manualized manner.

WL

Waiting list

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Narrative Exposure Therapy

Narrative Exposure Therapy (NET) is based on Testimony Therapy in combination with cognitive behavioural exposure techniques and elements of client-centered counselling. In cooperation with the therapist the clients can restore their autobiographic memories about their traumatic experiences. In this way fragmentary memories are transformed into a coherent narrative structure. This practice enables the processing of painful emotions and the construction of clear contingencies of dangerous and safe conditions, generally leading to significant emotional recovery. Therapeutic aims are the reduction of PTSD-Symptomload via activation of fear-network and habituation of fear and the placement of traumatic experiences in a reconstructed, detailed and consistent autobiography.

NET will be applied in eight sessions (90-120min/session) in a standardized, manualized manner.

Intervention Type BEHAVIORAL

Academic Counseling

Missing time in educational life is one major issue for formerly abducted people. The Academic Counseling (AC) intervention is an active Control condition and improves English skills and works at the same time on concentration, learning and memory abilities. The clients will gain some of the abilities and skills they might have lost or developed weaknesses in due to their abduction.

AC will be applied in eight sessions (90-120min/session) in a standardized, manualized manner.

Intervention Type BEHAVIORAL

Other Intervention Names

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NET AC

Eligibility Criteria

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Inclusion Criteria

* clinical diagnosis of PTSD (Post-Traumatic Stress Disorder) derived from expert interviews
* member of the group of formerly abducted people or former child soldiers

Exclusion Criteria

* current substance dependence
* mental retardation
* psychotic disorder
Minimum Eligible Age

12 Years

Maximum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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German Research Foundation

OTHER

Sponsor Role collaborator

University of Konstanz

OTHER

Sponsor Role lead

Responsible Party

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Bielefeld University

Principal Investigators

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Frank Neuner, Univ.-Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Bielefeld University

Thomas Elbert, Univ.-Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

University of Konstanz

Verena Ertl, Dipl.-Psych. (MSc)

Role: STUDY_DIRECTOR

Bielefeld University

Locations

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Vivo Counselling Centre

Anaka, Amuru, Uganda

Site Status

Countries

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Uganda

References

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Ertl V, Pfeiffer A, Schauer E, Elbert T, Neuner F. Community-implemented trauma therapy for former child soldiers in Northern Uganda: a randomized controlled trial. JAMA. 2011 Aug 3;306(5):503-12. doi: 10.1001/jama.2011.1060.

Reference Type DERIVED
PMID: 21813428 (View on PubMed)

Other Identifiers

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NE 1390/2-1

Identifier Type: -

Identifier Source: org_study_id

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