Conduct Disorder, Depression, Post-traumatic Stress Disorder
Conditions
Brief summary
The purpose of this study is to evaluate, in a randomised control trial (RCT), the effectiveness of group-based, trauma-focused Cognitive Behaviour Therapy (TF-CBT) in reducing psychological distress in former child soldiers and other war-affected children in the Democratic Republic of Congo (DRC).
Detailed description
To the best of the author's knowledge this is the first group-based mental health or psychosocial intervention developed specifically for psychologically distressed former child soldiers. While CBT is the modality with most empirical evidence for treating war-affected young people, this is the first evaluation with child soldiers specifically. Former child soldiers and war affected 'street boys' (aged 13-17) in eastern DRC, will be screened for symptoms of psychological distress and then randomly assigned to either a treatment group or a waiting-list control. The treatment groups will receive a 15-session manualised, culturally-adapted, TF-CBT intervention. This includes psycho-education, relaxation, affect modulation, cognitive processing and constructing a trauma narrative. After treatment and post-testing, the waiting-list controls then begin their intervention.
Interventions
15 sessions of group-based, trauma-focused cognitive behavioral therapy
Sponsors
Study design
Eligibility
Inclusion criteria
* War-affected children and adolescents
Exclusion criteria
* No traumatic war events experienced * Psychosis * Inability to speak Swahili, French or English
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in post-traumatic stress symptoms measured by UCLA-PTSD-RI | Post-intervention and 3 month |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in psychosocial distress- measures by African Youth Psychosocial Assessment | Post-intervention and 3 month | Psychosocial distress- depression, anxiety, conduct problems, antisocial behaviour |