Aggressive Behavior, Appetitive Aggression, Posttraumatic Stress Disorder
Conditions
Keywords
Posttraumatic Stress Disorder, Aggressive Behavior, Appetitive Aggression, Treatment, FORNET
Brief summary
Soldiers deployed in peace-keeping missions as well as ex-combatants in conflict or former conflict regions were and are often exposed to multiple traumatic events and situations in which they are forced to engage in violent behavior. The treatment program Formation, Orientation and Rehabilitation by means of Narrative Exposure Therapy (FORNET) is a short-term, culturally sensitive treatment approach that aims to reduce Posttraumatic Stress Disorder (PTSD) symptoms as well as the risk to engage in uncontrolled violent behavior. Addressing trauma-related mental disorders as well as emotions related to aggression by means of FORNET is expected to facilitate reintegration in civil life and reduce uncontrolled violence. The investigators want to provide evidence, that FORNET is an effective and efficient module to assist soldiers after deployment in Somalia and/or male and female ex-combatants who fought in the civil war in Burundi. In addition the investigators aim to explore how traumatic incidences and maltreatment during childhood may influence treatment outcomes.
Interventions
BEHAVIORALFORNET
Sponsors
Université Lumière de Bujumbura
The Volkswagen Foundation
University of Konstanz
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* High degree of symptoms of posttraumatic stress disorder according to the Posttraumatic Symptom Scale, * High degree of appetitive aggression, * Violent behavior during the past three months
Exclusion criteria
* Current use of mind altering drugs, * Psychotic symptoms
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Diagnosis and load of PTSD symptoms assessed via the Posttraumatic Symptom Scale - Interview (PSS-I) | baseline, two follow-up assessments are planned within the period of 3 to 12 months post-treatment. Exact time of follow-up will be varied systematically within this period. |
| Change from baseline in the extend of appetitive aggression assessed via the Appetitive Aggression Scale (AAS) | baseline, two follow-up assessments are planned within the period of 3 to 12 months post-treatment. Exact time of follow-up will be varied systematically within this period. |
| Change in number of committed violent acts during the past three months assessed via the Domestic and Community Violence Checklist (DCVC) | baseline, two follow-up assessments are planned within the period of 3 to 12 months post-treatment. Exact time of follow-up will be varied systematically within this period. |
Secondary
| Measure | Time frame |
|---|---|
| Change from baseline in load of depressive symptoms assessed via the Patient Health Questionnaire-9 (PHQ-9) | baseline, two follow-up assessments are planned within the period of 3 to 12 months post-treatment. Exact time of follow-up will be varied systematically within this period. |
| Change in strength of suicidal ideation measured via the Mini International Neuropsychiatric Interview (M.I.N.I.) | baseline, two follow-up assessments are planned within the period of 3 to 12 months post-treatment. Exact time of follow-up will be varied systematically within this period. |
| Change in physical health complains | baseline, two follow-up assessments are planned within the period of 3 to 12 months post-treatment. Exact time of follow-up will be varied systematically within this period. |
Countries
Burundi
Outcome results
None listed