Posttraumatic Stress Disorder, Shame
Conditions
Keywords
PTSD, Shame, Narrative Exposure Therapy, Sexual and gender based violence (SGBV), DR Congo
Brief summary
Throughout the last 10 years Narrative Exposure Therapy (NET) has evolved as one of the most effective, culturally sensitive trauma interventions. In the present study the effectiveness of NET delivered by trained health personnel in a sample of survivors of sexual and gender based violence (SGBV) who suffer from Posttraumatic Stress Disorder (PTSD) will be assessed. Structured baseline, 3 and 6 month follow up interviews will be administered to assess the main outcome measures PTSD and shame. The trial will take place in Goma, DR Congo, where SGBV and its sequelae has been a major problem.
Detailed description
Participants will be recruited through local NGOs and eligible clients randomized to the treatment (NET; app. N=100) or treatment-as-usual control (app. N=100) group, respectively. At baseline, 3-month and 6-month post-treatment, sociodemographic data, trauma exposure - esp. SGBV, PTSD, dissociation, shame, functionality and depression will be assessed in a structured interview. The interviews will be conducted by blind Congolese psychological interviewers after an intensive 3-weeks training and continuous supervision.
Interventions
BEHAVIORALNarrative Exposure Therapy
BEHAVIORALSocial Support
A local counselors provides social support on demand.
Sponsors
Vivo international e.V.
University of Konstanz
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
16 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* SGBV survivors (event happened more than 4 weeks ago) * PTSD diagnosis (DSM-5)
Exclusion criteria
* Acute psychosis * Signs of cerebro-organic disease * Acute drug or alcohol intoxication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PSS-I: Posttraumatic Stress Disorder symptom severity (sumscore and diagnosis) | Change from baseline to 3 and 6 months post treatment | PTSD Symptom Scale - Interview (PSS-I; Foa & Tolin, 2000) |
| SVQ: Severity of shame (sumscore) | Change from baseline to 3 and 6 months post treatment | Shame Variability Questionnaire (Brown, Rizvi & Linehan, unpublished) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ShutD: Severity of Shutdown Dissociation Symptoms (sumscore) | Change from baseline to 3 and 6 months post treatment | Shutdown Dissociation Scale (Schalinski et al., 2015) |
| PHQ: Depression symptom severity (sumscore) | Change in 3 and 6 months post treatment | Patient Health Questionnaire - 9 (PHQ-9; Kroenke & Spitzer, 2002) |
| Functionality (sumscore) | 3 and 6 months post treatment | Local Functionality Index (LFI; Bass et al., 2013) |
Countries
Germany
Outcome results
None listed