Narrative Exposure Therapy Versus Group Interpersonal Psychotherapy

This study has been terminated.
Sponsor:
Collaborator:
vivo
Information provided by:
University of Konstanz
ClinicalTrials.gov Identifier:
NCT00623298
First received: February 14, 2008
Last updated: February 25, 2008
Last verified: February 2008

February 14, 2008
February 25, 2008
January 2005
Not Provided
Symptoms of posttraumatic stress disorder, symptoms of depression
Same as current
Complete list of historical versions of study NCT00623298 on ClinicalTrials.gov Archive Site
Not Provided
Not Provided
Not Provided
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Narrative Exposure Therapy Versus Group Interpersonal Psychotherapy
Narrative Exposure Therapy Versus Group Interpersonal Psychotherapy -A Controlled Clinical Trial With Orphaned Survivors of the Rwandan Genocide

The present study is a pragmatic trial that investigates the efficacy and usefulness of two treatment modules in a sample of Rwandan genocide orphans: Narrative Exposure Therapy (NET) versus group-Interpersonal Psychotherapy (IPT). We used a half year baseline to measure the treatment-induced changes. We hypothesized that there would be a greater reduction in posttraumatic stress symptoms in the NET- than in the IPT-group and that IPT would be superior to NET in the reduction of depression symptoms.

The 1994 genocide of Rwanda has left countless children orphaned. 26 Rwandan orphans who fulfilled DSM-IV diagnosis of PTSD were offered participation in a controlled treatment trial. A group adaptation of Interpersonal Psychotherapy (IPT, n = 14) was compared to Narrative Exposure Therapy (NET, n = 12). Main outcome measures were symptoms of PTSD and depression assessed pre-treatment, 3 months after therapy (post-test) and 6 months after therapy (follow-up) using the CAPS, MINI and Hamilton Rating Scale. At post-test, participants in both treatment conditions showed reductions in posttraumatic stress symptoms and depression symptoms. At 6-month follow-up, NET proved to be more effective in the treatment of PTSD. Only 25% (n = 3) of NET-participants but 71% (n = 10) of the IPT-participants still fulfilled PTSD criteria at follow-up. Although there was a significant reduction in depression symptoms in both treatment groups from pre-test to follow-up, NET again proved to be more effective. This treatment-trial demonstrates that NET and group-IPT are suitable treatment modules even when most severe traumatic stress and difficult living conditions have led to chronic mental suffering.

Interventional
Phase 2
Allocation: Non-Randomized
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
  • Posttraumatic Stress Disorder
  • Depression
  • Narrative Exposure Therapy
  • Interpersonal Psychotherapy
  • Behavioral: Narrative Exposure Therapy
  • Behavioral: group IPT
  • Other: 6 months-baseline
  • Experimental: 1
    NET
    Intervention: Behavioral: Narrative Exposure Therapy
  • No Intervention: 3
    6-months baseline
    Intervention: Other: 6 months-baseline
  • Experimental: 2
    group IPT
    Intervention: Behavioral: group IPT
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Terminated
26
March 2006
Not Provided

Inclusion Criteria:

  • Rwandan orphans who have experienced the genocide, who lost at least one parent during the genocide and who were no older than 18 years during the genocide

Exclusion Criteria:

  • Mental retardation
  • Psychotic symptoms or current drug or alcohol
Both
13 Years to 29 Years
Yes
Contact information is only displayed when the study is recruiting subjects
Not Provided
 
NCT00623298
Fogr SOSS
No
Dr. Susanne Schaal, University of Konstanz, vivo
University of Konstanz
vivo
Not Provided
University of Konstanz
February 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP