NET in Iranian Women Suffering From Post Traumatic Stress Symptoms
|Mental Disorders Domestic Violence||Behavioral: Narrative Exposure Therapy Other: Treatment-as-usual|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Efficacy of Narrative Exposure Therapy (NET) in a Sample of Iranian Women Exposed to Intimate Partner Violence (IPV)|
- Posttraumatic Diagnostic Scale (PDS/PSS-I). [ Time Frame: Symptoms will be assessed at pre-treatment-point and post-treatment-point (up to 6-month follow-ups) ]The PDS/PSS-I is a 17-item screening instrument on a 4-point-Likert-scale (0 = not at all to 3 = very much). The PDS aims at assessing all Diagnostic and Statistical Manual (DSM-IV) criteria of a Post Traumatic Stress Disorder (PTSD), and thus it includes information about the nature of the traumatic event and the level of functional interference.
- The Patient Health Questionnaire-9 (PHQ-9) [ Time Frame: At pre-treatment-point, post-treatment-point, and 3- and 6-month follow-ups ]The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module
- The Hopkins Symptom Checklist-25 (HSCL-25) [ Time Frame: At pre-treatment-point, post-treatment-point, and 3- and 6-month follow-ups ]The Hopkins Symptom Checklist 25 would be used to screen for symptoms of depression and anxiety.
- Perceived Stress Scale-4 [ Time Frame: At pre-treatment-point, post-treatment-point and 3- and 6-month follow-ups ]The Perceived Stress Scale (PSS) would be used to assess the perception of stress over the course of the last month preceding the interview
- Composite Abuse Scale (CAS) [ Time Frame: At pre-treatment-point, post-treatment-point, and 3- and 6-month follow-ups ]The CAS, a 30-item validated research instrument, is a widely used self-report questionnaire of behaviors that women describe as abusive by their partners. It is a self-report measure that provides standardized sub scale scores on four dimensions of intimate partner abuse. The four dimensions are Severe Combined Abuse, Emotional Abuse, Physical Abuse, and Harassment, scaled from 0 (never) to 5 (daily) over a period of 12-month.
- The Work and Social Adjustment Scale (WSAS) [ Time Frame: At pre-treatment-point, post-treatment-point and 3- and 6-month follow-ups ]The WSAS is a widely used 5-item measure of disability. Its psychometric properties were analyzed and shown in different studies and disorders (Mataix-Cols et al, 2005; Mundt et al, 2002).
- The Life Events Checklist [ Time Frame: At pre-treatment-point, post-treatment-point and 3- and 6-month follow-ups ]The Life Events Checklist (LEC) is a brief, 17-item, self-report measure designed to screen for potentially traumatic events in a respondent's lifetime. The LEC assesses exposure to 16 events known to potentially result in PTSD or distress and includes one item assessing any other extraordinarily stressful event not captured in the first 16 items.
- Checklist of family violence [ Time Frame: At pre-treatment-point, post-treatment-point and 3- and 6-month follow-ups ]This checklist assessing the incidence of domestic violence was developed by Catani (2002) and includes questions on physical abuse, verbal violence, neglect and sexual abuse as well as witnessing intimate partner violence between parents.
- Borderline Symptom List (BSL-23) [ Time Frame: At pre-treatment-point, post-treatment-point and 3- and 6-month follow-ups ]The BSL-23 is a shortened form of the full version of the BSL-95. The self-report questionnaire assesses borderline-specific symptomatology on a five response scale ranging from 0 (not at all) to 4 (very strongly).
|Study Start Date:||November 2012|
|Study Completion Date:||December 2015|
|Primary Completion Date:||December 2015 (Final data collection date for primary outcome measure)|
Treatment-as-usual can be defined as the commonly used psychotherapy for abused women in Iran, such as medical therapy and/or supportive psychotherapy.
Treatment-as-usual was defined as the commonly used psychotherapy for abused women in Iran, such as medical therapy and/or supportive counseling.
Regarding supportive counselling, the sessions included:
Life skill education CBT techniques ACT techniques Finding resources to stop violence Discussing marital and sexual conflicts with the presence of husbands Working on their children problems Improvement of communication skills
Experimental: Narrative Exposure Therapy
Narrative Exposure Therapy (NET) is a standardized short-term approach based on the principles of cognitive behavioral exposure therapy and testimony therapy for the treatment of PTSD resulting from organized violence.
Behavioral: Narrative Exposure Therapy
Narrative Exposure Therapy (NET) is a treatment approach that was developed by a research group of the University of Konstanz (Schauer, Neuner, & Elbert, 2005, 2011). In NET, the patient repeatedly talks about the most arousing traumatic events in detail while re-experiencing the emotions associated with this event. In the process, the patient constructs a narration of his life, focusing on the detailed report of the traumatic experiences.
Other Name: NET
Please refer to this study by its ClinicalTrials.gov identifier: NCT01731418
|Iran, Islamic Republic of|
|Mental Health Clinics|
|Tehran, Iran, Islamic Republic of|
|Study Chair:||Thomas Elbert, Professor||University of Konstanz|