A comparison of narrative exposure therapy, supportive counseling, and psychoeducation for treating posttraumatic stress disorder in an african refugee settlement.
TL;DR: Results indicate that NET is a promising approach for the treatment of PTSD for refugees living in unsafe conditions.
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Abstract: Little is known about the usefulness of psychotherapeutic approaches for traumatized refugees who continue to live in dangerous conditions. Narrative exposure therapy (NET) is a short-term approach based on cognitive-behavioral therapy and testimony therapy. The efficacy of narrative exposure therapy was evaluated in a randomized controlled trial. Sudanese refugees living in a Ugandan refugee settlement (N = 43) who were diagnosed as suffering from posttraumatic stress disorder (PTSD) either received 4 sessions of NET, 4 sessions of supportive counseling (SC), or psychoeducation (PE) completed in 1 session. One year after treatment, only 29% of the NET participants but 79% of the SC group and 80% of the PE group still fulfilled PTSD criteria. These results indicate that NET is a promising approach for the treatment of PTSD for refugees living in unsafe conditions.
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Combat high or traumatic stress: violent offending is associated with appetitive aggression but not with symptoms of traumatic stress.
TL;DR: Psychotherapeutic interventions that address appetitive aggression in addition to trauma-related mental illness, including drug dependence, seem indispensible for a successful reintegration of those who fought in the current civil wars.
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