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Many Iraqi refugees suffer from posttraumatic stress. Efficient, culturally sensitive interventions are needed, and so we adapted narrative exposure therapy into a brief version (brief NET) and tested its effects in a sample of traumatized Iraqi refugees. Iraqi refugees in the United States reporting elevated posttraumatic stress (N = 63) were randomized to brief NET or waitlist control conditions in a 2:1 ratio; brief NET was 3 sessions, conducted individually, in Arabic. Positive indicators (posttraumatic growth and well-being) and symptoms (posttraumatic stress, depressive, and somatic) were assessed at baseline and 2- and 4-month follow-up. Treatment participation (95.1% completion) and study retention (98.4% provided follow-up data) were very high. Significant condition by time interactions showed that those receiving brief NET had greater posttraumatic growth (d = 0.83) and well-being (d = 0.54) through 4 months than controls. Brief NET reduced symptoms of posttraumatic stress (d = −0.48) and depression (d = −0.46) more, but only at 2 months; symptoms of controls also decreased from 2 to 4 months, eliminating condition differences at 4 months. Three sessions of brief NET increased growth and well-being and led to symptom reduction in highly traumatized Iraqi refugees. This preliminary study suggests that brief NET is both acceptable and potentially efficacious in traumatized Iraqi refugees.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:伊拉克難民中初步隨機臨床試驗:治療創傷後壓力的簡短敘述暴露治療。

撮要:很多伊拉克難民經歷創傷後壓力。我們迫切地需要有效和符合當地文化的介入治療,所以初步在受創伊拉克難民樣本中測試一個簡化的敘述暴露治療(簡短NET)的療效。一批身處美國報告創傷後壓力增加(N = 63)的伊拉克難民,被隨機分配至簡短NET或對照等候列(比例為2:1)。簡短NET是使用阿拉伯語的3節個別治療。正指標(創傷後成長和健康)和症狀(創傷後壓力,抑鬱和身體)在基準和覆診的第二和第四個月時評估。治療參與率(95.1%完成)和研究保留率(98.4%提供覆診資料)很高。有效實時交互狀況指出簡短NET在四個月後比對照組有更大的創傷後成長(d = 0.83)和健康(d = 0.54)。簡短NET對比對照組只在兩個月後減少了創傷後壓力(d = -0.48)和抑鬱(d = -0.46)症狀,「控制」症狀則從兩個月至四個月期間減少,在四個月時則完全消除了狀況差異。三節簡短NET增進成長和健康,令受創的伊拉克難民減少症狀。這個初步研究顯示簡短NET在受創中東難民中易被接受及可能有效。

标题:伊拉克难民中初步随机临床试验:治疗创伤后压力的简短叙述暴露治疗。

撮要:很多伊拉克难民经历创伤后压力。我们迫切地需要有效和符合当地文化的介入治疗,所以初步在受创伊拉克难民样本中测试一个简化的叙述暴露治疗(简短NET)的疗效。一批身處美国报告创伤后压力增加(N = 63)的伊拉克难民,被随机分配至简短NET或对照等候列(比例为2:1)。简短NET是使用阿拉伯语的3节个别治疗。正指标(创伤后成长和健康)和症状(创伤后压力,抑郁和身体)在基准和覆诊的第二和第四个月时评估。治疗参与率(95.1%完成)和研究保留率(98.4%提供覆诊资料)很高。有效实时交互状况指出简短NET在四个月后比对照组有更大的创伤后成长(d = 0.83)和健康(d = 0.54)。简短NET对比对照组只在两个月后减少了创伤后压力(d = -0.48)和抑郁(d = -0.46)症状,「控制」症状则从两个月至四个月期间减少,在四个月时则完全消除了状况差异。三节简短NET增进成长和健康,令受创的伊拉克难民减少症状。这个初步研究显示简短NET在受创中东难民中易被接受及可能有效。