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ID
Source
Brief title
Health condition
Refugees, victims of human trafficking, post-traumatic stress disorder, Narrative Exposure Therapy, prognosis.
Sponsors and support
Intervention
Outcome measures
Primary outcome
- Emotion regulation measured by the DERS-18: Difficulties in Emotion Regulation Scale-Short Version.
- Post Traumatic Stress Disorder measured by PCL-5: Post Traumatic Stress Disorder Checklist for DSM-5 and PCPTSD: Primary Care Post Traumatic Stress Disorder.
- Perceived daily stress measured by the PSS: Perceived Stress Scale.
- Mood measured by using a validated single item measure (‘In the last week I felt’). This mood item will be scored on a VAS-scale ranging from 0 (sad) to 100 (happy).
Secondary outcome
QPR-15: Questionnaire on Process of Recovery-Short Version.
Background summary
Background: Displaced victims of interpersonal violence, e.g. refugees, asylum seekers, and victims of sexual exploitation, are growing in numbers, and are often suffering from a posttraumatic stress disorder (PTSD). At the same time these victims are known to benefit less from trauma-focussed therapy, and are less compliant to treatment. In the present study, perceived daily stress, emotion regulation, and mood are investigated as predictors of change in PTSD symptoms during a trauma-focussed therapy (Narrative Exposure Therapy (NET)),. Therefore these factors might promote or undermine therapy effectiveness.
Methods/design: 80 displaced victims of interpersonal violence will be measured before, during, and after partaking in NET following an observational treatment design. Questionnaires tapping the aforementioned possible predictors and PTSD will be administered. Multilevel modelling will be used to examine the relation between the possible predictors and treatment outcome.
Discussion: The present study is the first to examine the interplay of facilitating and interfering factors possibly impacting treatment outcome in displaced victims of interpersonal violence with PTSD receiving NET. The current study can help to improve future treatment based on individual characteristics.
Study objective
The primary hypotheses of the study are:
1) High perceived daily stress, emotion dysregulation, and low mood at baseline predict higher drop-out, higher no-show, and poorer treatment outcome of Narrative Exposure Therapy (NET) (i.e., less PTSD symptom reduction).
2) Changes in perceived daily stress, emotion regulation, and mood during NET are associated with changes in PTSD symptoms during NET; 3) Change in perceived daily stress, emotion dysregulation, and mood during NET predict subsequent change in PTSD symptoms during NET. Furthermore, the study aims to establish if NET contributes to positive aspects of mental health. The secondary hypothesis is 1) Partaking in NET coincides with personal recovery.
Study design
During baseline (T0), post-treatment (T1), and 6 weeks follow-up (T2) measurements will be administered.
At the start of each NET session the PCPTSD and mood + subscales of the DERS and PSS will be administered.
Intervention
Narrative Exposure Therapy (NET)
Inclusion criteria
Patients will be included in the study if they are refugees, asylum seekers, or victims of human trafficking aged 18 years or older; if they have PTSD as a primary diagnosis; if individual Trauma Focussed Therapy in an outpatient setting has been indicated for them; and if they are cognitively able to give informed consent to participate in the study.
Exclusion criteria
Patients will be excluded from the study if they display signs of an acute crisis, such as, acute suicidality or acute severe psychosis; or suffer from persistent substance abuse.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
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In other registers
| Register | ID |
|---|---|
| NTR-new | NL7154 |
| NTR-old | NTR7353 |
| Other | NL61808.058.17 : P17.270 |