Depression Clinical Trial
Official title:
Phase 1:Epidemiological Study of PTSD and Comorbid Disorders in Widows and Orphans Who Experienced the Rwandan Genocide Phase 2: A Randomized Controlled Clinical Trial With Orphans and Widows Who Experienced the Genocide Carried Out by Trained Local Psychologists -NET/IPT Versus Waiting List-
In the framework of the epidemiological study, local psychologists are trained in Butare in
carrying out diagnostic interviews with orphans and widows who experienced the Rwandan
genocide. With the aid of standardized questionnaires they will assess trauma related
symptoms as well as Prolonged Grief Disorder. Under the supervision of clinical experts from
the University of Konstanz the local psychologists will carry out a randomized house to
house survey (Phase 1).
As a second step, a controlled randomized clinical trial will be carried out. Local
psychologists will be trained in applying Narrative Exposure Therapy and Interpersonal
Psychotherapy. Genocide survivors that will be identified with a PTSD diagnosis will
randomly be assigned to either the treatment condition or a waiting list. The treatment
group will receive 5 individual sessions of NET in addition to 3 individual IPT sessions.
Subsequent 3-months and 6-months post-tests will serve to evaluate the efficacy of this
treatment module in alleviating trauma related symptoms and symptoms of prolonged grief. We
expect a significant symptom reduction in the experimental group and no significant symptom
reduction in the waiting list. After the 6-months post-test, the trained psychologists will
train other psychologists in applying this treatment module under the supervision of
clinical experts from the University of Konstanz. Afterwards, they will apply therapy to the
victims from the waiting list.
A 12-months follow-up will serve to evaluate the long-term effect of the NET/IPT
combination.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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