Group Trauma-Focused Cognitive-Behavioural Therapy with Former Child Soldiers and Other War-Affected Boys in the DR Congo: A Randomised Controlled Trial

Autor/inn/en	McMullen, John; O'Callaghan, Paul; Shannon, Ciaran; Black, Alastair; Eakin, John
Titel	Group Trauma-Focused Cognitive-Behavioural Therapy with Former Child Soldiers and Other War-Affected Boys in the DR Congo: A Randomised Controlled Trial
Quelle	In: Journal of Child Psychology and Psychiatry, 54 (2013) 11, S.1231-1241 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0021-9630
DOI	10.1111/jcpp.12094
Schlagwörter	Foreign Countries; War; Trauma; Armed Forces; Males; Children; Adolescents; Cognitive Restructuring; Behavior Modification; Therapy; Intervention; Mental Health; Interviews; Control Groups; Outcomes of Treatment; Statistical Analysis; Emotional Disturbances; Depression (Psychology); Anxiety; Symptoms (Individual Disorders); Behavior Problems; Antisocial Behavior; Cultural Awareness; Posttraumatic Stress Disorder; Congo + Suchen Sie Ihr Suchwort? Ausland; Krieg; Military; Militär; Male; Männliches Geschlecht; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Behaviour modification; Verhaltensänderung; Therapie; Psychohygiene; Interviewing; Interviewtechnik; Statistische Analyse; Gefühlsstörung; Angst; Psychiatrische Symptomatik; Cultural identity; Kulturelle Identität; Kongo
Abstract	Background: The Democratic Republic of Congo (DRC) has been home to the world's deadliest conflict since World War II and is reported to have the largest number of child soldiers in the world. Despite evidence of the debilitating impact of war, no group-based mental health or psychosocial intervention has been evaluated in a randomised controlled trial for psychologically distressed former child soldiers. Method: A randomised controlled trial involving 50 boys, aged 13-17, including former child soldiers (n = 39) and other war-affected boys (n = 11). They were randomly assigned to an intervention group, or wait-list control group. The intervention group received a 15-session, group-based, culturally adapted Trauma-Focused Cognitive-Behavioural Therapy (TF-CBT) intervention. Assessment interviews were completed at baseline, postintervention and 3-month follow-up (intervention group). Results: Analysis of Covariance (ANCOVA) demonstrated that, in comparison to the wait-list control group, the TF-CBT intervention group had highly significant reductions in posttraumatic stress symptoms, overall psychosocial distress, depression or anxiety-like symptoms, conduct problems and a significant increase in prosocial behaviour (p < 0.001 for all). Effect sizes were higher when former child soldier scores were separated for sub-analysis. Three-month follow-up of the intervention group found that treatment gains were maintained. Conclusions: A culturally modified, group-based TF-CBT intervention was effective in reducing posttraumatic stress and psychosocial distress in former child soldiers and other war-affected boys. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10