Psychosocial Counseling in Afghanistan

This study has been completed.
Sponsor:
Collaborator:
European Union
Information provided by:
University of Konstanz
ClinicalTrials.gov Identifier:
NCT01155687
First received: June 30, 2010
Last updated: August 8, 2011
Last verified: June 2010
  Purpose

The assessment intends to investigate the efficacy of psychosocial counseling for the treatment of help seeking individuals with psychosocial problems in Mazar-e-Sharif, Afghanistan. Treatment was administered by local counselors who had received specific education and training


Condition
Mental Health
Stress

Study Type: Observational
Study Design: Observational Model: Case Control

Resource links provided by NLM:


Further study details as provided by University of Konstanz:

Primary Outcome Measures:
  • HSCL 25 [ Time Frame: Symptoms were assessed at baseline ] [ Designated as safety issue: No ]
    Symptoms of Depression and Anxiety measured with the HSCL 25

  • HSCL 25 [ Time Frame: 3-month follow-up ] [ Designated as safety issue: No ]
    Symptoms of Depression and Anxiety measured with the HSCL 25

  • HSCL 25 [ Time Frame: Assessment at 12-month-follow-up ] [ Designated as safety issue: No ]
    Symptoms of Depression and Anxiety measured with the HSCL 25


Secondary Outcome Measures:
  • M.I.N.I. (Mini-International Neuropsychiatric Interview) [ Time Frame: Symptoms were assessed at baseline ] [ Designated as safety issue: No ]
    To assess, if the patients have a current Major Depression, the depression section from the "Mini-International Neuropsychiatric Interview" (Sheehan, & Janavs, 1998) was included

  • Psychosocial stressors and coping mechanism [ Time Frame: Symptoms were assessed at baseline ] [ Designated as safety issue: No ]
    Psychosocial stressors and coping mechanism of the participants were investigated in expert interviews

  • Screening for Depression [ Time Frame: Symptoms were assessed at baseline ] [ Designated as safety issue: No ]
    A culturally grounded assessment measure developed in close collaboration with a team of Afghan experts explored current depressive symptoms

  • M.I.N.I. (Mini-International Neuropsychiatric Interview) [ Time Frame: Assessment at 3-month-follow-up ] [ Designated as safety issue: No ]
    To assess, if the patients have a current Major Depression, the depression section from the "Mini-International Neuropsychiatric Interview" (Sheehan, & Janavs, 1998) was included

  • M.I.N.I (Mini-International Neuropsychiatric Interview) [ Time Frame: Assessment at 12-month-follow-up ] [ Designated as safety issue: No ]
    To assess, if the patients have a current Major Depression, the depression section from the "Mini-International Neuropsychiatric Interview" (Sheehan, & Janavs, 1998) was included

  • Psychosocial stressors and coping mechanism [ Time Frame: Assessment at 3-month-follow-up ] [ Designated as safety issue: No ]
    Psychosocial stressors and coping mechanism of the participants were investigated in expert interviews

  • Psychosocial stressors and coping mechanism [ Time Frame: Assessment at 12-month-follow-up ] [ Designated as safety issue: No ]
    Psychosocial stressors and coping mechanism of the participants were investigated in expert interviews

  • Screening for Depression [ Time Frame: Assessment at 3-month-follow-up ] [ Designated as safety issue: No ]
    A culturally grounded assessment measure developed in close collaboration with a team of Afghan experts explored current depressive symptoms

  • Screening for Depression [ Time Frame: Assessment at 12-month-follow-up ] [ Designated as safety issue: No ]
    A culturally grounded assessment measure developed in close collaboration with a team of Afghan experts explored current depressive symptoms


Enrollment: 61
Study Start Date: September 2009
Study Completion Date: July 2010
Primary Completion Date: July 2010 (Final data collection date for primary outcome measure)
Groups/Cohorts
Psychosocial counseling
the group received annualized treatment of psychosocial counseling
Medication
this group received medical treatment by the local medical doctor

Detailed Description:

Psychosocial stress due to conflict and war causes major mental health problems in many resource-poor countries, especially those coping with ongoing war-like conditions. There is a lack of intervention research in these population. The purpose of this assessment was to examine whether the type of psychosocial counseling developed by our group is effective in reducing symptoms of depression and anxiety and significantly increasing the quality of life of help-seeking Afghans.

  Eligibility

Ages Eligible for Study:   14 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population

Afghan people at primary care clinic seeking help because of mental health problems

Criteria

Inclusion Criteria:

  • Diagnosis of mental health problems by a local medical doctor

Exclusion Criteria:

  • Schizophrenia
  • Mental retardation
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01155687

Locations
Afghanistan
Counseling Center Mazar-e-Sharif
Mazar-e-Sharif, Balkh, Afghanistan
Sponsors and Collaborators
University of Konstanz
European Union
Investigators
Principal Investigator: Thomas Elbert, Dr. University of Konstanz
Principal Investigator: Sarah Ayoughi University of Konstanz
  More Information

No publications provided by University of Konstanz

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Prof. Dr. Thomas Elbert, Sarah Ayoughi, University of Konstanz
ClinicalTrials.gov Identifier: NCT01155687     History of Changes
Other Study ID Numbers: EuropeAid/127054/C/SER/MULTI
Study First Received: June 30, 2010
Last Updated: August 8, 2011
Health Authority: Afghanistan: Ministry of Public Health

Keywords provided by University of Konstanz:
afghanistan
depression
anxiety
social stress
counseling
medication
psychotherapy
mental health

ClinicalTrials.gov processed this record on July 24, 2014