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Adressing PTSD Symptoms and Aggressive Behavior in Vulnerable Children in Burundi

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ClinicalTrials.gov Identifier: NCT03498482
Recruitment Status : Completed
First Posted : April 13, 2018
Last Update Posted : April 13, 2018
Sponsor:
Collaborators:
Vivo international e.V.
Psychologues sans Frontières Burundi
Université Lumière de Bujumbura
Information provided by (Responsible Party):
Anselm Crombach, University of Konstanz

Brief Summary:

Children either living in the streets of Bujumbara or that are similarly affected by extreme poverty or violence are regularly exposed to traumatic events. Additionally, they often find themselves in situations where engaging in violent behavior appears to be useful or even necessary for survival. The Narrative Exposure Therapy for violent offenders (FORNET) aims to reduce both PTSD symptoms and aggressive behavior. It helps the children to anchor fearful experiences and potential positive emotions linked to violent behaviour in the past. Additionally, visions for the future are developed in order to enable reintegration into the family.

The investigators want to provide evidence, that FORNET effectively reduces PTSD symptoms and ongoing aggressive behavior which in change facilitates reintegration into society.


Condition or disease Intervention/treatment Phase
Posttraumatic Stress Disorder Aggressive Behavior Behavioral: Narrative Exposure Therapy for Forensic Offender Rehabilitation (FORNET) Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 19 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Treating Posttraumatic Stress Disorder and Reducing Aggressive Behavior in Street Children and Vulnerable Children in Burundi Using Narrative Exposure Therapy for Forensic Offender Rehabilitation.
Actual Study Start Date : March 15, 2017
Actual Primary Completion Date : January 31, 2018
Actual Study Completion Date : January 31, 2018

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: FORNET
During FORNET, the client, with the assistance of the therapist, constructs a chronological narrative of his or her entire life with a focus on exposure to traumatic stress and committed violence. Empathic understanding, active listening, congruency and unconditional positive regard are key components of the therapist's behavior. The therapist asks in detail for the client's emotions, cognitions, physiological reactions, and sensory informations during traumatic and aggressive events to link them to an autobiographical context, namely time and place. In total the individuals receive 8 sessions of FORNET, every session lasting between 1.5 and 2 hours depending on the needs of the participant.
Behavioral: Narrative Exposure Therapy for Forensic Offender Rehabilitation (FORNET)
FORNET aims to reduce trauma-related symptoms and aggressive behavior via narrative exposure of traumatic and violent life events.




Primary Outcome Measures :
  1. Change of load of traumatic symptoms measured via the UCLA Adolescent PTSD Index (PTSD scale administered by Clinicians) [ Time Frame: baseline; 5 months follow-up; 9 months follow-up ]

Secondary Outcome Measures :
  1. Change of number of aggressive acts measured via an adaption of the Domestic and Community Violence Checklist [ Time Frame: baseline; 5 months follow-up; 9 months follow-up ]
  2. Change of experienced shame measured via the Shame Variability Questionnaire [ Time Frame: baseline; 5 months follow-up; 9 months follow-up ]


Information from the National Library of Medicine

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Ages Eligible for Study:   8 Years to 20 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • High degree of symptoms of posttraumatic stress disorder according to UCLA PTSD Reaction Index

Exclusion Criteria:

  • Psychotic symptoms

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03498482


Locations
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Burundi
vivo international & Psychologues sans Frontières mental health center
Bujumbura, Bujumbura Mairie, Burundi
Sponsors and Collaborators
University of Konstanz
Vivo international e.V.
Psychologues sans Frontières Burundi
Université Lumière de Bujumbura

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Responsible Party: Anselm Crombach, Principal investigator, University of Konstanz
ClinicalTrials.gov Identifier: NCT03498482    
Other Study ID Numbers: UKCR17
First Posted: April 13, 2018    Key Record Dates
Last Update Posted: April 13, 2018
Last Verified: April 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Stress Disorders, Traumatic
Stress Disorders, Post-Traumatic
Aggression
Trauma and Stressor Related Disorders
Mental Disorders
Behavioral Symptoms