Narrative exposure group therapy for posttraumatic stress symptoms among a small group of internally displaced women in Ethiopia: An uncontrolled pre-postintervention study.

IF 2.8 2区 心理学 Q2 PSYCHIATRY
Waganesh A Zeleke, Tewodros Hailu, Mekides Melesse Mekonen, Yemataw Wondie Yehualashet
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引用次数: 0

Abstract

Objective: The number of internally displaced children and women in Ethiopia has increased over the past 5 years following the ethnic conflict exacerbated by the North Ethiopian War, reaching its apex in 2021. Women and girls experience various traumatic conditions before, during, and after internal displacement. Recent scholarly attention has focused on the traumatic experiences of internally displaced women and girls; however, substantial knowledge gaps persist concerning the accessibility, relevance, and availability of mental health interventions for this population. Narrative exposure therapy is an evidence-based group-based intervention to address trauma in refugee or community settings. Hence, this study aimed to examine the effectiveness of a six-session narrative exposure therapy group intervention in reducing posttrauma stress symptoms among internally displaced women with posttraumatic stress disorder in Ethiopia.

Method: A single-armed pre-post design was used with 12 women enrolled and nine completing the full intervention. Quantitative outcomes were assessed using the Harvard Trauma Questionnaire-5 posttraumatic stress disorder subscale, and qualitative data were collected via focus group and analyzed using thematic analysis.

Results: The results showed significant reduction in posttraumatic stress symptoms and related cognitive, emotional, physiological, behavioral, and relational challenges. The intervention also enhanced social support and coping. However, due to the uncontrolled design and small sample, findings should be interpreted cautiously.

Conclusion: This feasibility study provides preliminary support for narrative exposure therapy as a promising intervention for posttraumatic stress disorder symptoms among displaced women in Ethiopia. Further controlled trials are needed to evaluate efficacy. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

埃塞俄比亚一小群国内流离失所妇女创伤后应激症状的叙事暴露团体治疗:一项干预前和干预后的非受控研究。
在过去的5年里,埃塞俄比亚境内流离失所的儿童和妇女人数有所增加,北埃塞俄比亚战争加剧了种族冲突,并在2021年达到顶峰。妇女和女童在国内流离失所之前、期间和之后都会经历各种创伤。最近学术界的注意力集中在国内流离失所妇女和女孩的创伤经历上;然而,在为这一人群提供精神卫生干预措施的可及性、相关性和可得性方面,仍然存在巨大的知识差距。叙事暴露疗法是一种基于证据的群体干预,用于解决难民或社区环境中的创伤。因此,本研究旨在检验六个疗程的叙述暴露治疗组干预在减轻埃塞俄比亚境内流离失所的创伤后应激障碍妇女创伤后应激症状方面的有效性。方法:采用单臂前后设计,纳入12名妇女,其中9名完成了完全干预。定量结果采用哈佛创伤问卷-5创伤后应激障碍子量表进行评估,定性数据采用焦点小组收集,并采用专题分析进行分析。结果:结果显示创伤后应激症状和相关的认知、情感、生理、行为和关系挑战显著减少。干预亦有助提高社会支持及应付能力。然而,由于非受控设计和小样本,研究结果应谨慎解释。结论:本可行性研究为叙述性暴露疗法作为一种有希望的干预埃塞俄比亚流离失所妇女创伤后应激障碍症状的方法提供了初步支持。需要进一步的对照试验来评估疗效。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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