The effectiveness of Narrative Exposure Therapy with traumatised firefighters in Saudi Arabia: A randomized controlled study

Alghamdi, Mohammed; Hunt, Nigel; Thomas, Shirley

doi:10.1016/j.brat.2015.01.008

Cited by 46 publications

(66 citation statements)

References 33 publications

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“…In our study, the difference in improvement in depression, anxiety and sleep quality between the two groups was not statistically significant, which was inconsistent with some previous studies. ( Alghamdi et al., 2015 ; Park et al., 2020 ). This discrepancy might be related to differences in age characteristics of the participants.…”

Section: Discussionmentioning

confidence: 99%

The effects of narrative exposure therapy on COVID-19 patients with post-traumatic stress symptoms: A randomized controlled trial

Fan

Shi

Zhang

et al. 2021

Journal of Affective Disorders

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Background: With the global attack of Coronavirus Disease 2019 (COVID-19), cases with Post-traumatic Stress Disorder (PTSD) have been increasing steadily, which seriously affects the quality of life of patients and as such, seeking effective treatments is an urgent matter. Narrative Exposure Therapy (NET) is a typical cognitive behavioral therapy targeting trauma-related psychological disorders and may be an effective intervention. Methods: A total of 111 COVID-19 patients near the discharge stage with positive screening results for posttraumatic stress symptoms (PTSS) were randomly assigned (1:1) to either the study group or the control group. The study group received NET and personalized psychological intervention, while the control group only received personalized psychological intervention. PTSS, depression, anxiety and sleep quality were measured pre- and post-intervention to evaluate the effect of NET. This trial was registered with the International Standard Randomized Clinical Trial Registry (No. ChiCTR2000039369). Results: NET participants showed a significantly greater PTSS reduction in comparison with the control group after the intervention. Improvement in sleep quality, anxiety and depression after the intervention were pronounced but not significantly different between the two treatment groups. Limitations: The assessors weren't blinded for the convenience of measurement and protection of participants’ psychological security. Conclusions: NET likely had a positive impact on PTSS of COVID-19 patients. Clinical staff should consider applying NET to improve the psychological well-being of patients who have experienced an epidemic such as COVID-19.

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Section: Discussionmentioning

confidence: 99%

The effects of narrative exposure therapy on COVID-19 patients with post-traumatic stress symptoms: A randomized controlled trial

Fan

Shi

Zhang

et al. 2021

Journal of Affective Disorders

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“…Consequently, those populations may be characterized by high problem complexity (Gerger et al, 2014). Finally, five studies (31.25%), including 164 individuals, involved non-refugee participants (Alghamdi, Hunt, & Thomas, 2015;Al Hadethe, Hunt, Al-Qaysi, & Thomas, 2015;Bichescu, Neuner, Schauer, & Elbert, 2007;Zang, Hunt, & Cox, 2013;Zang et al, 2014). Three of those studies (Alghamdi et al, 2015;Bichescu et al, 2007;Zang et al, 2013) reported multiple traumatic events as well.…”

Section: Participantsmentioning

confidence: 99%

The effectiveness of narrative exposure therapy: a review, meta-analysis and meta-regression analysis

Lely

Smid

Jongedijk

et al. 2019

European Journal of Psychotraumatology

107

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Background: Narrative exposure therapy (NET) is a short-term psychological treatment for post-traumatic stress disorder (PTSD) that has been investigated in various contexts among traumatized refugees and other trauma survivors. Sustained treatment results have been reported, but the methodological quality of the trials needs a more thorough examination. Objective: To evaluate the effectiveness of NET for survivors of trauma, using a quality assessment, an updated meta-analysis, and a meta-regression analysis. Method: Following a systematic literature selection, the methodological quality of the included studies was assessed; Non-controlled and controlled effect sizes (Hedges' g) were estimated using a random effects model. Predictor analyses were performed. Non-controlled effect sizes for PTSD and depression included symptom change at post-treatment and follow-up time-points. Controlled effect sizes included post-treatment comparisons of NET with non-active and active comparators: both trauma-focused (TF) and non-trauma-focused (non-TF) interventions. Results: The selected studies showed high external validity; methodological quality was equivalent to other guideline-supported TF interventions. In 16 randomized controlled trials, involving 947 participants, large non-controlled effect sizes were found for PTSD symptoms, at post-treatment (g = 1.18, 95% confidence interval [0.87; 1.50]) and follow-up (g = 1.37 [0.96; 1.77]). For depression symptoms, medium non-controlled effect sizes were found, at post-treatment (g = 0.47 [0.23; 0.71]) and follow-up (g = 0.

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“…Evidence for Implementation of NET NET has been rigorously tested and shown to be effective in multiple settings and populations affected by traumatic stress (e.g., Alghamdi, Hunt, & Thomas, 2015;Nos e et al, 2017). Although several EBIs have been shown to be effective for decreasing PTSD symptoms, such as prolonged exposure (PE), eye movement desensitization and reprocessing therapy (EMDR), and trauma focused-CBT, most EBIs have been tested with populations exposed to a single traumatic event, such as an accident or natural disaster (e.g., Rothbaum, Astin, & Marsteller, 2005).…”

Section: Collaborating Authorshipmentioning

confidence: 99%

Bioecological Implications of Narrative Exposure Therapy in Low‐Resource Settings: Individual, Family, Community, and Socio‐Political Contexts

Cooper

Wieling

Pfeiffer³

2019

ANZ J of Family Therapy

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Traumatic stress can have detrimental effects on individuals, families, and communities. Narrative exposure therapy (NET) is an evidence‐based intervention for decreasing individuals’ post‐traumatic stress disorder (PTSD) symptoms and has been tested in some of the most challenging contexts, such as in post‐conflict refugee camps. Although the focus of NET is on reducing individual PTSD symptoms, the impact of NET can be seen beyond the individual level. The purpose of this paper is to examine some of the ecological implications of using NET with trauma‐affected populations in low‐resource settings. We describe the implications of NET at the family, community, and sociopolitical levels using several case examples. Finally, we outline limitations and future directions for improving the delivery of NET in settings with limited resources.

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The effectiveness of Narrative Exposure Therapy with traumatised firefighters in Saudi Arabia: A randomized controlled study

Cited by 46 publications

References 33 publications

The effects of narrative exposure therapy on COVID-19 patients with post-traumatic stress symptoms: A randomized controlled trial

The effects of narrative exposure therapy on COVID-19 patients with post-traumatic stress symptoms: A randomized controlled trial

The effectiveness of narrative exposure therapy: a review, meta-analysis and meta-regression analysis

Bioecological Implications of Narrative Exposure Therapy in Low‐Resource Settings: Individual, Family, Community, and Socio‐Political Contexts

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