Group Interpersonal Psychotherapy for Depressed Youth in IDP Camps in Northern Uganda: Adaptation and Training

Verdeli, Helen; Clougherty, Kathleen F.; Onyango, Grace; Lewandowski, Eric; Speelman, Liesbeth; Betancourt, Teresa S.; Neugebauer, Richard; Stein, Traci R.; Bolton, Paul

doi:10.1016/j.chc.2008.03.002

Cited by 68 publications

(51 citation statements)

References 23 publications

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“…They voiced that the modifications made to EBT are centered on language and the way in which core elements are implemented (opposed to core constructs), such as using different games and analogies and simplifying language. This is supported by a small literature on examining the cultural adaptation of EBT in LMIC such as Interpersonal Psychotherapy (IPT) (Patel et al, 2011; Verdeli et al 2003; Verdeli et al, 2008) and Cognitive Processing Therapy (CPT) (Kaysen et al, 2013). Still, ongoing research on adaptation of EBT in LMIC is warranted, specifically with children and families.…”

Section: Discussionmentioning

confidence: 86%

“…Studies have also shown that TF-CBT is adaptable across different cultures (BigFoot & Schmidt, 2010; Huey & Polo, 2008). The literature on cross-cultural adaptation of TF-CBT (e.g., BigFoot & Schmidt, 2010), as well as the wider literature on EBT (Patel et al, 2011; Verdeli et al, 2003; Verdeli et al, 2008) suggest that modifications are primarily on methods of implementation (rather than core concepts), simplifying text, and reducing jargon. One component of TF-CBT that was hypothesized to require some adaptations in LMIC is parenting skills.…”

Section: Background Feasibility Studymentioning

confidence: 99%

“…The growing scientific literature also demonstrates that EBTs can be effectively and feasibly implemented in LMIC (Bolton et al, 2007; Bolton et al, 2003; Bolton, Bass & Murray, 2011; Patel, Chowdhary, Rahman &Verdeli, 2011; Rahman, Malik, Sikander, Roberts & Creed, 2008). Finally, there is increasing literature suggesting that EBTs can be culturally adapted and that the core principles of EBTs remain intact (Kaysen et al, 2013; Patel et al, 2011; Verdeli et al, 2003; Verdeli et al, 2008). …”

mentioning

confidence: 99%

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Counselor and Client Perspectives of Trauma-Focused Cognitive Behavioral Therapy for Children in Zambia: A Qualitative Study

Murray

Skavenski

Michalopoulos

et al. 2014

Journal of Clinical Child & Adolescent Psychology

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Objective This study examined Zambian counselors, children, and caregivers' perceptions of an evidence-based treatment (EBT) for trauma (Trauma-Focused Cognitive Behavioral Therapy, TF-CBT) utilized in Zambia to address mental health problems in children. Method Semi-structured interviews were conducted with local counselors trained in TF-CBT (N=19; 90% of those trained; 12 Female) and children/caregivers who had received TF-CBT in a small feasibility study (N=18; 86% of the children and N=16; 76% of the caregivers) who completed TF-CBT (Total completed; N=21). Each client was asked six open-ended questions, and domain analysis was used to explore the data. Results Counselors were positive about the program, liked the structure and flexibility, reported positive changes in their clients, and discussed the cultural adaptation around activities and language. Counselors stated the training was too short, and the supervision was necessary. Challenges included client engagement and attendance, availability of location, funding, and a lack of community understanding of “therapy.” Children and caregivers stated multiple positive changes they attributed to TF-CBT, such as better family communication, reduction of problem behaviors, and ability to speak about the trauma. They recommended continuing the program. Conclusion This study brings a critical examination of providers' and clients' perspectives of the implementation of an EBT for children in a low-resource setting. Clinical implications include changing implementation methods based on responses. Research implications include future study directions such as an effectiveness trial of TF-CBT and an examination of implementation factors.

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Section: Discussionmentioning

confidence: 86%

Section: Background Feasibility Studymentioning

confidence: 99%

mentioning

confidence: 99%

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Counselor and Client Perspectives of Trauma-Focused Cognitive Behavioral Therapy for Children in Zambia: A Qualitative Study

Murray

Skavenski

Michalopoulos

et al. 2014

Journal of Clinical Child & Adolescent Psychology

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“…The APAI scale includes 60 locally identified signs and symptoms on a likert scale from ‘0’ (never) to ‘3’ (constantly), and has been validated with strong test-retest and inter-rater reliability. The APAI scale has been successfully used to evaluate the effectiveness of interventions for depression symptoms among adolescent survivors of war and displacement in northern Uganda [22-25]. This study uses one depression sub-scale capturing indicators for the local syndrome terms kumu .…”

Section: Methodsmentioning

confidence: 99%

After abduction: exploring access to reintegration programs and mental health status among young female abductees in Northern Uganda

et al. 2014

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BackgroundReintegration programs are commonly offered to former combatants and abductees to acquire civilian status and support services to reintegrate into post-conflict society. Among a group of young female abductees in northern Uganda, this study examined access to post-abduction reintegration programming and tested for between group differences in mental health status among young women who had accessed reintegration programming compared to those who self-reintegrated.MethodsThis cross-sectional study analysed interviews from 129 young women who had previously been abducted by the Lords Resistance Army (LRA). Data was collected between June 2011-January 2012. Interviews collected information on abduction-related experiences including age and year of abduction, manner of departure, and reintegration status. Participants were coded as ‘reintegrated’ if they reported ≥1 of the following reintegration programs: traditional cleansing ceremony, received an amnesty certificate, reinsertion package, or had gone to a reception centre. A t-test was used to measure mean differences in depression and anxiety measured by the Acholi Psychosocial Assessment Instrument (APAI) to determine if abductees who participated in a reintegration program had different mental status from those who self-reintegrated.ResultsFrom 129 young abductees, 56 (43.4%) had participated in a reintegration program. Participants had been abducted between 1988–2010 for an average length of one year, the median age of abduction was 13 years (IQR:11–14) with escaping (76.6%), being released (15.6%), and rescued (7.0%) being the most common manner of departure from the LRA. Traditional cleansing ceremonies (67.8%) were the most commonly accessed support followed by receiving amnesty (37.5%), going to a reception centre (28.6%) or receiving a reinsertion package (12.5%). Between group comparisons indicated that the mental health status of abductees who accessed ≥1 reintegration program were not significantly different from those who self-reintegrated (p > 0.05).ConclusionsOver 40% of female abductees in this sample had accessed a reintegration program, however significant differences in mental health were not observed between those who accessed a reintegration program and those who self-reintegrated. The successful reintegration of combatants and abductees into their recipient community is a complex process and these results support the need for gender-specific services and ongoing evaluation of reintegration programming.

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“…The results showed significant improvement of depression among girls in the IPT group compared to the other two conditions. [5,15] …”

Section: Even If Implementation Of the Intervention Is Possible How mentioning

confidence: 98%

Group Interpersonal Psychotherapy for Depressed Youth in IDP Camps in Northern Uganda: Adaptation and Training

Cited by 68 publications

References 23 publications

Counselor and Client Perspectives of Trauma-Focused Cognitive Behavioral Therapy for Children in Zambia: A Qualitative Study

Counselor and Client Perspectives of Trauma-Focused Cognitive Behavioral Therapy for Children in Zambia: A Qualitative Study

After abduction: exploring access to reintegration programs and mental health status among young female abductees in Northern Uganda

Toward building feasible, efficacious and sustainable treatments for depression in developing countries

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