Randomized Control Trial of a CBT Trauma Recovery Program in Palestinian Schools

Barron, Ian; Abdallah, Ghassan; Smith, Patrick

doi:10.1080/15325024.2012.688712

Cited by 101 publications

(165 citation statements)

References 30 publications

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“…However, there is also growing literature on group-based CBT interventions in school settings. School-based interventions have been implemented to reduce symptoms of grief and post-traumatic stress among student disaster survivors in Tanzania (O'Donnell et al, 2014) and Palestine (Barron, Abdallah, & Smith, 2013), and in post-earthquake Athens (Giannopoulou, Dikaiakou, & Yule, 2006). School-based interventions have also been implemented for survivors of man-made disasters, including children who have experienced a factory explosion (Rønholt, Karsberg, & Elklit, 2013), as well as those exposed to community violence (Berger, Gelkopf, & Heineberg, 2012;Gelkopf & Berger, 2009).…”

Section: Resilience Interventionsmentioning

confidence: 99%

Evaluation of a Group-Based Resilience Intervention for Typhoon Haiyan Survivors

Hechanova

Waelde

Ramos

2016

Journal of Pacific Rim Psychology

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T his study evaluated the impact of Katatagan, a culturally adapted, group-based, and mindfulnessinformed resilience intervention developed for disaster survivors in the Philippines. The intervention aimed to teach six adaptive coping skills: harnessing strengths, managing physical reactions, managing thoughts and emotions, seeking solutions and support, identifying positive activities, and planning for the future. Pre-and post-intervention assessments were conducted with 163 Typhoon Haiyan survivors. Six-month follow-up assessments were obtained for 37 participants. Pre-and post-results showed improvements in participants' self-efficacy on all six coping skills. The 6-month follow-up revealed significant improvements in four of the six coping skills. Focus group discussions conducted at follow-up revealed that mindfulness, self-care, strengths, and reframing were some of the topics that were most memorable to participants. Among these, participants identified mindfulness as a skill that they continued to use. Participants also shared that they felt stronger because of the intervention and have shared what they learned with others in their communities. Keywords: resilience, disaster, psychosocial interventions, Philippines, Typhoon HaiyanGiven climate change and environmental degradation, natural disasters have increased in regularity and intensity. Disasters can bring about destruction and the erosion of protective support systems in families and communities, thus causing pain and trauma. Although many survivors are able to recover after a disaster, there are those who experience difficulty in recovering and are at risk for developing post-traumatic stress disorder (PTSD). Meta-analytic studies report the prevalence of PTSD ranges from 19.5-28% among earthquake victims (Dai, Chen, Lai, Wang, & Liu, 2016), 11.5-16% among flood victims (Chen & Liu, 2015), and 15-24% across disaster victims in general (Utzon-Frank et al., 2014).Mental health and/or psychosocial support (MHPSS) interventions are particularly salient among communities located in the Pacific Rim Ring of Fire, who regularly contend with earthquakes, tsunamis, typhoons, floods, and bushfires (Paton, 2009). In the past 100 years, nine of ten of the worst natural disasters occurred in Asia (Udomratn, 2008). Furthermore, in developing countries, the impact of natural calamities is exacerbated by poverty, environmental degradation, inadequate infrastructure, and the poor delivery of government social services (Porio, 2014). Ave, Quezon City, 1108 Metro Manila, Philippines. Email: rhechanova@ateneo.edu) A review of related literature on the consequences of disasters in Asia reports that PTSD affects from 8.7-57.3% of survivors, which is higher than that reported in other global studies. However, the author cites limitations on the rigour, timing, and sampling of the studies on PTSD in Asia (Udomratn, 2008). Address for correspondence: Ma. Regina M. Hechanova, Department of Psychology, Ateneo de Manila University KatipunanRather than wait for the onset o...

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Section: Resilience Interventionsmentioning

confidence: 99%

Evaluation of a Group-Based Resilience Intervention for Typhoon Haiyan Survivors

Hechanova

Waelde

Ramos

2016

Journal of Pacific Rim Psychology

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“…This is the second study that has identified a large effect size for TRT in the West Bank; the other was in the city of Nablus, in the north of occupied Palestine, where there had been high levels of ongoing military violence (Barron et al, 2013). Teaching Recovery Techniques therefore appears to be equally effective both in city and rural contexts in the West Bank.…”

Section: Discussionmentioning

confidence: 99%

“…It has been found to be culturally acceptable to both adolescents and school counselors in Palestine (Barron, Abdallah, & Smith, 2013). The group-delivered program, based on cognitivebehavioral theory, focuses specifically on children's symptoms of post-traumatic stress disorder.…”

Section: Trt Programmentioning

confidence: 99%

“…Sample size was determined by power calculations based on previous estimates of effect sizes for TRT (Barron et al, 2013;Quota et al, 2012). A sample size of 75 per group gives 85% power (p < .05) to detect an effect size of 0.5.…”

Section: Participantsmentioning

confidence: 99%

“…Studies in occupied Palestine suggest TRT is a promising program for reducing adolescent Posttraumatic Stress Disorder symptoms. Barron et al (2013), utilizing a randomized control trial with 133 adolescents from Nablus city, found a large effect size for reductions in posttraumatic stress. Significant reductions were also found for depression.…”

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confidence: 99%

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Randomized Control Trial of Teaching Recovery Techniques in Rural Occupied Palestine: Effect on Adolescent Dissociation

Barron

Abdallah²,

Heltne

2016

Journal of Aggression, Maltreatment & Trauma

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Primary-level worker interventions for the care of people living with mental disorders and distress in low- and middle-income countries

Ginneken

Chin

Lim

et al. 2021

Cochrane Database of Systematic Reviews

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Background Community‐based primary‐level workers (PWs) are an important strategy for addressing gaps in mental health service delivery in low‐ and middle‐income countries. Objectives To evaluate the effectiveness of PW‐led treatments for persons with mental health symptoms in LMICs, compared to usual care. Search methods MEDLINE, Embase, CENTRAL, ClinicalTrials.gov, ICTRP, reference lists (to 20 June 2019). Selection criteria Randomised trials of PW‐led or collaborative‐care interventions treating people with mental health symptoms or their carers in LMICs. PWs included: primary health professionals (PHPs), lay health workers (LHWs), community non‐health professionals (CPs). Data collection and analysis Seven conditions were identified apriori and analysed by disorder and PW examining recovery, prevalence, symptom change, quality‐of‐life (QOL), functioning, service use (SU), and adverse events (AEs). Risk ratios (RRs) were used for dichotomous outcomes; mean difference (MDs), standardised mean differences (SMDs), or mean change differences (MCDs) for continuous outcomes. For SMDs, 0.20 to 0.49 represented small, 0.50 to 0.79 moderate, and ≥0.80 large clinical effects. Analysis timepoints: T1 (<1 month), T2 (1‐6 months), T3 ( >6 months) post‐intervention. Main results Description of studies 95 trials (72 new since 2013) from 30 LMICs (25 trials from 13 LICs). Risk of bias Most common: detection bias, attrition bias (efficacy), insufficient protection against contamination. Intervention effects *Unless indicated, comparisons were usual care at T2. “Probably”, “may”, or “uncertain” indicates "moderate", "low," or "very low" certainty evidence. Adults with common mental disorders (CMDs) LHW‐led interventions a. may increase recovery (2 trials, 308 participants; RR 1.29, 95%CI 1.06 to 1.56); b. may reduce prevalence (2 trials, 479 participants; RR 0.42, 95%CI 0.18 to 0.96); c. may reduce symptoms (4 trials, 798 participants; SMD ‐0.59, 95%CI ‐1.01 to ‐0.16); d. may improve QOL (1 trial, 521 participants; SMD 0.51, 95%CI 0.34 to 0.69); e. may slightly reduce functional impairment (3 trials, 1399 participants; SMD ‐0.47, 95%CI ‐0.8 to ‐0.15); f. may reduce AEs (risk of suicide ideation/attempts); g. may have uncertain effects on SU. Collaborative‐care a. may increase recovery (5 trials, 804 participants; RR 2.26, 95%CI 1.50 to 3.43); b. may reduce prevalence although the actual effect range indicates it may have little‐or‐no effect (2 trials, 2820 participants; RR 0.57, 95%CI 0.32 to 1.01); c. may slightly red...

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Randomized Control Trial of a CBT Trauma Recovery Program in Palestinian Schools

Cited by 101 publications

References 30 publications

Evaluation of a Group-Based Resilience Intervention for Typhoon Haiyan Survivors

Evaluation of a Group-Based Resilience Intervention for Typhoon Haiyan Survivors

Randomized Control Trial of Teaching Recovery Techniques in Rural Occupied Palestine: Effect on Adolescent Dissociation

Primary-level worker interventions for the care of people living with mental disorders and distress in low- and middle-income countries

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