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

Barron, Ian; Abdallah, Ghassan; Heltne, Unni Marie

doi:10.1080/10926771.2016.1231149

Cited by 73 publications

(64 citation statements)

References 28 publications

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“…The meta-analysis included 16 studies (59%) (Barron, Abdallah, & Heltne, 2016; Chen et al, 2014; Church et al, 2012; Cohen et al, 2011; De Roos et al, 2011, 2017; Diehle, Opmeer, Boer, Mannarino, & Lindauer, 2015; Ertl et al, 2011; Foa et al, 2013; Ford, Steinberg, Hawke, Levine, & Zhang, 2012; Goldbeck, Muche, Sachser, Tutus, & Rosner, 2016; Jensen et al, 2014; Nixon, Sterk, & Pearce, 2012; Pityaratstian et al, 2015; Scheeringa, Weems, Cohen, Amaya-Jackson, & Guthrie, 2011; Schottelkorb et al, 2012). For the remaining 11 studies (39%), insufficient data were available to be able to include them (Barron et al, 2013; Dawson et al, 2018; Deblinger et al, 2011; Dorsey et al, 2014; Mannarino, Cohen, Deblinger, Runyon, & Steer, 2012; Murray et al, 2015; Nixon, Sterk, Pearce, & Weber, 2017; Pfeiffer, Sachser, Rohlmann, & Goldbeck, 2018; Rosner et al, 2019; Rossouw et al, 2016; Rossouw, Yadin, Alexander, & Seedat, 2018).…”

Section: Resultsmentioning

confidence: 99%

The effectiveness of psychological interventions for post-traumatic stress disorder in children, adolescents and young adults: a systematic review and meta-analysis

et al. 2020

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Background Children and adolescents display different symptoms of post-traumatic stress disorder (PTSD) than adults. Whilst evidence for the effectiveness of psychological interventions has been synthesised for adults, this is not directly applicable to younger people. Therefore, this systematic review and meta-analysis synthesised studies investigating the effectiveness of psychological interventions for PTSD in children, adolescents and young adults. It provides an update to previous reviews investigating interventions in children and adolescents, whilst investigating young adults for the first time. Methods We searched published and grey literature to obtain randomised control trials assessing psychological interventions for PTSD in young people published between 2011 and 2019. Quality of studies was assessed using the Cochrane Risk of Bias tool. Data were analysed using univariate random-effects meta-analysis. Results From 15 373 records, 27 met criteria for inclusion, and 16 were eligible for meta-analysis. There was a medium pooled effect size for all psychological interventions (d = −0.44, 95% CI −0.68 to −0.20), as well as for Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) and Eye Movement Desensitisation and Reprocessing (EMDR) (d = −0.30, 95% CI −0.58 to −0.02); d = −0.46, 95% CI −0.81 to −0.12). Conclusions Some, but not all, psychological interventions commonly used to treat PTSD in adults were effective in children, adolescents and young adults. Interventions specifically adapted for younger people were also effective. Our results support the National Institute for Health and Care Excellence guidelines which suggest children and adolescents be offered TF-CBT as a first-line treatment because of a larger evidence base, despite EMDR being more effective.

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Section: Resultsmentioning

confidence: 99%

The effectiveness of psychological interventions for post-traumatic stress disorder in children, adolescents and young adults: a systematic review and meta-analysis

et al. 2020

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“…TRT has been tested in a number of settings. High acceptability and large-to-moderate effect sizes were reported for posttraumatic stress measures, depression and grief in Palestine and Gaza [ 24 , 25 ] and in Thailand after the tsunami [ 26 ]. Another study in Gaza reported a modest reduction in PTSD symptoms and no change in depression [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Teaching Recovery Techniques: evaluation of a group intervention for unaccompanied refugee minors with symptoms of PTSD in Sweden

Sarkadi

Ådahl

Stenvall

et al. 2017

Eur Child Adolesc Psychiatry

129

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In 2015, a total of 35,369 unaccompanied refugee minors (URMs) sought asylum in Sweden. In a previous study of 208 URMs, we found that 76% screened positive for PTSD. This study aimed to (1) evaluate the indicated prevention program Teaching Recovery Techniques (TRT) in a community setting and describe the program’s effects on symptoms of PTSD and depression in URMs; and (2) examine participants’ experiences of the program. The study included 10 groups. Methods for evaluation included the Children’s Revised Impact of Event Scale (CRIES-8) and the Montgomery–Åsberg Depression Rating Scale Self-report (MADRS-S) at baseline and at post-intervention. Qualitative interviews were conducted with 22 participating URMs to elicit their experiences. Pre- and post-measures were available for 46 participants. At baseline, 83% of the participants reported moderate or severe depression and 48% suicidal ideation or plans. Although more than half (62%) of the participants reported negative life events during the study period, both PTSD (CRIES-8) and depression (MADRS-S) symptoms decreased significantly after the intervention (p = 0.017, 95% CI − 5.55; − 0.58; and p < 0.001, 95% CI − 8.94; − 2.88, respectively). The qualitative content analysis resulted in six overall categories: social support, normalisation, valuable tools, comprehensibility, manageability, and meaningfulness when the youth described their experiences of the program, well reflecting TRT’s program theory. Overall, results indicate that TRT, delivered in a community setting, is a promising indicated preventive intervention for URMs with PTSD symptoms. This successful evaluation should be followed up with a controlled study.

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“…The TRT is a manualised group intervention, including both youth and caregiver sessions, aiming to promote coping and recovery from symptoms of PTSD in children aged eight and above with traumatic experiences. The TRT programme has been used effectively in several contexts such as Palestine and Gaza [ 24 , 25 ] and post-tsunami Thailand [ 26 ]. It has also been used in a Swedish context with 208 unaccompanied refugee minors [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a school-based intervention to promote mental health of refugee youth in Sweden (The RefugeesWellSchool Trial): study protocol for a cluster randomized controlled trial

Durbeej

McDiarmid

Sarkadi

et al. 2021

Trials

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Background Sweden is home to a large and growing population of refugee youths who may be at risk of mental health problems such as post-traumatic stress disorder (PTSD). Thus, there is a need for interventions that address mental health problems in these populations. Schools have been identified as an ideal setting for delivering such interventions as they offer a non-stigmatizing space and are often central to young refugees’ social networks. The RefugeesWellSchool trial in Sweden will investigate an intervention comprising two programmes: Teaching Recovery Techniques (TRT) and In-service Teacher Training (INSETT), delivered in a school setting, among refugee youth. TRT is a group-based programme for children and adolescents, informed by Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). INSETT is a multi-module course for teachers providing information on trauma and the refugee experience to build teachers’ cultural competence and capacity for supporting refugee youths in schools. Methods This trial employs a cluster randomized-control design with two arms: (1) the intervention arm in which the TRT and INSETT programmes are offered (n = 350), (2) the wait-list control arm (n = 350) in which services are provided as usual until the TRT and INSETT programmes are offered approximately six months later. Data will be collected prior to the intervention, immediately following the intervention, and at three months post-intervention. Outcomes for the trial arms will be compared using linear mixed models or ANCOVA repeated measures as well as the Reliable Change Index (RCI). Discussion This study will provide knowledge about the effectiveness of an intervention comprising two programmes: a group-based programme for youth reporting symptoms of PTSD and a training course for teachers, in order to build their competence and ability to support refugee youths in schools. Trial registration ISRCTN, ISRCTN48178969, Retrospectively registered 20/12/2019.

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

Cited by 73 publications

References 28 publications

The effectiveness of psychological interventions for post-traumatic stress disorder in children, adolescents and young adults: a systematic review and meta-analysis

The effectiveness of psychological interventions for post-traumatic stress disorder in children, adolescents and young adults: a systematic review and meta-analysis

Teaching Recovery Techniques: evaluation of a group intervention for unaccompanied refugee minors with symptoms of PTSD in Sweden

Evaluation of a school-based intervention to promote mental health of refugee youth in Sweden (The RefugeesWellSchool Trial): study protocol for a cluster randomized controlled trial

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