Trauma rehabilitation for war-affected persons in northern Uganda: A pilot evaluation of the EMPOWER programme

Sonderegger, Robi; Rombouts, Sacha; Ocen, Benson; McKeever, Reyelle Sarah

doi:10.1348/014466510x511637

Cited by 34 publications

(48 citation statements)

References 36 publications

(51 reference statements)

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“…Other nations where internal displacement has occurred within the context of enduring armed conflicts include Uganda [6, 62, 66], Ethiopia [57], Sudan [58, 59, 70, 72, 73, 79, 81], and Sri Lanka [71, 74]. Prior to displacement, future IDPs witness nearby armed conflict and other acts of violence [6, 67•, 68••, 69–77, 71, 74–78].…”

Section: Discussionmentioning

confidence: 99%

Internally Displaced “Victims of Armed Conflict” in Colombia: The Trajectory and Trauma Signature of Forced Migration

Shultz

Garfin

Espinel

et al. 2014

Curr Psychiatry Rep

110

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While conflict-induced forced migration is a global phenomenon, the situation in Colombia, South America, is distinctive. Colombia has ranked either first or second in the number of internally displaced persons for 10 years, a consequence of decades of armed conflict compounded by high prevalence of drug trafficking. The displacement trajectory for displaced persons in Colombia proceeds through a sequence of stages: (1) pre-expulsion threats and vulnerability, (2) expulsion, (3) migration, (4) initial adaptation to relocation, (5) protracted resettlement (the end point for most forced migrants), and, rarely, (6) return to the community of origin. Trauma signature analysis, an evidence-based method that elucidates the physical and psychological consequences associated with exposures to harm and loss during disasters and complex emergencies, was used to identify the psychological risk factors and potentially traumatic events experienced by conflict-displaced persons in Colombia, stratified across the phases of displacement. Trauma and loss are experienced differentially throughout the pathway of displacement.

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Section: Discussionmentioning

confidence: 99%

Internally Displaced “Victims of Armed Conflict” in Colombia: The Trajectory and Trauma Signature of Forced Migration

Shultz

Garfin

Espinel

et al. 2014

Curr Psychiatry Rep

110

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“…Studies on depression, anxiety, and PTSD reported reductions and an overall improvement in mental function among intervention groups compared to control groups. 37,50,52,58 Improvements were often not observable at the early stages of the interventions, for example within the first three months. However, even minimal engagement within the intervention proved beneficial compared to no intervention at all.…”

Section: Treatment and Essential Drugs Interventionsmentioning

confidence: 99%

Essential healthcare services provided to conflict-affected internallydisplaced populations in low and middle-income countries: A systematicreview

Ekezie

Adaji

Murray

2020

Health Promot Perspect

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Background: Conflict and violent crises have resulted in over 40 million of internally displaced persons (IDPs). Most affected regions lack access to basic health resources and generally rely on humanitarian support. The objective of this review was to appraise primary health service interventions among conflict-induced internally displaced populations in low and middle income countries between 2000 and 2019. Methods: A systematic review of literature in the following databases: Embase, MEDLINE, PsyArticles, PsycINFO, Scopus, Web of Science, LILAC and CAB Articles, was performed to identify interventions implemented in conflict IDP settings. Results: Initial searches yielded 4578 papers and 30 studies met the inclusion criteria. Descriptivesynthesis analysis was used, and the final selections were assessed using a customized CriticalAppraisal Skills Programme (CASP) checklist. Included papers were from Sub-Saharan Africa, South Asia and the Middle East regions. Most studies were on prevention interventions, especially water treatment and maternal health. Treatment interventions mostly focused on onmalaria and mental health. Only one food and nutrition study with outcome data was identified, indicating limitations in IDP health-related intervention publications. Reported interventions were conducted between one week to five years, and the study qualities were moderate. The most effective interventions were integrated programmes and common challenges were weakstudy methodology and data reporting. Conclusion: Regardless of the intervention types and durations, the services offered were beneficial to the IDPs. More intervention evidence are, however required as shown in gaps around food and nutrition, health education and disease surveillance.

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“…A culturally sensitive CBT-based group intervention trialed in Uganda with 202 internally displaced persons (aged 15–56 years) was the EMPOWER program (Sonderegger, 2006; Sonderegger et al, 2011). The program was developed to help war-affected persons overcome their traumatic experiences through teaching emotional resiliency and reconciliation.…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of a Group Cognitive Behavioral Therapy for War-Affected Young Migrants Living in Australia: A Cluster Randomized Controlled Trial

et al. 2016

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Background: Preventative and treatment programs for people at risk of developing psychological problems after exposure to war trauma have mushroomed in the last decade. However, there is still much contention about evidence-based and culturally sensitive interventions for children. The aim of this study was to examine the efficacy of the Teaching Recovery Techniques in improving the emotional and behavioral outcomes of war-affected children resettled in Australia.Methods and Findings: A cluster randomized controlled trial with pre-test, post-test, and 3-month follow-up design was employed. A total of 82 participants (aged 10–17 years) were randomized by school into the 8-week intervention (n = 45) or the waiting list (WL) control condition (n = 37). Study outcomes included symptoms of post-traumatic stress disorder, depression, internalizing and externalizing problems, as well as psychosocial functioning. A medium intervention effect was found for depression symptoms. Participants in the intervention condition experienced a greater symptom reduction than participants in the WL control condition, F(1, 155) = 5.20, p = 0.024, partial η2 = 0.07. This improvement was maintained at the 3-month follow-up, F(2, 122) = 7.24, p = 0.001, partial η2 = 0.20.Conclusions: These findings suggest the potential benefit of the school and group-based intervention on depression symptoms but not on other outcomes, when compared to a waiting list control group.Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12611000 948998.

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Trauma rehabilitation for war-affected persons in northern Uganda: A pilot evaluation of the EMPOWER programme

Cited by 34 publications

References 36 publications

Internally Displaced “Victims of Armed Conflict” in Colombia: The Trajectory and Trauma Signature of Forced Migration

Internally Displaced “Victims of Armed Conflict” in Colombia: The Trajectory and Trauma Signature of Forced Migration

Essential healthcare services provided to conflict-affected internallydisplaced populations in low and middle-income countries: A systematicreview

The Efficacy of a Group Cognitive Behavioral Therapy for War-Affected Young Migrants Living in Australia: A Cluster Randomized Controlled Trial

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