• Users Online: 126
  • Print this page
  • Email this page
Year : 2014  |  Volume : 12  |  Issue : 2  |  Page : 250-266

Evaluating interventions for posttraumatic stress disorder in low and middle income countries: Narrative Exposure Therapy

1 psychiatrist and psychotherapist trained at the Charité, Universitätsmedizin Berlin, Germany; Traumatherapist; Research fellow at the Unit for Social & Community Psychiatry, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, United Kingdom holding a European Union Marie Curie International Outgoing Fellowship at the Department of Psychiatry and Mental Health of the University of Chile
2 psychologist, Gestalt Therapist, Traumatherapist, Consultant for Medica Mondiale and Doctors Without Borders
3 psychiatrist and psychotherapist, Director and Chair of the Department of Psychiatry and Psychotherapy, Charité Campus Mitte, Universitätsmedizin Berlin, Germany., Germany
4 psychotherapist, founder and former director of the Treatment Centre for Victims of Torture in Berlin, Germany; elected member of the United Nations Subcomittee on Prevention of Torture; Honorary Professor at the Charité Universitätsmedizin, Berlin

Correspondence Address:
Login to access the Email id

Source of Support: None, Conflict of Interest: None

Rights and PermissionsRights and Permissions

This article provides a framework for evaluating randomised controlled efficacy trials for the treatment of posttraumatic stress disorder, in low and middle income countries, applied to Narrative Exposure Therapy. A list of methodological and conceptual indicators to evaluate trial data was developed and utilised to assess six trials. The efficacy of this therapy to reduce symptoms is mainly deduced from effects that were measured at long term follow-up points, and that had not been seen at relatively early follow-up points. Focused interventions, such as the Narrative Exposure Therapy, may be too short in duration to comprehensively address posttraumatic stress disorder developed as a consequence of serial, long term exposure to trauma with the consequent disruption of social contexts. The Narrative Exposure Therapy approach also does not consider the cultural and political context, nor the effect of traumatic events on communities and appears to be disconnected from more comprehensive care systems. As a result, data for the efficacy of this therapy in post disaster settings are not yet conclusive. Conceptual problems should be addressed in further effectiveness trials.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded6    
    Comments [Add]    

Recommend this journal