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Treatment of Complex Post-traumatic Stress Disorder Among Displaced People in Switzerland and Germany

RecruitingNAAges 17 Years - anyAllEva Heim
NCT07015567 on ClinicalTrials.gov โ†—
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In plain words

What the trial is, and whether it could suit you

In WHO ICD-11 (its latest edition), the diagnostic criteria for post-traumatic stress disorder (PTSD) were revised, and a new sibling disorder, complex post-traumatic stress disorder (CPTSD) was introduced. CPTSD is a debilitating condition associated with severe, prolonged, or chronic trauma. Refugee populations are affected by high prevalence of CPTSD because of high rates of such trauma (e.g. torture). Untreated CPTSD has negative consequences for quality of life and for integration into the host society. Evidence indicates cultural variation in the phenomenology of CPTSD. Modular approaches, e.g., the Skills Training in Affective and Interpersonal Regulation combined with Modified Prolonged Exposure (ESTAIR/MPE), have been recommended for the treatment of CPTSD. However, they have not been tested in a clinical trial among refugees so far and there are no available publications about

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Informed consent signature * Refugees and asylum seekers with a valid residence permit (N, F, B, or C status) * Speaking Arabic, Farsi/Dari, Pashtu, Kurdish (different dialects), Turkish, English, German, or French * Originating from Middle East, Northern Africa, or Sub-Sahara Africa * A psychotherapy is indicated and was prescribed * Participated to part 1 of the study and was diagnosed with CPTSD on the basis of the standard International Trauma Interview and the Socio-cultural and structural addendum (SCSA). The diagnosis is done based on the clinical judgement by the local therapist. Exclusion Criteria: * Acute psychosis * Imminent risk of suicide * Severe alcohol and/or substance abuse * Being enrolled in another psychotherapy * Inability to follow study procedures (i.e., cognitive impairment) * Inability to give informed consent * Known pregnancy
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What it tests

  • Emotion regulation module of Enhanced Skills Training in Affective and Interpersonal Regulation combined with Narrative Exposure Therapy (ESTAIR/NET)
  • Negative self-concept module of Enhanced Skills Training in Affective and Interpersonal Regulation combined with Narrative Exposure Therapy (ESTAIR/NET)
  • Interpersonal relationships module of Enhanced Skills Training in Affective and Interpersonal Regulation combined with Narrative Exposure Therapy (ESTAIR/NET)
  • Narrative exposure therapy module of Enhanced Skills Training in Affective and Interpersonal Regulation combined with Narrative Exposure Therapy (ESTAIR/NET)
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Where

8 sites
Centra
Hamburg, Germany
Psychiatrie Basel-Land
Liestal, Switzerland
Psy4Asyl
Aarau, Switzerland
UPK Transkulturelle Ambulanz
Basel, Switzerland
SRK Ambulatorium fuฬˆr Folter- und Kriegsopfer
Wabern, Switzerland
Appartenances - CPM Lausanne
Lausanne, Switzerland
Appartenances - CPM Yverdon-les-Bains
Yverdon-les-Bains, Switzerland
Integrierten Psychiatrie Winterthur
Winterthur, Switzerland
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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