La Terapia de Exposición Narrativa como alternativa terapéutica para el Trastorno de Estrés Postraumático Complejo

  1. Cáceres Rubio, M. José 1
  2. Crespo, María 1
  1. 1 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

Aldizkaria:
Revista de Victimología

ISSN: 2385-779X

Argitalpen urtea: 2019

Zenbakien izenburua: Revista de Victimología / Journal of Victimology

Zenbakia: 9

Orrialdeak: 5-29

Mota: Artikulua

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Beste argitalpen batzuk: Revista de Victimología

Laburpena

In recent years, new therapeutic approaches have been proposed for the treatment of complex trauma in populations such as refugees and asylum seekers that try to adapt to the characteris-tics and specific circumstances of these populations, in particular to their difficulties of access to psychological treatment and the accumulation of traumatic events. Among them figure the Narrative Exposure Therapy (TEN), as well as its versions, named STAIR, for people who have suffered adversity in childhood, and FORNET, for military population with high levels of ag-gressiveness. The objective of this work is to carry out a systematic review of studies that assess the effectiveness of TEN and its two versions for the treatment of Posttraumatic Stress Disorder (PTSD) in adults. The review includes a total of 21 studies published between 2000 and 2018. The results show that TEN and its modalities are effective in reducing post-traumatic symptoma-tology in a brief set of sessions. The results are less conclusive regarding the decrease in depressive symptoms. In addition, drop-out rates for treatment are low. The clinical implications of the results are discussed.

Erreferentzia bibliografikoak

  • Adenauer, H., Catani, C., Gola, H., Keil.J., Ruf, M., Schauer, M., & Neuner, F. (2011). Narrative exposure therapy for PTSD increases top-down processing of aversive stimuli-evidence from a randomized controlled treatment trial. BMC Neuroscience, 12, 127. doi: 10.1186/1471-2202-12-127
  • Alghamdi, M., Hunt, N., & Thomas, S. (2015). The effectiveness of Narrative Exposure Therapy with traumatised firefighters in Saudi Arabia: A randomized controlled study. Behaviour Research and Therapy, 66, 64-71. doi: 10.1016/j.brat.2015.01.008
  • Alto Comisionado de las Naciones Unidas para los Refugiado (ACNUR). (2017). Informe Anual 2017. Recuperado de: https://eacnur.org/files/ reports/file/memoria_anual_de_acnur_2017.pdf
  • Bichescu, D., Neuner. F., Schauer, M. & Elbert, T. (2007). Narrative exposure therapy for political imprisonment- related chronic posttraumatic stress disorder and depression. Behaviour Research and Therapy, 45, 2212-2220. doi: 10.1016/j.brat.2006.12.006
  • Cloitre, M., Koenen, K.C., Cohen, L.R., & Han, H. (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse. Journal of Consulting and Clinical Psychology, 70, 1067-1074. doi: 10.1037/0022-006X.70.5.1067
  • Cloitre, M., & Schmidt. A. (2015). STAIR Narrative Therapy. En Cloitre, M. & Schnyder, U. (Eds.) (2015), Evidence Based Treatment for Trauma-Rela-ted Psychological Disorders: A Guide for Clinicians (pp. 277-291). Londres: Springer.
  • Cloitre, M., Stovall-McClought, K.C., Nooner, K., Zorbas, P., Cherry, S., Jackson, C.L., Gan, W., & Petkova, E. (2010). Treatment for PTSD related to childhood abuse: A randomized controlled trial. The American Journal of Psychiatry, 167, 915-924. doi: 10.1176/appi.ajp.2010.09081247
  • Crespo, M., Castro, S. y Gómez-Gutiérrez, M. (2017). Menores refugiados: psicopatología y factores relacionados. Revista de Victimología, 6, 9-32. doi: 10.12827/RVJV.6.01
  • Crombach, A., & Elbert, T. (2015). Controlling Offensive Behaviour Using Narrative Exposure Therapy: A Randomized Controlled Trial of Former Street Children. Clinical Psychological Science, 3, 270 –282. doi: 10.1177/2167702614534239
  • Elbert, T., Schauer, M. & Neuner, F. (2015). Narrative Exposure Therapy (NET): Reorganizing Memories of Traumatic Stress, Fear and Violence. En Cloitre, M. & Schnyder, U. (Eds.), Evidence Based Treatment for Trauma Related Psychological Disorders. A practical guide for clinicians (pp. 229-249). Londres: Springer.
  • Erbes, C.R., Stillman, J.R., Wieling, E. Bera, W., & Leskela, J. (2014). A Pilot Examination of the Use of Narrative Therapy with Individuals Diagnosed with PTSD. Journal of Traumatic Stress, 27, 730-733. doi: 10.1002/jts.21966
  • Gonçalves, F. (2002). Fundamentos de investigación. En Gonçalves, F. (2002). Psicoterapia cognitiva narrativa. Manual de terapia breve (pp. 46-47). Bilbao: Descleé de Brouwer.
  • Gwozdziewycz, N., & Mehls-Madrona, L. (2013). Meta-Analysis of the Use of Narrative Exposure Therapy for the Effects of Trauma Among Refugee Populations. The Permanent Journal, 17, 70-76. doi: 10.7812/FTPP/F12-058
  • Halvorsen, J. O., & Stenmark, H. (2010). Narrative exposure therapy for posttraumatic stress disorder in tortured refugees: A preliminary uncontrolled trial. Scandinavian Journal of Psychology, 51, 495-502. doi: 10.1111/j.1467-9450.2010.00821.x.
  • Hecker, T., Hermenau, K., Crombach, A. & Elbert, T. (2015). Treating traumatized offenders and veterans by means of Narrative Exposure Therapy. Frontiers in Psychiatry, 6, 80. doi: 10.3389/Ffpsyt.2015.00080
  • Hensel-Dittmann, D., Schauer, M., Ruf, M., Catani, C., Odenwald, M., Elbert, T., & Neuner, F. (2011). Treatment of Traumatized Victims of War and Torture: A Randomized Controlled Comparison of Narrative Exposure Therapy and Stress Inoculation Training. Psychotherapy and Psychosomatics, 80, 345-352. doi: 10.1159/000327253
  • Hermenau, K., Hecker, T., Schaal, S., Maedl, A., & Elbert, T. (2013). Addressing Post-traumatic Stress and Aggression by Means of Narrative Exposure: A Randomized Controlled Trial with Ex-Combatants in the Eastern DRC. Journal of Aggression, Maltreatment & Trauma, 22, 916–934. doi: 10.1080/10926771.2013.824057
  • Hijazi, A. M. (2013). Narrative Exposure Therapy to treat traumatic stress in Middle Eastern refugees: A clinical trial. Dissertation Abstracts International: Section B: The Sciences, and, Engineering, 74 (2-B(E)).
  • *Hijazi, A. M., Lumley, M.A., Ziadni, M. S., Haddad, L., Rapport, L.J., & Arnetz, B. B. (2014). Brief Narrative Exposure Therapy for Posttraumatic Stress in Iraqi Refugees: A Preliminary Randomized Clinical Trial. Journal of Traumatic Stress, 27, 314–32. doi: 10.1002/jts.21922
  • Hinsberger, M., Holtzhausen, L., Sommer, J., Kaminer, D., Elbert, T., Seedat, S., Wilker, S., Crombach, A., & Weierstall, R. (2017). Feasibility and Effectiveness of Narrative Exposure Therapy and Cognitive Behavioural Therapy in a Context of Ongoing Violence in South Africa. Psychological Trauma: Theory, Research, Practice and Policy, 9, 282-291. doi: 10.1037/tra0000197
  • *Köback, A., Schaal, S., Hecker, T., & Elbert, T., (2015). Psychotherapeutic Intervention in the Demobilization Process: Addressing Combat-related Mental Injuries with Narrative Exposure in a First and Second Dissemination Stage. Clinical Psychology and Psychotherapy, 24, 807-825. doi: 10.1002/cpp.1986.
  • *Levitt, J.T., Malta, L.S., Martin, A., Davis, L., & Cloitre, M. (2007). The flexible application of a manualized treatment for PTSD symptoms and functional impairment related to the 9/11 World Trade Centre Attack. Behaviour Research and Therapy, 45, 1419-1433. doi: 10.1016/j.brat.2007.01.004
  • McPherson, J. (2012). Does Narrative Exposure Therapy Reduce PTSD in Survivors of Mass Violence? Research on Social Work Practice, 22, 29-42. doi: 10.1177/1049731511414147
  • Morkved, N., Hartmann, K., Aarsheim, L.M., Holen, D., Milde, A.M., Bomyea, J., & Thorp, S.R. (2014). A comparison of Narrative Exposure Therapy and Prolonged Exposure Therapy for PTSD. Clinical Psychological Review, 34, 453-467. doi: 10.1016/j.cpr.2014.06.00
  • *Morkved, N., & Thorp, S. R. (2018). The treatment of PTSD in an older adult Norwegian using narrative exposure therapy: a case report. European Journal of Psychotraumatology, 9, 1414561. doi: 10.1080/20008198.2017.1414561
  • *Neuner, F., Kurreck, S., Ruf, M., Odenwald, M., Elbert, T., & Schauer, M. (2010). Can Asylum-Seekers with Posttraumatic Stress Disorder Be successfully treated? A randomized Controlled Pilot Study. Cognitive Behaviour, 38, 81-91. doi: 10.1080/16506070903121042.
  • *Neuner, F., Onyut, P.L., Ertl, V., Odenwal, M., Schauer, E. & Elbert, T. (2008). Treatment of Posttraumatic Stress Disorder by Trained Lay Counsellors in an African Refugee Settlement: A randomized Controlled Trial. Journal of Consulting and Clinical Psychology, 76, 686-694. doi: 10.1037/0022-006X.76.4.686.
  • *Neuner, F., Schauer, M., Klaschik, U., Karanuakara, U., & Elbert, T. (2004). A Comparison of Narrative Exposure Therapy, Supportive Counselling and Psychoeducation for Treating Posttraumatic Stress Disorder in an African Refugee Settlement. Journal of Consulting and Clinical Psychology, 72, 579-587. doi: 10.1037/0022-006X.72.4.579
  • National Institute for Health and Care Excellence (2019). Post-traumatic Stress Disorder: NICE Guideline. Londres: NICE. Accesible en: http://nice. org.uk/guidance/ng116
  • *Pabst, A., Schauer, M., Bernhardt, K., Ruf, M., Goder, R., Rosentraeger R., Elbert, T., Aldenhoff, J., & Seeck-Hirschner, M. (2012). Treatment of Patients with Borderline Personality Disorder and Comorbid Posttraumatic Stress Disorder Using Narrative Exposure Therapy: A feasibility Study. Psychotherapy and Psychosomatics, 81, 61-63. doi: 10.1159/000329548
  • Robjant, K., & Fazel, M. (2010). The emerging evidence for Narrative Exposure Therapy: A review. Clinical Psychological Review, 30, 1030-1039. doi: 10.1016/j.cpr.2010.07.004
  • *Robjant, K., Roberts, J., & Katona, C. (2017). Treating Posttraumatic Stress Disorder in Female Victims of Trafficking Using Narrative Exposure Therapy: A Retrospective Audit. Frontiers in Psychiatry, 8, 63. doi: 10.3389/fpsyt.2017.00063
  • Schauer, M., Neuner, F. & Elbert, T. (2011). Narrative Exposure Therapy. A shortterm treatment for traumatic stress disorders. Göttingen: Hogrefe.
  • *Stenmark, H., Catani, C., Neuner, F., Elbert, T., Holen, A. (2013). Treating PTSD in refugees and asylum seekers within the general health care system. A randomized controlled multicentre study. Behaviour Research and Therapy, 51, 641-647. doi: 10.1016/j.brat.2013.07.002
  • *Trappler, B. & Newville, H. (2007). Trauma healing via cognitive behaviour therapy in chronically hospitalized patients. Psychiatric Quarterly, 78, 317-325. doi: 10.1007/s11126-007-9049-8
  • *Zang, Y., Hunt, N., & Cox, T. (2013). A randomised controlled pilot study: the effectiveness of narrative exposure therapy with adult survivors of the Sichuan earthquake. BMC Psychiatric, 13, 41. doi: 10.1186/1471-244X13-41
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