Heightened levels of aggression are fuelling violent incidents at all levels, especially in post-war regions. Narrative Exposure Therapy for Forensic Offender Rehabilitation (FORNET) aims to address trauma symptoms along with reactive and instrumental/appetitive aggression to encounter the downward cycle of perpetration and enforce a sustainable (re-)integration into civil life. In the present study, the investigators provide an adapted version of FORNET to former combatants in the North Kivu, Eastern DR Congo. Structured baseline, 3 and 6 month follow up interviews will be administered to assess the main outcome measures recent violent acts and appetitive aggression.
Participants will be recruited through local NGOs and eligible clients randomized to the treatment or waitlist control group, respectively. The treatment will be provided by supervised local counsellors after a 4-week training. At baseline, 3-month and 6-month follow up, sociodemographic data, trauma exposure, perpetrated violent acts, PTSD, recent aggression, functionality and drug dependency will be assessed. The interviews will be conducted by blind Congolese psychological interviewers after an intensive 3-weeks training and continuous supervision.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
402
University of Konstanz
Konstanz, Baden-Wurttemberg, Germany
Appetitive aggression (sumscore; 0-60 indicating higher levels)
Appetitive Aggression Scale (Weierstall \& Ebert, 2011)
Time frame: Change from baseline to 3-5 and 6-9 months post treatment
Current violent behavior (sumscore; 0-96 indicating more acts)
A list of violent offenses perpetrated during the last 3 months (formerly used in Burundi; Crombach/Augsburger/Nandi)
Time frame: Change from baseline to 3-5 and 6-9 months post treatment
PSS-I: Posttraumatic Stress Disorder (sumscore, 0-80 indicating higher severity)
PTSD Symptom Scale (Foa \& Tolin, 2000)
Time frame: Change from baseline to 3-5 and 6-9 months post treatment
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