Preventing Childhood Sexual Abuse Related Mental Health Deterioration Using a Narrative Family Intervention in Burundi

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Titel: Preventing Childhood Sexual Abuse Related Mental Health Deterioration Using a Narrative Family Intervention in Burundi
Autoren: Julia Schneider, Anja C. Rukundo-Zeller, Manassé Bambonyé, Jean-Arnaud Muhoza, Thierry Ndayikengurukiye, Lydia Nitanga, Amini Ahmed Rushoza, Anselm Crombach
Quelle: Res Child Adolesc Psychopathol
Verlagsinformationen: Springer Science and Business Media LLC, 2025.
Publikationsjahr: 2025
Schlagwörter: Parental acceptance, ddc:150, Mental health, PTSD, Preventive narrative family intervention, Article, Childhood sexual abuse
Beschreibung: Despite the severe impact of childhood sexual abuse (CSA) on trauma-related disorders, preventive interventions are scarce, especially in (post-)conflict regions. We developed and evaluated a narrative family communication approach for sexually abused Burundian female children and adolescents (N = 102). The intervention cohort (n = 55) received psychoeducation, parental skill training, and preventive narrative exposure therapy. Intervention participants reported improved parental acceptance at 3- and 12-month follow-ups (3mFUP, 12mFUP), and showed greater improvement in overall mental health between initial assessment (IA) and 3mFUP (d rm = -0.70) and between IA and 12mFUP (d rm = -1.36) compared to non-treated controls (d rm = -0.33, d rm = -0.02, respectively). Moreover, PTSD symptoms were significantly less pronounced in the intervention cohort than in the control cohort at both follow-ups. Our findings suggest that the preventive narrative family intervention might effectively buffer against devastating mental health consequences, including emerging PTSD symptoms, in the aftermath of CSA. The study and its outcome measures were preregistered at Clinical Trials (https://clinicaltrials.gov/) with the registration number NCT05136105.
Publikationsart: Article
Other literature type
Sprache: English
ISSN: 2730-7174
2730-7166
DOI: 10.1007/s10802-025-01328-8
DOI: 10.22028/d291-46165
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/40347425
Rights: CC BY
Dokumentencode: edsair.doi.dedup.....87f7e45b6ebb7f1228c96566213df142
Datenbank: OpenAIRE
Beschreibung
Abstract:Despite the severe impact of childhood sexual abuse (CSA) on trauma-related disorders, preventive interventions are scarce, especially in (post-)conflict regions. We developed and evaluated a narrative family communication approach for sexually abused Burundian female children and adolescents (N = 102). The intervention cohort (n = 55) received psychoeducation, parental skill training, and preventive narrative exposure therapy. Intervention participants reported improved parental acceptance at 3- and 12-month follow-ups (3mFUP, 12mFUP), and showed greater improvement in overall mental health between initial assessment (IA) and 3mFUP (d rm = -0.70) and between IA and 12mFUP (d rm = -1.36) compared to non-treated controls (d rm = -0.33, d rm = -0.02, respectively). Moreover, PTSD symptoms were significantly less pronounced in the intervention cohort than in the control cohort at both follow-ups. Our findings suggest that the preventive narrative family intervention might effectively buffer against devastating mental health consequences, including emerging PTSD symptoms, in the aftermath of CSA. The study and its outcome measures were preregistered at Clinical Trials (https://clinicaltrials.gov/) with the registration number NCT05136105.
ISSN:27307174
27307166
DOI:10.1007/s10802-025-01328-8