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OpenTrials
Completed

NCT Number: NCT02259530

Case Series for Traumatized Refugees With Khat Dependence

The research project will offer psychotherapeutic treatment to Somali refugees with PTSD and comorbid khat dependence. In this case series, evidence-based techniques will be applied and adapted to the cultural background of Somali refugees in Kenya.

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Key information

Conditions

Posttraumatic Stress Disorder Khat Use Disorder Mental Disorders Stress Disorders, Post-Traumatic Stress Disorders, Traumatic Trauma and Stressor Related Disorders

Age range

18 year and older

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

Africa Mental Health Foundation

Nairobi, Kenya

About this study

More than 500.000 Somali refugees live in Kenya. This group is especially burdened by high rates of exposure to traumatic events, high prevalence of PTSD and a high comorbidity with substance use disorders, mainly related to khat (catha edulis). There's a shortage of literature on psychotherapeutic methods that are applicable in this group. The aim of this case series is to develop modifications of standard therapeutic techniques to the Somali culture and to the needs of this group. Twenty successive cases will be recruited from a community clinic where refugees often seek for treatment because of psychiatric problems. Senior level psychotherapists will apply and adapt techniques and approaches like Community Reinforcement Approach (CRA), Relapse Prevention (RP), and Narrative Exposure Therapy (NET); all sessions will be video recorded. Regular supervision with external experts and group discussions will be held to evaluate and adapt the single procedures and techniques. The aim of this study is the development of a standardized approach that can be used in a Randomized Controlled Trial which will be conduced in the future.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

PTSD (DSM-IV) Khat Dependence (DSM-IV)

Exclusion criteria

Severe Psychotic Disorder Suicidality Mental Disability

Treatment and study plan

Integrated Psychotherapeutic Intervention

Behavioral

Evidence-based standard tools for the treatment of PTSD and comorbid khat dependence: Community Reinforcement Approach, Relapse Prevention, Narrative Exposure Therapy

Primary outcomes

  1. Posttraumatic Stress Diagnostic Scale (PDS)

    Time frame: 3 months

    Pre-post change of self-reported PTSD-symptom severity

  2. Time-Line Follow Back(TLFB)

    Time frame: 3 months

    Pre-post change of self-reported days with khat use

Secondary outcomes

  1. Hopkins Symptom Checklist (HSCL)

    Time frame: 3 months

    Pre-post change of self-reported depressive symptoms

Sponsors and collaborators

Lead sponsor

University of Konstanz

Other

Collaborators

  • Africa Institute of Mental and Brain Health (AFRIMEB)

Registry information

Official study title

Sustainable and Adapted Treatment Strategies to Restore Psychological Functioning and Mental Health Among Displaced Somalis: Preparation of a Multicenter Treatment Study (P114/02/2014): Pilot Study 3.

Important dates

Study start
2015
Primary completion
2015
Study completion
2015
First posted
Oct 8, 2014
Registry last updated
May 11, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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