Narrative exposure therapy for political imprisonment-related chronic posttraumatic stress disorder and depression
Abstract
The psychological consequences of traumatic stress may last even into old age. In persons in their 60s and 70s who had been victims of political detention and torture four decades ago, we compared the outcome of narrative exposure therapy (NET) to that of psychoeducation (PED) only. From a group of 59 former political detainees, 18 who fulfilled the full PTSD criteria according to the Composite International Diagnostic Interview (CIDI) were offered and accepted participation in the treatment study. The participants were randomly assigned to either one session of PED (n=9) or five sessions of NET (n=9). Symptoms of PTSD (CIDI) and depression (Beck Depression Inventory, BDI) were assessed prior to treatment and after a 6-month follow-up. NET but not PED produced a significant reduction in post-traumatic symptoms and depression scores. Four out of 9 of those who completed NET, compared to 8/9 of those within the PED group, still had PTSD 6 months after the treatment had ended. These results indicate that NET may lead to the alleviation of post-traumatic and depression symptoms even when the conditions persist for excessive time periods.
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In a small Romanian study of torture survivors, five sessions of narrative exposure therapy improved PTSD and depression, but one psychoeducation session did not.
“In a small study with torture survivors in Romania, PTSD and depression improved in those who had five sessions of narrative exposure therapy, but not in those who had one psychoeducation session.”
From Mental health and psychosocial support in humanitarian settings: linking practice and research (2011) · cites this paper as [53]
The efficacy of NET with adults and adolescents affected by war and torture has been proven in randomized controlled trials.
“The efficacy of NET with adults and adolescents affected by war and torture has been proven in randomized controlled trials [15-17].”
From Treating children traumatized by war and tsunami: a comparison between exposure therapy and meditation-relaxation in north-east Sri Lanka (2009) · cites this paper as [15]
The efficacy of NET has already been shown across cultures in Europe, Africa and Asia.
“In contrast, the efficacy of NET has already been shown across cultures in Europe, Africa and Asia [15,16,18].”
From Treating children traumatized by war and tsunami: a comparison between exposure therapy and meditation-relaxation in north-east Sri Lanka (2009) · cites this paper as [15]
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Self-citationSchneider, A., Pfeiffer, A., Conrad, D., Elbert, T. R., Kolassa, I., & Wilker, S. (2020) · European Journal of Psychotraumatology · doi:10.1080/20008198.2020.1789323 · Cited by 22 · see citing works
Self-citationLifeline in der Narrativen Expositionstherapie
Schauer, M., & Ruf‐Leuschner, M. (2014) · Psychotherapeut · doi:10.1007/s00278-014-1041-9 · Cited by 21 · see citing works
Self-citationThe Trauma of Torture and the Rehabilitation of Torture Survivors
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Self-citationVanderveren, E., Bijttebier, P., & Hermans, D. (2020) · Journal of Behavioral and Cognitive Therapy · doi:10.1016/j.jbct.2020.05.001 · Cited by 19 · see citing works
Effect of Life Review Therapy for Holocaust Survivors: A randomized controlled trial
Forstmeier, S., Zimmermann, S., van der Hal, E., Auerbach, M., Kleinke, K., Maercker, A. R. A., & Brom, D. (2023) · Journal of Traumatic Stress · doi:10.1002/jts.22933 · Cited by 19 · see citing works
Healing through giving testimony: An empirical study with Sri Lankan torture survivors
Puvimanasinghe, T. S., & Price, I. (2016) · Transcultural Psychiatry · doi:10.1177/1363461516651361 · Cited by 19 · see citing works
Defining response and nonresponse to posttraumatic stress disorder treatments: A systematic review.
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Evaluating interventions for posttraumatic stress disorder in low and middle income countries
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Protocol for individual participant data meta-analysis of interventions for post-traumatic stress
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Self-citationBrief Imaginal Exposure for PTSD: Trajectories of Change in Distress
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Adapting narrative exposure therapy with a tribal community: A community‐based approach
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Sobczak, S., Orgeta, V., Beenakker, M., Boks, M. P., Boltri, M., Cations, M., Coeur, E., Cook, J. M., Corveleyn, X., Dorame, A. N., et al. (2025) · The Lancet Healthy Longevity · doi:10.1016/j.lanhl.2025.100720 · Cited by 12 · see citing works
- Authors
- Bichescu, D., Neuner, F., Schauer, M., & Elbert, T.
- Affiliations
- University of Konstanz (DE)
- Corresponding author
- Bichescu, Dana
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2007-09
- Volume
- 45
- Issue
- 9
- Pages
- 2212-2220
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2109263612
- Cited by
- 183
- References
- 27
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 6 · 2023: 8 · 2022: 10 · 2021: 9 · 2020: 16 · 2019: 13 · 2018: 10 · 2017: 5 · 2016: 6 · 2015: 14 · 2014: 9 · 2013: 14 · 2012: 6
- FWCI
- 10.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- PUB – Publications at Bielefeld University (Bielefeld University) (submittedVersion)
- Publikationen an der Universität Bielefeld (Universität Bielefeld) (submittedVersion)
- Funders
- Deutsche Forschungsgemeinschaft
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- narrative exposure therapy, political imprisonment, chronic posttraumatic stress disorder, depression, torture survivors, political prisoners, psychoeducation
- MeSH terms
- Aged, Depressive Disorder, Female, Humans, Male, Middle Aged, Politics, Prisoners, Psychiatric Status Rating Scales, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy, Treatment Outcome, Survivors
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