The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.
Efficacy of narrative therapy for orphan and abandoned children with anxiety and attention deficit and hyperactivity disorders in Rwanda: A randomized controlled trial
Abstract
BACKGROUND AND OBJECTIVE Although narrative therapy (NT) is globally practiced for alleviating psychological disorders, studies of its efficacy for vulnerable children are still scarce, especially in African post-conflict settings. Thus, this study was aimed at assessing the efficacy of NT for Rwandan Orphans and abandoned children (OAC) with ADHD and anxiety disorders. METHOD This study was a parallel randomized controlled trial in which participants (n = 72) were recruited from SOS Children's Villages. A half of participants (n = 36) were randomly allocated to either the NT group or the waitlist control group (WCG). Outcomes were collected at baseline before randomization and 10 weeks post-randomization. RESULTS ANOVA results indicated a significant main effect of time for anxiety disorders (p < .001, ηp2= 0.176), and the main effects of group were significant for anxiety disorders (p < .001, ηp2= 0.254) and ADHD disorders (p < .001, ηp2= 0.260). There was a significant time by group interaction effect for anxiety disorders (p < .001, ηp2= 0.328) and for ADHD (p < .001, ηp2= 0.193). Between group analyses showed that the difference in symptoms was significant for anxiety disorders (p < .001, Cohen's d = 1.28) and for ADHD (p < .001, Cohen's d = 1.6) during the posttest, and the effect sizes were large. LIMITATION The long-term effects of the intervention for the current sample were not assessed in this study. CONCLUSION Despite its limitations, this study provides initial support for the safety, efficacy, and usefulness of NT among Rwandan OAC with ADHD and anxiety disorders. Health professionals must implement the new intervention as an everyday tool.
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“Using symbols, language, and local values in culturally adapted approaches has been shown to increase participant engagement and boost the overall effectiveness of interventions (Appalasamy et al., 2020;Karibwende et al., 2023).”
From Effectiveness Of Narrative Therapy In Addressing Psychological Challenges: A Systematic Review Of Randomised Controlled Trials (2026) · cites this paper as Karibwende et al., 2023
In the citing paper
“The most substantial effect sizes appeared in children with ADHD and anxiety in Rwanda (t = 6.7; p < .001;d = 1.6) (Karibwende et al., 2023) and Syrian refugees with PTSD (t = 9.46; p < .001;d = .97)(Smaik et al., 2023), indicating that Narrative Therapy produces the strongest outcomes in populations experiencing high emotional distress.”
From Effectiveness Of Narrative Therapy In Addressing Psychological Challenges: A Systematic Review Of Randomised Controlled Trials (2026) · cites this paper as Karibwende et al., 2023
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A Systematic Review of Narrative Therapy
EKİNCİ, N., & Tokkaş, B. G. (2023) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.1256695 · Cited by 19
Papola, D., Prina, E., Ceccarelli, C., Cadorin, C., Gastaldon, C., Ferreira, M. C., Tol, W. A., van Ommeren, M., Barbui, C., & Purgato, M. (2024) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd014300.pub2 · Cited by 18
Health Side Story: Scoping Review of Literature on Narrative Therapy for ADHD
Ophir, Y., Rosenberg, H., Tikochinski, R., & Efrati, Y. (2025) · Healthcare · doi:10.3390/healthcare13111247 · Cited by 9
Nyirinkwaya, S., & Jenney, A. (2024) · International Journal of Child and Adolescent Resilience · doi:10.54488/ijcar.2023.339 · Cited by 7
Self-citationMurengera, E. M., Niyonsenga, J., Rutembesa, E., Sezibera, V., & Nshimiyimana, A. (2025) · PLOS mental health. · doi:10.1371/journal.pmen.0000287 · Cited by 5
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Metadata
- Authors
- Karibwende, F., Niyonsenga, J., Biracyaza, E., Nyirinkwaya, S., Hitayezu, I., Sebatukura, G. S., Ntete, J. M., & Mutabaruka, J.
- Affiliations
- University of Rwanda (RW)
- Corresponding author
- Niyonsenga, Japhet
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 2023-03
- Volume
- 78
- Pages
- 101802
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W4309734355
- Semantic Scholar
- 435dd643b92054cdbe9295a526d8ef0322dba5cf
- Cited by
- 14
- References
- 26
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 3 · 2023: 2
- FWCI
- 1.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Keywords
- narrative therapy, orphaned and abandoned children, anxiety disorders, attention deficit hyperactivity disorder, child mental health intervention, post-conflict societies, Rwanda, SOS Children's Villages, vulnerable children
- MeSH terms
- Anxiety, Anxiety Disorders, Attention Deficit Disorder with Hyperactivity, Child, Child, Abandoned, Humans, Rwanda, Narrative Therapy
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