School-based intervention for the treatment of tsunami-related distress in children: a quasi-randomized controlled trial
Abstract
BACKGROUND: On December 26, 2004, a tsunami hit the southern coast of Sri Lanka, leaving thousands dead and injured. Previous research has found significant mental health problems among children exposed to major disasters. School-based universal interventions have shown promise in alleviating distress and posttraumatic symptomatology in children and adolescents. This study evaluated the efficacy of a school-based intervention in reducing stress-related symptomatology among Sri Lankan children exposed to the tsunami. METHODS: In a quasi-randomized controlled trial 166 elementary school students (ages 9-15) with significant levels of tsunami exposure and previous traumatic background were randomly assigned to a 12-session structured program 'ERASE Stress Sri Lanka' (ES-SL) or to a waiting list (WL) religious class control group. Students were assessed 1 week prior and 3 months after the intervention on measures of posttraumatic symptomatology [including posttraumatic stress disorder (PTSD) and severity of posttraumatic symptomatology], depression, functional problems, somatic problems and hope. RESULTS: This study shows a significant reduction on all outcome variables. PTSD severity, functional problems, somatic complaints, depression and hope scores were all significantly improved in the ES-SL group compared to the WL group. No new cases of PTSD were observed in the experimental group. CONCLUSION: This study adds to the growing body of evidence suggesting the efficacy of school-based universal approaches in helping children in regions touched by war, terror and disaster and suggests the need to adopt a two-stage approach toward dealing with trauma-exposed students, namely, starting with a universal intervention followed by targeted specialized interventions for those still suffering from posttraumatic distress.
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The child and adolescent studies focused mainly on two school-based interventions, ERASE Stress and the classroom-based intervention, with PTSD as a primary outcome.
“The studies in children and adolescents focused mainly on two school-based interventions (ERASE Stress62 and the classroom-based intervention57–60) that had PTSD as one of the primary outcomes.”
From Mental health and psychosocial support in humanitarian settings: linking practice and research (2011) · cites this paper as [62]
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- Authors
- Berger, R., & Gelkopf, M.
- Affiliations
- Ben-Gurion University of the Negev (IL)
- ORCID
- Gelkopf, M.
- Venue
- Psychotherapy and Psychosomatics
- Publisher
- S. Karger AG
- Published
- 2009
- Volume
- 78
- Issue
- 6
- Pages
- 364-371
- ISSN
- 0033-3190 (ISSN-L)
- 1423-0348
- OpenAlex
- W2068843773
- Cited by
- 166
- References
- 50
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 10 · 2023: 11 · 2022: 9 · 2021: 13 · 2020: 10 · 2019: 12 · 2018: 4 · 2017: 11 · 2016: 14 · 2015: 12 · 2014: 13 · 2013: 10 · 2012: 10
- FWCI
- 8.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy and Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- 2004 Indian Ocean tsunami, post-traumatic stress disorder, school-based intervention, universal prevention, disaster mental health, depression, somatic symptoms, hope, child mental health, Sri Lanka
- MeSH terms
- Adolescent, Child, Female, Humans, Male, Psychiatric Status Rating Scales, Schools, Socioenvironmental Therapy, Sri Lanka, Stress Disorders, Post-Traumatic, Tsunamis
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