Cited by 166Posttraumatic Stress Disorder ResearchChild Therapy and DevelopmentGrief, Bereavement, and Mental Health

School-based intervention for the treatment of tsunami-related distress in children: a quasi-randomized controlled trial

Berger, R., Gelkopf, M.·2009·Psychotherapy and Psychosomatics

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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Crossref · 10.1159/000235976

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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.”

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Authors
Berger, R., & Gelkopf, M.
Affiliations
Ben-Gurion University of the Negev (IL)
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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