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

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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

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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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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
DOI: 10.1159/000235976
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
Licence: www.karger.com/Services/SiteLicenses (vor)
www.karger.com/Services/SiteLicenses (tdm)
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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School-Based Intervention for the Treatment of Tsunami-Related Distress in Children: A Quasi-Randomized Controlled Trial

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