The Effectiveness of Narrative Exposure Therapy: a Review, Meta-Analysis and Meta-Regression Analysis

Year Published:

Abstract

Narrative exposure therapy (NET) is a short-term psychological treatment for post-traumatic stress disorder (PTSD) that has been investigated in various contexts among traumatized refugees and other trauma survivors. Sustained treatment results have been reported, but the methodological quality of the trials needs a more thorough examination. To evaluate the effectiveness of NET for survivors of trauma, authors used a quality assessment, an updated meta-analysis, and a meta-regression analysis. The selected studies showed high external validity; methodological quality was equivalent to other guideline-supported trauma-focused (TF) interventions. The findings of this meta-analysis suggest that patients and providers may expect sustained treatment results from NET. Controlled comparisons with other guideline-supported TF interventions are not yet available.

Citation

Relevant Evidence Summaries

The evidence was reviewed and included in the following summaries: 

What works to improve mental health of refugee children and adults?

There is very strong evidence that numerous interventions are effective in improving the mental health of child and adult refugees. Specifically, cognitive behavioral therapy (CBT), trauma-focused interventions (TF), and psycho-education (PE) have been shown to improve symptoms related to anxiety, depression, post-traumatic stress disorder, and/or general distress in refugee populations. Furthermore, cultural adaptations of these…

About this study

AGE: Multiple Age Groups

DIRECTION OF EVIDENCE: Positive impact

FULL TEXT AVAILABILITY: Free

GENDER: All

HOST COUNTRY: Multiple countries

HOST COUNTRY INCOME: High Income

HOST COUNTRY INCOME: Upper Middle Income

INTERVENTION DURATION: Varies by study

INTERVENTION: Mental health and psychosocial support services

OUTCOME AREA: Depression Reduction

OUTCOME AREA: Post-traumatic Stress Disorder (PTSD) Reduction

REGION OF ORIGIN OF PARTICIPANT(S): Multiple Regions

STRENGTH OF EVIDENCE: Strong

TYPE OF STUDY: Meta-analysis

YEAR PUBLISHED: 2019

More STUDIES

Unaccompanied Refugee Minors: A Systematic Review of Psychological Interventions / Unbegleitete minderjährige Flüchtlinge: Eine systematische Übersicht über psychologische Interventionen. Kindheit und Entwicklung

In 2014, 34,300 applications for asylum were placed by unaccompanied refugee minors in 82 countries. Unaccompanied refugee minors are at a very high risk for psychological disorders, since the absence of a parent is associated with developmental risks that are further increased owing to experiences made while on flight. Given the current refugee situation in…

Supporting human trafficking survivor resiliency through comprehensive case management

Human trafficking, often referred to as modern-day slavery, entails the exploitation of a person for commercial sex or labor through methods that include force, fraud or coercion. Many of those human trafficking survivors who are identified have experienced significant physical, sexual, emotional, social or economic abuse at the hands of their traffickers. Professionals who work…