Teaching Recovery Techniques (TRT) to Ukrainian children and adolescents to self-manage post-traumatic stress disorder (PTSD) symptoms following the Russian invasion of Ukraine in 2022 – The first 7 months.
In: Journal of Affective Disorders, Jg. 351 (2024-04-15), S. 243-249
Online
academicJournal
The Russian invasion of Ukraine in February 2022 prompted many to provide mental health input, especially trauma management, to Ukrainian children and adolescents (C/A) exposed to it. Rapid cascade training of 200 Ukrainian psychologists during 2022 to provide, in pairs, free of charge and without selection, TRT courses of 4–6, 90 min sessions online or face to face to C/A 7 to 23 years in Ukraine and those migrating abroad. CRIES–8 PTSD questionnaires were administered at the beginning and end of the courses during May–December 2022. Age, gender, their geographical war risk, and whether C/A had stayed or migrated elsewhere were collected. A CRIES-8 score of ≥17/40 defined likely PTSD. 3123 C/A completed an initial CRIES-8 questionnaire with matching demographics, 2737 a questionnaire at the end and 1798 both. At entry to TRT, likely PTSD was greater in females (65 %) than males (52 %, p < 0.001) declining with increasing age, particularly in males (p < 0.001). Migration had mixed effects and moving to lower war risk areas or abroad did not reduce PTSD risk. TRT benefited 68 % of C/A overall by reducing CRIES-8 from ≥17 to <17, the rate increasing the more experienced the TRT facilitators became (p < 0.0001). Online and face to face outcomes were the same. The chaos of war prevented capture of all potential C/A questionnaires and long-term repeat testing not yet undertaken. Even in the chaos of war, effective mental health input can be rapidly and cheaply (c.50 USD/child) provided and should be encouraged. • Research in context • Teaching Recovery techniques (TRT) has been established and validated since the Bosnian war in the 1990s as a simply administered, effective assistance for managing PTSD in children and adolescents in many settings following a crisis, be that war, earthquakes, poverty and the like. CRIES-8 is a validated self-completed 8 item questionnaire with very good positive and negative predicted values for detecting likely PTSD following crises. We believe the present report is the first to occur during a crisis. • Added value of this study • That TRT for PTSD can be delivered during a war, be rapidly upscaled, is cost-effective and very efficacious at least in the short term. Migration away from a war zone is not necessarily beneficial for PTSD. • Implications of all the available evidence • TRT for PTSD can be delivered during a crisis rather than only after and TRT in general deserves to be more widely known. [ABSTRACT FROM AUTHOR]
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Teaching Recovery Techniques (TRT) to Ukrainian children and adolescents to self-manage post-traumatic stress disorder (PTSD) symptoms following the Russian invasion of Ukraine in 2022 – The first 7 months.
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Autor/in / Beteiligte Person: | Yavna, Kateryna ; Sinelnichenko, Yanina ; Zhuravel, Tetyana ; Yule, William ; Rosenthal, Mark |
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Zeitschrift: | Journal of Affective Disorders, Jg. 351 (2024-04-15), S. 243-249 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 0165-0327 (print) |
DOI: | 10.1016/j.jad.2024.01.206 |
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