Karibwende Francoise, Niyonsenga Japhet, Nyirinkwaya Serge, Hitayezu Innocent, Sebuhoro Celestin, Simeon Sebatukura Gitimbwa, Marie Ntete Jeanne, Mutabaruka Jean
Department of Clinical Psychology, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Mental Health & Behaviour Research Group, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Eur J Psychotraumatol. 2022 Dec;13(2):2152111. doi: 10.1080/20008066.2022.2152111. Epub 2022 Dec 9.
Narrative Therapy is an efficacious treatment approach widely practiced for various psychological conditions. However, few studies have examined its effectiveness on resilience, a robust determinant of one's mental health, and there has been no randomized controlled trial in sub-Saharan Africa. This study sought to evaluate the efficacy of narrative therapy for the resilience of orphaned and abandoned children in Rwanda. This study was a 'parallel randomized controlled trial' in which participants ( = 72) were recruited from SOS Children's Village. Half of the participants ( = 36) were randomly allocated to the intervention group and the rest to the delayed narrative therapy group. For the intervention group, children attended ten sessions (55 min each) over 2.5 months. Data were collected using the Child and Youth Resilience Measure (CYRM) and analyzed using mixed ANOVA within SPSS version 28. The results from ANOVA indicated a significant main effect of time and group for resilience total scores. Of interest, there was a significant time by group interaction effect for resilience. Pairwise comparison analyses within-group showed a significant increase in resilience in the intervention group, and the effect size was relatively large in this group. Our findings highlight the notable efficacy of narrative therapy for children's resilience in the intervention group. Therefore, health professionals and organizations working with orphaned and abandoned children will apply narrative therapy to strengthen their resilience and improve mental health. Pan African Clinical Trial Registry identifier: PACTR202107499406828..
叙事疗法是一种广泛应用于各种心理状况的有效治疗方法。然而，很少有研究考察其对心理韧性（心理健康的一个重要决定因素）的有效性，并且在撒哈拉以南非洲地区尚未有随机对照试验。本研究旨在评估叙事疗法对卢旺达孤儿和弃儿心理韧性的疗效。本研究是一项“平行随机对照试验”，参与者（n = 72）从 SOS 儿童村招募。一半参与者（n = 36）被随机分配到干预组，其余的被分配到延迟叙事疗法组。对于干预组，儿童在 2.5 个月内参加了十次治疗（每次 55 分钟）。使用儿童和青少年心理韧性量表（CYRM）收集数据，并在 SPSS 28 版本中使用混合方差分析进行分析。方差分析结果表明，时间和组对心理韧性总分有显著的主效应。有趣的是，时间和组之间存在心理韧性的显著交互效应。组内成对比较分析显示干预组心理韧性显著增加，且该组效应量相对较大。我们的研究结果突出了叙事疗法对干预组儿童心理韧性的显著疗效。因此，与孤儿和弃儿合作的卫生专业人员和组织将应用叙事疗法来增强他们的心理韧性并改善心理健康。泛非临床试验注册标识符：PACTR202107499406828。
