Open Access BASE2008

School-based mental health intervention for children affected by political violence in Indonesia:a cluster randomized trial

In: Tol , W A , Komproe , I H , Susanty , D , Jordans , M J D , Macy , R D & De Jong , J T V M 2008 , ' School-based mental health intervention for children affected by political violence in Indonesia : a cluster randomized trial ' JAMA : the journal of the American Medical Association , vol 300 , no. 6 , pp. 655-662 . DOI:10.1001/jama.300.6.655

Abstract

Context: Little is known about the efficacy of mental health interventions for children exposed to armed conflicts in low- and middle-income settings. Childhood mental health problems are difficult to address in situations of ongoing poverty and political instability. Objective: To assess the efficacy of a school-based intervention designed for conflict-exposed children, implemented in a low-income setting. Design, Setting, and Participants: A cluster randomized trial involving 495 children (81.4% inclusion rate) who were a mean (SD) age of 9.9 (1.3) years, were attending randomly selected schools in political violence–affected communities in Poso, Indonesia, and were screened for exposure (≥1 events), posttraumatic stress disorder, and anxiety symptoms compared with a wait-listed control group. Nonblinded assessment took place before, 1 week after, and 6 months after treatment between March and December 2006. Intervention: Fifteen sessions, over 5 weeks, of a manualized, school-based group intervention, including trauma-processing activities, cooperative play, and creative-expressive elements, implemented by locally trained paraprofessionals. Main Outcome Measures: We assessed psychiatric symptoms using the Child Posttraumatic Stress Scale, Depression Self-Rating Scale, the Self-Report for Anxiety Related Disorders 5-item version, and the Children's Hope Scale, and assessed function impairment as treatment outcomes using standardized symptom checklists and locally developed rating scales. Results: Correcting for clustering of participants within schools, we found significantly more improvement in posttraumatic stress disorder symptoms (mean change difference, 2.78; 95% confidence interval [CI], 1.02 to 4.53) and maintained hope (mean change difference, −2.21; 95% CI, −3.52 to −0.91) in the treatment group than in the wait-listed group. Changes in traumatic idioms (stress-related physical symptoms) (mean change difference, 0.50; 95% CI, −0.12 to 1.11), depressive symptoms (mean change difference, 0.70; 95% CI, −0.08 to 1.49), anxiety (mean change difference, 0.12; 95% CI, −0.31 to 0.56), and functioning (mean change difference, 0.52; 95% CI, −0.43 to 1.46) were not different between the treatment and wait-listed groups. Conclusions: In this study of children in violence-affected communities, a school-based intervention reduced posttraumatic stress symptoms and helped maintain hope, but did not reduce traumatic-stress related symptoms, depressive symptoms, anxiety symptoms, or functional impairment.

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