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Lessons from writing sessions: a school-based randomized trial with adolescent orphans in Rwanda


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Unterhitzenberger, Johanna ; Rosner, Rita:
Lessons from writing sessions: a school-based randomized trial with adolescent orphans in Rwanda.
In: European journal of psychotraumatology. 5: 24917 (2014). - 10 S.
ISSN 2000-8066



Background: Treatments for adolescents affected by long-term loss in low- and middle-income countries are lacking. As school-based interventions are cost-efficient and easy to disseminate, an evaluation of this treatment setting for adolescents is worthwhile.

Objective: Examining the effect of a school-based unstructured emotional writing intervention (sensu Pennebaker, group 1) about the loss of a parent to reduce adaptation problems to loss, compared to writing about a hobby (group 2), and non-writing (group 3).

Method: We randomly assigned 14–18-year-old Rwandan orphans to one of the three conditions (n=23 per condition). Before and after the intervention, subjects completed the Prolonged Grief Questionnaire for Adolescents and the Mini International Neuropsychiatric Interview for Children and Adolescents, Part A, on depression as self-report measures of long-term effects of early parental loss.

Results: Repeated measures analyses of variance showed no differential effect for any of the three conditions but revealed a significant effect of time at posttest regarding grief severity. Reduction of grief symptoms was significantly higher in subjects with elevated grief. Depressive symptoms showed no significant change from pre- to posttest in the emotional writing condition, whereas they significantly decreased in the control condition.

Conclusions: Results imply that unstructured, brief emotional writing might not be indicated in adolescents affected by early parental loss who show severe and long-term distress; a more structured approach seems recommendable.

Weitere Angaben

Schlagwörter:Bereavement; prolonged grief; adolescents; orphans; school-based; disclosure; writing
Institutionen der Universität:Philosophisch-Pädagogische Fakultät > Psychologie > Lehrstuhl für Klinische und Biologische Psychologie
DOI / URN / ID:10.3402/ejpt.v5.24917
Verlag:Taylor & Francis
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Titel an der KU entstanden:Ja
Eingestellt am: 08. Jan 2015 12:32
Letzte Änderung: 15. Sep 2021 17:53
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