e-NET: Narrative Exposure Therapy online. The challenges and opportunities of delivering trauma therapy remotely

Author/s Katy Robjant, Danie Meyer, Elisabeth Kaiser, Elisa Kaltenbach, Maggie Schauer
Publishing Year 2021 Issue 2020/3 Language English
Pages 14 P. 11-24 File size 215 KB
DOI 10.3280/MAL2020-003002
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e-NET: La terapia dell’esposizione narrativa virtuale sfide e opportunità nell’offrire trattamenti per il trauma da remoto. Nell’ambito della salute mentale, a fronte dei diversi tentativi di accrescere l’accesso a cure basate sull’evidenza, soltanto un numero ristretto di pazienti riceve trattamenti trauma-focali adeguati. L’innovazione tecnologica è sempre più centrale nella facilitazione di scambi comunicativi virtuali rendendo non più necessario che il terapeuta e il paziente si trovino nello stesso luogo fisico. La e-NET, cioè la versione online del trattamento della Terapia dell’Esposizione Narrativa, rappresenta un’opzione ecologica ed economica per offrire terapie focalizzate sul trauma, oltre i confini e le restrizioni di movimento, superando le barriere per raggiungere popolazioni che non hanno, solitamente, un accesso semplice ai trattamenti. I traduttori e i professionisti sanitari possono accedere alla stanza virtuale della terapia in qualsiasi momento e non solo per offrire il trattamento ma anche per formare, dare supporto e fare supervisioni a terapeuti che lavorano sul trauma in tutto il mondo. L’articolo affronta le opportunità e le sfide di questo approccio innovativo, che si radica nel protocollo NET tradizionale, e propone casi clinici. I test post-trattamento dimostrano che la procedura è fattibile ed efficace e che sia necessaria una valutazione scientifica rigorosa come prossimo passo.

Keywords: NET; online therapy; computerized therapy; PTSD; trauma.

  1. ACLED (2020). Call unanswered. A review of responses to the UN appeal for a global ceasefire. -- Disponibile online: https://acleddata.com/2020/05/13/call-unanswered-un-appeal.
  2. Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489-498.
  3. Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 315, 912-920.
  4. Elbert, T., & Schauer, M. (2014). Epigenetic, neural and cognitive memories of traumatic stress and violence. In S. Cooper & K. Ratele (Eds.), Psychology serving humanity: Proceedings of the 30th International Congress of Psychology (pp. 215-227). Western Psychology. East Sussex, New York: Psychology Press..
  5. Elbert, T., Schauer, M., & Neuner, F. (2015). Narrative Exposure Therapy (NET) – reorganizing memories of traumatic stress, fear and violence. In U. Schnyder & M. Cloitre (Eds.), Evidence based treatments for trauma-related psychological disorders: A practical guide for clinicians. New York: Springer.
  6. FRA (2012). Violence against women Survey. European Union Agency for Fundamental Rights -- (Disponibile online: https://fra.europa.eu/en/publications-and-resources/data-and-maps/survey-data-explorer-violence-against-women-survey).
  7. Gensichen, J., Schultz, S., Adrion, C. et al. (2018). Effect of a combined brief narrative exposure therapy with case management versus treatment as usual in primary care for patients with traumatic stress sequelae following intensive care medicine: study protocol for a multicenter randomized controlled trial (PICTURE). Trials, 19, 480.
  8. Kaltenbach, E., Crombach, A., Olthuis, J., Lach, L., & McGrath, P. (in preparation). Life beyond trauma - Study Protocol of an online Narrative Exposure Intervention for posttraumatic stress injury in parents of neurodiverse children.
  9. Kaltenbach, E., Robjant, K., Schauer, E., Crombach, A., Schauer, M., & McGrath, P. (in preparation). Practical guidelines for Narrative Exposure Therapy Online: e-NET.
  10. Karam, E. G., Friedman, M. J., Hill, E. D., Kessler, R. C., McLaughlin, K. A., Petukhova, M., & De Girolamo, G. (2014). Cumulative traumas and risk thresholds: 12‐month PTSD in the World Mental Health (WMH) surveys. Depression and Anxiety, 31(2), 130-142.
  11. Lely, J. C., Smid, G. E., Jongedijk, R. A., W. Knipscheer, J., & Kleber, R. J. (2019). The effectiveness of narrative exposure therapy: a review, meta-analysis and meta-regression analysis. European Journal of Psychotraumatology, 10(1), 1550344.
  12. Neuner, F., Schauer, M., Karunakara, U., et al. (2004) Psychological trauma and evidence for enhanced vulnerability for posttraumatic stress disorder through previous trauma among West Nile refugees. BMC Psychiatry, 4, 34. DOI: 10.1186/1471-244X-4-34
  13. Parker, A. M., Sricharoenchai, T., Raparla, S., Schneck, K. W., Bienvenu, O. J., & Needham, D. M. (2015). Posttraumatic stress disorder in critical illness survivors: a metaanalysis. Critical Care Medicine, 43(5), 1121-1129.
  14. Posner, K., Brown, G. K., Stanley, B., Brent, D. A, Yershova, K. V., Oquendo M. A., et al. (2011). The Columbia–Suicide Severity Rating Scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults. American Journal of Psychiatry, 168(12), 1266-1277.
  15. Robjant, K., Roberts, J., & Katona, C. (2017). Treating posttraumatic stress disorder in female victims of trafficking using Narrative Exposure Therapy: A retrospective audit. Frontiers in Psychiatry, 8, 63.
  16. Schalinski, I., Schauer, M., & Elbert, T. (2015). The Shutdown Dissociation Scale. European Journal of Psychotraumatology, 6, 25652.
  17. Schauer, M., & Elbert, T. (2010). Dissociation following traumatic stress. Zeitschrift für Psychologie/Journal of Psychology, 218(2), 109-127.
  18. Schauer, M. (2016) The Mass Refugee Movement – Better Reframed as Mental Health Crisis? Global Perspectives of the International Society for Traumatic Stress Studies ISTSS StressPoints, a quarterly eNewsletter, March 2016. DOI: 10.13140/RG.2.1.4113.1926
  19. Schauer, M., & Robjant, K. (2018). En‐counting adversities; the ‘building blocks’ of psychopathology. Commentary on Scheidell et al., Addiction, 113(1), 57-58.
  20. Schauer, M., Robjant, K., Elbert., T., & Neuner, F. (2020). Narrative Exposure Therapy (NET) for survivors of complex trauma. In: J. Ford, C. Courtois (Eds.) Treating omplex Traumatic Stress Disorders: An evidence-based guide (pp. 309-331). New York: Guildford Press.
  21. Schauer, M., Schauer, M., Neuner, F., & Elbert, T. (2011). Narrative Exposure Therapy: A short-term treatment for traumatic stress disorders. Cambridge: Hogrefe.
  22. Siehl, S., Robjant, K & Crombach, A. (in press). Systematic review and meta-analyses of the long-term efficacy of narrative exposure therapy for adults, children and perpetrators, Psychotherapy Research.
  23. Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The Life Events Checklist for DSM-5 (LEC-5) (Instrument available from the National Center for PTSD at -- www.ptsd.va.gov).
  24. World Health Organisation (2015) Injuries and Violence: The Facts. World Health Organisation -- (Disponibile online: https://www.who.int/violence_injury_prevention/key_facts/en/).
  25. Zhang, J., Lu, H., Zeng, H., Zhang, S., Du, Q., Jiang, T., & Du, B. (2020). The differential psychological distress of populations affected by the Covid-19 pandemic. Brain, Behavior, and Immunity, 87, 49-50.

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    DOI: 10.1016/j.aip.2022.101954
  • Online narrative exposure therapy for parents of children with neurodevelopmental disabilities suffering from posttraumatic stress symptoms – study protocol of a randomized controlled trial Elisa Kaltenbach, Michelle Chisholm, Ting Xiong, Donna Thomson, Anselm Crombach, Patrick J. McGrath, in European Journal of Psychotraumatology 1991650/2021
    DOI: 10.1080/20008198.2021.1991650
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    DOI: 10.1590/1413-81232023286.16532022

Katy Robjant, Danie Meyer, Elisabeth Kaiser, Elisa Kaltenbach, Maggie Schauer, e-NET: Narrative Exposure Therapy online. The challenges and opportunities of delivering trauma therapy remotely in "MALTRATTAMENTO E ABUSO ALL’INFANZIA" 3/2020, pp 11-24, DOI: 10.3280/MAL2020-003002