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Abstract：
Background: 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.Objective: This study sought to evaluate the efficacy of narrative therapy for the resilience of orphaned and abandoned children in Rwanda.Method: This study was a \'parallel randomized controlled trial\' in which participants (n = 72) were recruited from SOS Children\'s Village. Half of the participants (n = 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.Result: 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.Conclusion: 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.Trial registration: Pan African Clinical Trial Registry identifier: PACTR202107499406828..
The effect size of narrative therapy for resilience was relatively large in the intervention group.Narrative therapy is an efficacious approach for resilience elevation in orphaned and abandoned children.Close attention should be paid to the implementation of narrative therapy for strengthening children’s resilience as an everyday tool in foster care.
The effect size of narrative therapy for resilience was relatively large in the intervention group.Narrative therapy is an efficacious approach for resilience elevation in orphaned and abandoned children.Close attention should be paid to the implementation of narrative therapy for strengthening children’s resilience as an everyday tool in foster care.
摘要：
背景：叙事疗法是一种有效的治疗方法，广泛适用于各种心理状况。然而,很少有研究检查它对韧性的有效性，一个人心理健康的强大决定因素，在撒哈拉以南非洲地区没有随机对照试验.目的：本研究旨在评估叙事疗法对卢旺达孤儿和被遗弃儿童的复原力的功效。方法：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。一半的参与者（n=36）被随机分配到干预组，其余的被分配到延迟叙事治疗组。对于干预组，儿童在2.5个月内参加了十次会议（每次55分钟）。使用儿童和青少年弹性测量（CYRM）收集数据，并在SPSS版本28中使用混合ANOVA进行分析。结果：方差分析的结果表明，时间和群体对韧性总分有显著的主要影响。感兴趣的，韧性存在显著的群体交互效应。组内的成对比较分析显示，干预组的韧性显着提高，在该组中，效应大小相对较大。结论：我们的发现强调了叙事疗法对干预组儿童韧性的显著疗效。因此,与孤儿和被遗弃儿童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韧性并改善心理健康。试验注册：泛非临床试验注册标识符：PACTR202107499406828。.
叙事疗法对心理弹性的影响在干预组中相对较大。叙事疗法是提高孤儿和被遗弃儿童韧性的有效方法。应密切关注叙事疗法的实施，以增强儿童的韧性，将其作为寄养的日常工具。
叙事疗法对心理弹性的影响在干预组中相对较大。叙事疗法是提高孤儿和被遗弃儿童韧性的有效方法。应密切关注叙事疗法的实施，以增强儿童的韧性，将其作为寄养的日常工具。
