OBJECTIVE Individuals who return from armed groups present with a history of traumatic events including perpetration. Subsequent severe mental stress and heightened levels of reactive and appetitive aggression may persist and if left untreated, frequently impede peacebuilding and societal stability. In this study, we tested a revised adaptation of Narrative Exposure Therapy (NET; Schauer et al., 2011) for Forensic Offender Rehabilitation (FORNET) implemented in a sample of male former combatants in war-torn regions of the DR Congo. METHOD We applied a longitudinal parallel-group randomized controlled design with treatment as usual (TAU) as control condition and 3-5 and 6-9 months follow-up assessments. The effect of treatment over time on clinical and social outcomes was tested with GLMMs; appetitive aggression and current violent behavior (CVB) were specified as primary and posttraumatic stress as secondary outcomes. RESULTS FORNET decreased appetitive aggression (within group Cohen's dz = 2.00), CVB (dz = .90) and posttraumatic stress (dz = 1.48) significantly more than treatment as usual. Clinical significance was obtained for all outcomes. Remarkably, NET clients also reduced their substance abuse (dz = .68) even though this was not targeted within the intervention. Depression, perceived social acknowledgement and subjective solidarity with (para)military life decreased. CONCLUSION FORNET is a compact and scalable psychotherapeutic intervention that effectively reduces current aggressive behavior including physical abuse against children, intimate partner violence (IPV), and community violence. FORNET further decreases appetitive aggression, posttraumatic stress symptoms, and other clinical and social problems that commonly hinder demobilization, reintegration, and post-conflict peacebuilding. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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用叙事暴露疗法治疗前儿童和成年士兵的创伤和侵略：刚果民主共和国东部的一项随机对照试验。

目标 从武装团体返回的个人有包括犯罪在内的创伤事件史。随后的严重精神压力和高度的反应性和食欲攻击可能会持续存在，如果不及时治疗，往往会阻碍和平建设和社会稳定。在这项研究中，我们在刚果民主共和国饱受战争蹂躏的地区的男性前战斗人员样本中测试了对法医罪犯康复 (FORNET) 的叙事暴露疗法 (NET; Schauer et al., 2011) 的修订适应。方法 我们采用纵向平行组随机对照设计，以常规治疗 (TAU) 作为对照条件，并进行 3-5 和 6-9 个月的随访评估。使用 GLMM 测试了随着时间的推移治疗对临床和社会结果的影响；食欲攻击和当前的暴力行为 (CVB) 被指定为主要和创伤后压力作为次要结果。结果 FORNET 降低食欲攻击性（Cohen 组内的 dz = 2.00）、CVB (dz = .90) 和创伤后压力 (dz = 1.48) 显着超过常规治疗。所有结果都获得了临床意义。值得注意的是，NET 客户也减少了药物滥用 (dz = .68)，即使这不是干预措施的目标。抑郁、感知到的社会认可和对（准）军事生活的主观团结下降。结论 FORNET 是一种紧凑且可扩展的心理治疗干预措施，可有效减少当前的攻击行为，包括对儿童的身体虐待、亲密伴侣暴力 (IPV) 和社区暴力。FORNET 进一步减少了食欲攻击、创伤后压力症状以及通常阻碍复员、重返社会和冲突后建设和平的其他临床和社会问题。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。