Evidence map›Paper›PMID 40319505›Full record

Trial reportJournal of global health2025

Randomised clinical trial investigating memory training for recovery-adolescents in addressing psychiatric concerns among adolescents in Iraq.

Laura Jobson, Hussain Malallah, Sayed Jafar Ahmadi, Daniel McAvoy, Arul Earnest, Kelsey Vaughan, Latef S Berzenji, Shkofa Mohammad, Azi Berzengi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Laura JobsonTurner Institute for Brain and Mental Health and School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia.
Hussain MalallahNational Institute for Human Rights, Kirkuk, Iraq.
Sayed Jafar AhmadiPsychology Faculty, Bard College, Annandale-On-Hudson, New York, USA.
Daniel McAvoyCentre for Humanitarian Leadership, Deakin University, Melbourne, Victoria, Australia.
Arul EarnestBiostatistics Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Kelsey VaughanBang for Buck Consulting, Amsterdam, the Netherlands.
Latef S BerzenjiAl-Qalam University College, Kirkuk, Iraq.
Shkofa MohammadKirkuk Cultural and Social Association, Kirkuk, Iraq.
Azi BerzengiDepartment of Clinical Psychology and Psychological Therapies, University of East Anglia, Norwich, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In this randomised clinical trial, we investigated the efficacy of MEmory Training for Recovery-Adolescent (METRA) in improving psychiatric symptoms among adolescents in Iraq. Methods: In the study, we included adolescents aged 10-19 years with heightened psychiatric distress living in Kirkuk. It was a parallel-group trial comparing METRA with treatment as usual (TAU), with a three-month follow-up. The study occurred between July 2023 and January 2024. Participants assigned to METRA received a 10-session group-intervention comprised of memory specificity training and writing for recovery. Assessments occurred at baseline, post-intervention, and three months after treatment. Primary outcome measures were self-reported posttraumatic stress disorder (PTSD) and depression symptoms post-intervention. Secondary outcomes were measures of anxiety and psychiatric difficulties. We also examined the costs and affordability of METRA in a humanitarian context. The sample size for primary analyses included 67 adolescents in the METRA group and 65 adolescents in TAU. Results: Following the intention-to-treat principle, linear mixed effects models found at post-intervention the METRA group had a 10.96-point decrease (95% confidence interval (CI) = -13.82, -8.09) in PTSD symptoms and a 3.27-point decrease (95% CI = -4.67, -1.87) in depression symptoms. Improvements were maintained at the three-month follow-up. While the time main effects were significant (P < 0.001), the group × time interactions were not significant (P = 0.61 for PTSD and P = 0.71 for depression); thus, there was no evidence that these improvements were superior to the symptom improvements observed in TAU. Conclusions: In this study, we found that while METRA was not more effective than TAU, it was less costly, offering an option for replacing current practice. The findings highlight a need for further research in this area of global mental health. Registration: Australian New Zealand Clinical Trials Registry (ACTRN12622001413718).

Indexed as

DepressionMemoryStress Disorders, Post-TraumaticAdolescentChildCognitive TrainingFemaleHumansIraqMaleYoung Adult

Identifiers

PMID40319505
PMCPMC12209735

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.