Psychiatry Research, Journal Year: 2023, Volume and Issue: 324, P. 115197 - 115197
Published: April 10, 2023
Language: Английский
World Psychiatry, Journal Year: 2025, Volume and Issue: 24(1), P. 52 - 80
Published: Jan. 15, 2025
The understanding of responses to traumatic events has been greatly influenced by the introduction diagnosis post‐traumatic stress disorder (PTSD). In this paper we review initial versions diagnostic criteria for condition and associated epidemiological findings, including sociocultural differences. We consider evidence reactions occurring in multiple contexts not previously defined as traumatic, implications that these observations have diagnosis. More recent developments such DSM‐5 dissociative subtype ICD‐11 complex PTSD are reviewed, adding there several distinct phenotypes. describe psychological foundations PTSD, involving disturbances memory well identity. A broader focus on identity may be able accommodate group communal influences experience trauma impact resource loss. then summarize current concerning biological with a particular genetic neuroimaging studies. Whereas progress prevention disappointing, is now an extensive supporting efficacy variety treatments established trauma‐focused interventions – cognitive behavior therapy (TF‐CBT) eye movement desensitization reprocessing (EMDR) non‐trauma‐focused therapies, which also include some emerging identity‐based approaches present‐centered compassion‐focused therapies. Additionally, promising neither nor pharmacological, or combine pharmacological approach, 3,4‐methylenedioxymethamphetamine (MDMA)‐assisted psychotherapy. advances priority areas adapting resource‐limited settings across cultural contexts, community‐based approaches. conclude identifying future directions work mental health.
Language: Английский
Citations
9
Annual Review of Clinical Psychology, Journal Year: 2023, Volume and Issue: 19(1), P. 413 - 436
Published: Feb. 28, 2023
The number of refugees and internally displaced people in 2022 is the largest since World War II, meta-analyses demonstrate that these experience elevated rates mental health problems. This review focuses on role posttraumatic stress disorder (PTSD) refugee includes current knowledge prevalence PTSD, risk factors, apparent differences exist between PTSD populations other populations. An emerging literature understanding mechanisms encompasses neural, cognitive, social processes, which indicate factors may not function exactly as they have functioned previously recognizes numerous debates refugees, including those such issues conceptualization applicability diagnosis across cultures, well challenge treating low- middle-income countries lack resources to offer standard treatments.
Language: Английский
Citations
37
Epidemiology and Psychiatric Sciences, Journal Year: 2021, Volume and Issue: 30
Published: Jan. 1, 2021
Abstract Research on the effectiveness of mental health and psychosocial support interventions for common disorders in global provides controversial results. These results are based mean values different groups, often without due consideration individual-level characteristics contextual factors. Against this background, recent development a precision theoretical framework clinical psychology, which is calling renewed perspective implementation trial designs, we propose to develop psychology paradigm health, with emphasis not only individual socio-demographic data, but also social determinants health. A would require coordinated action academics, stakeholders humanitarian workers planning research agenda, including design trials aimed at reliably approximate prediction intervention response level.
Language: Английский
Citations
27
European journal of psychotraumatology, Journal Year: 2025, Volume and Issue: 16(1)
Published: Feb. 7, 2025
Background: Previous research suggests that psychotherapists' readiness to treat traumatized patients varies according patient and therapist characteristics, including the patient's refugee background.Objective: This study aims examine relationship between with symptoms of post-traumatic stress disorder various background country origin.Method: In our vignette a nationwide online survey in Germany (N = 871), we assessed licensed psychotherapists (LPTs) therapists training (PiTs) PTSD. Vignettes described PTSD who differed gender, background, origin (Syria vs. Ukraine). Participants rated treatment expected success based on they received.Results: Treatment were significantly lower for patients. There was no difference refugees from Syria Ukraine, but less therapeutic Syrian compared Ukrainian Gender did not influence results.Conclusions: The shows their expectations success. These findings highlight potential reasons undertreatment suggest opportunities intervention training, such as informing about effective treatments
Language: Английский
Citations
0
Discover Psychology, Journal Year: 2025, Volume and Issue: 5(1)
Published: March 29, 2025
Language: Английский
Citations
0
European journal of psychotraumatology, Journal Year: 2022, Volume and Issue: 13(1)
Published: May 25, 2022
Background: Afghan refugees often face hardship and traumatic experiences before, during, after migration frequently suffer from mental health burdens. Evidence based psychological treatments for mostly focus on symptoms of posttraumatic stress disorder (PTSD), however, a variety general problems as well depression anxiety. We thus aimed to evaluate the effectiveness transdiagnostic intervention.Objective: To investigate an adapted version Problem Management Plus (aPM+) delivered by professionals adult asylum seekers.Methods: randomly allocated 88 either aPM+ in addition treatment usual (aPM+/TAU) or TAU alone. APM+ comprises six weekly 90-minute individual sessions including strategies management, problem solving, behavioural activation, strengthening social support anger regulation increasing self-efficacy. The primary outcome was (GHQ-28) post intervention. Secondary measures included distress PMLD, Complex PTSD symptoms, quality life, self-identified problems, integration.Results: Attrition high: 42% randomized participants did not participate post-treatment assessment. A repeated per-protocol (completers only) ANCOVA evidenced significant group × timepoint interaction GHQ total scores [F(1, 47) = 14.80, p < .001, partial η2 0.24]. Post-hoc analyses showed significantly lower aPM+/TAU arm (n 26) compared 25) (dz 1.04). Most secondary outcomes improved arm, but arm.Conclusion: effective reducing might be considered first-line High drop-out rate limit interpretations our results, where future investigations should possibilities reduce these rates.Trial registration: Uniform Trial Number identifier: U1111-1226-3285.HIGHLIGHTS Refugees' can strengthened with brief intervention that also focuses skills context post-migration stressors.High rates are major challenge research delivery interventions part care systems seekers.
Language: Английский
Citations
18
BMJ Mental Health, Journal Year: 2023, Volume and Issue: 26(1), P. e300773 - e300773
Published: Aug. 1, 2023
Existing research on refugee mental health is heavily skewed towards refugees in high-income countries, even though most (83%) are hosted low-income and middle-income countries. This problem further compounded by the unrepresentativeness of samples, small sample sizes low response rates.
Language: Английский
Citations
9
Epidemiology and Psychiatric Sciences, Journal Year: 2024, Volume and Issue: 33
Published: Jan. 1, 2024
Abstract Aims Problem Management Plus (PM+) has been effective in reducing mental health problems among refugees at three-month follow-up, but there is a lack of research on its long-term effectiveness. This study examined the effectiveness PM+ symptoms common disorders 12-month follow-up Syrian Netherlands. Methods single-blind, parallel, controlled trial randomised 206 adult Syrians who screened positive for psychological distress and impaired functioning to either addition care as usual (PM+/CAU) or CAU alone. Assessments were baseline, 1 week 3 months after intervention 12 baseline. Outcomes (Hopkins Symptom Checklist [HSCL-25]), depression (HSCL-25 subscale), anxiety posttraumatic stress disorder (PCL-5), functional impairment (WHODAS 2.0) self-identified (PSYCHLOPS). Results In March 2019–December 2022, 103 participants assigned PM+/CAU which 169 (82.0%) retained months. Intention-to-treat analyses showed greater reductions compared (adjusted mean difference −0.17, 95% CI −0.310 −0.027; p = 0.01, Cohen’s d 0.28). Relative CAU, also significant (−0.19, −0.344 −0.047; 0.31) not any other outcomes. Conclusions over period up year. Additional support such booster sessions additional (trauma-focused) modules may be required prolong consolidate benefits gained through psychosocial
Language: Английский
Citations
3
The Lancet Regional Health - Europe, Journal Year: 2024, Volume and Issue: 48, P. 101152 - 101152
Published: Nov. 29, 2024
Language: Английский
Citations
3
Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11
Published: Jan. 25, 2023
Migrant populations, including workers, undocumented migrants, asylum seekers, refugees, internationally displaced persons, and other populations on the move, are exposed to a variety of stressors potentially traumatic events before, during, after migration process. In recent years, COVID-19 pandemic has represented an additional stressor, especially for migrants move. As consequence, may increase vulnerability individuals toward worsening subjective wellbeing, quality life, mental health, which, in turn, risk developing health conditions. Against this background, we designed stepped-care programme consisting two scalable psychological interventions developed by World Health Organization locally adapted migrant populations. The effectiveness cost-effectiveness will be assessed terms outcomes, resilience, costs healthcare systems.We present study protocol pragmatic randomized with parallel-group design that enroll participants background elevated level distress. Participants care as usual only or plus guided self-help stress management guide (Doing What Matters Times Stress, DWM) five-session cognitive behavioral intervention (Problem Management Plus, PM+). self-report all measures at baseline before random allocation, 2 weeks DWM delivery, 1 week PM+ delivery months delivery. All receive single-session support intervention, namely Psychological First Aid. We include 212 participants. An intention-to-treat analysis using linear mixed models conducted explore programme's effect anxiety depression symptoms, measured Patient Questionnaire-Anxiety Depression Scale summary score Secondary outcomes post-traumatic disorder resource utilization, cost, cost-effectiveness.This is first controlled trial combines tailored make available DWM/PM+ packages remote following task-shifting approach, generate evidence inform policy responses based more efficient use resources improving wellbeing health.ClinicalTrials.gov, identifier: NCT04993534.
Language: Английский
Citations
7