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Effectiveness of Self-Help plus in Preventing Mental Disorders in Refugees and Asylum Seekers in Western Europe: A Multinational Randomized Controlled Trial
- Source :
- Psychotherapy and Psychosomatics, 90(6), 403-414. S. Karger AG, Purgato, M, Carswell, K, Tedeschi, F, Acarturk, C, Anttila, M, Au, T, Bajbouj, M, Baumgartner, J, Biondi, M, Churchill, R, Cuijpers, P, Koesters, M, Gastaldon, C, Ilkkursun, Z, Lantta, T, Nosè, M, Ostuzzi, G, Papola, D, Popa, M, Roselli, V, Sijbrandij, M, Tarsitani, L, Turrini, G, Välimäki, M, Walker, L, Wancata, J, Zanini, E, White, R, Van Ommeren, M & Barbui, C 2021, ' Effectiveness of Self-Help plus in Preventing Mental Disorders in Refugees and Asylum Seekers in Western Europe : A Multinational Randomized Controlled Trial ', Psychotherapy and Psychosomatics, vol. 90, no. 6, pp. 403-414 . https://doi.org/10.1159/000517504, Psychotherapy and Psychosomatics, Psychother Psychosom, Purgatoa, M, Carswell, K, Tedeschi, F, Acarturkd, C, Anttila, M, Au, T, Bajboujf, M, Baumgartner, J, Biondih, M, Churchill, R, Cuijpers, P, Koesters, M, Gastaldona, C, Ilkkursund, Z, Lantta, T, Nosè, M, Ostuzzia, G, Papola, D, Popa, M, Roselli, V, Sijbrandij, M, Tarsitani, L, Turrini, G, Välimäkie, M, Walker, L, Wancata, J, Zanini, E, White, R, van Ommeren, M & Barbui, C 2021, ' Effectiveness of Self-Help Plus in preventing mental disorders in refugees and asylum seekers in Western Europe: a multinational randomized controlled trial ', Psychotherapy and Psychosomatics, vol. 90, no. 6, pp. 403–414 . https://doi.org/10.1159/000517504
- Publication Year :
- 2021
-
Abstract
- Introduction: Self-Help Plus (SH+) is a group-based psychological intervention developed by the World Health Organization for managing stress. Objective: to assess the effectiveness of SH+ in preventing mental disorders in refugees and asylum seekers in Western Europe. Methods: we conducted a randomized controlled trial in 5 European countries. Refugees and asylum seekers with psychological distress (General Health Questionnaire score >= 3), but without a Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) or ICD/10 diagnosis of mental disorder, as assessed with the Mini International Neuropsychiatric Interview (MINI), were randomized to SH+ or enhanced treatment as usual (ETAU). The primary outcome was the frequency of mental disorders with the MINI at 6 months. Secondary outcomes included the frequency of mental disorders at postintervention, self-identified problems, psychological symptoms, and other outcomes. Results: four hundred fifty-nine individuals were randomly assigned to SH+ or ETAU. For the primary outcome, we found no difference in the frequency of mental disorders at 6 months (Cramer V = 0.007, p = 0.90, RR = 0.96; 95% CI 0.52-1.78), while the difference significantly favored SH+ at after the intervention (secondary outcome, measured within 2 weeks from the last session; Cramer V = 0.13, p = 0.01, RR = 0.50; 95% CI 0.29-0.87). Conclusions: this is the first randomized indicated prevention study with the aim of preventing the onset of mental disorders in asylum seekers and refugees in Western Europe. As a prevention effect of SH+ was not observed at 6 months, but rather after the intervention only, modalities to maintain its beneficial effect in the long term need to be identified.<br />European Union (EU); Horizon 2020; European Commission (EC); RE-DEFINE: Refugee Emergency: DEFining and Implementing Novel Evidence-based Psychosocial Interventions
- Subjects :
- Adult
medicine.medical_specialty
Refugee
Asylum seekers
Psychological intervention
Psychological Distress
Psychological well-being
law.invention
Stress Disorders, Post-Traumatic
Standard Research Article
SDG 3 - Good Health and Well-being
Randomized controlled trial
law
Intervention (counseling)
Psychological trauma
medicine
Humans
Psychiatry
Psychology
Applied Psychology
Stress Disorders
Mini-international neuropsychiatric interview
Refugees
business.industry
Mental Disorders
Self-Help Plus
SDG 16 - Peace, Justice and Strong Institutions
Psychological stress
Self-help Plus
Europe
General Medicine
SDG 10 - Reduced Inequalities
medicine.disease
Psychiatry and Mental health
Clinical Psychology
Post-Traumatic
General Health Questionnaire
business
Subjects
Details
- Language :
- English
- ISSN :
- 00333190
- Database :
- OpenAIRE
- Journal :
- Psychotherapy and Psychosomatics, 90(6), 403-414. S. Karger AG, Purgato, M, Carswell, K, Tedeschi, F, Acarturk, C, Anttila, M, Au, T, Bajbouj, M, Baumgartner, J, Biondi, M, Churchill, R, Cuijpers, P, Koesters, M, Gastaldon, C, Ilkkursun, Z, Lantta, T, Nosè, M, Ostuzzi, G, Papola, D, Popa, M, Roselli, V, Sijbrandij, M, Tarsitani, L, Turrini, G, Välimäki, M, Walker, L, Wancata, J, Zanini, E, White, R, Van Ommeren, M & Barbui, C 2021, ' Effectiveness of Self-Help plus in Preventing Mental Disorders in Refugees and Asylum Seekers in Western Europe : A Multinational Randomized Controlled Trial ', Psychotherapy and Psychosomatics, vol. 90, no. 6, pp. 403-414 . https://doi.org/10.1159/000517504, Psychotherapy and Psychosomatics, Psychother Psychosom, Purgatoa, M, Carswell, K, Tedeschi, F, Acarturkd, C, Anttila, M, Au, T, Bajboujf, M, Baumgartner, J, Biondih, M, Churchill, R, Cuijpers, P, Koesters, M, Gastaldona, C, Ilkkursund, Z, Lantta, T, Nosè, M, Ostuzzia, G, Papola, D, Popa, M, Roselli, V, Sijbrandij, M, Tarsitani, L, Turrini, G, Välimäkie, M, Walker, L, Wancata, J, Zanini, E, White, R, van Ommeren, M & Barbui, C 2021, ' Effectiveness of Self-Help Plus in preventing mental disorders in refugees and asylum seekers in Western Europe: a multinational randomized controlled trial ', Psychotherapy and Psychosomatics, vol. 90, no. 6, pp. 403–414 . https://doi.org/10.1159/000517504
- Accession number :
- edsair.doi.dedup.....c8df3f11942506c7e8f9100768dc87b9