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Empowerment group therapy for refugees with affective disorders: results of a multicenter randomized controlled trial

BackgroundAgainst the background of missing culturally sensitive mental health care services for refugees, we developed a group intervention (Empowerment) for refugees at level 3 within the stratified Stepped and Collaborative Care Model of the project Mental Health in Refugees and Asylum Seekers (M...

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Main Authors: Wiechers, Maren (Author) , Strupf, Michael (Author) , Bajbouj, Malek (Author) , Böge, Kerem (Author) , Karnouk, Carine (Author) , Goerigk, Stephan (Author) , Kamp-Becker, Inge (Author) , Banaschewski, Tobias (Author) , Rapp, Michael A. (Author) , Hasan, Alkomiet (Author) , Falkai, Peter (Author) , Jobst-Heel, Andrea (Author) , Habel, Ute (Author) , Stamm, Thomas (Author) , Heinz, Andreas (Author) , Hoell, Andreas (Author) , Burger, Max (Author) , Bunse, Tilmann (Author) , Hoehne, Edgar (Author) , Mehran, Nassim (Author) , Kaiser, Franziska (Author) , Hahn, Eric (Author) , Plener, Paul L. (Author) , Übleis, Aline (Author) , Padberg, Frank (Author)
Format: Article (Journal)
Language:English
Published: 17 July 2023
In: European psychiatry
Year: 2023, Volume: 66, Issue: 1, Pages: 1-9
ISSN:1778-3585
DOI:10.1192/j.eurpsy.2023.2431
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1192/j.eurpsy.2023.2431
Verlag, kostenfrei, Volltext: https://www.cambridge.org/core/journals/european-psychiatry/article/empowerment-group-therapy-for-refugees-with-affective-disorders-results-of-a-multicenter-randomized-controlled-trial/C0D9D15B1D7DAD2453D913AB04790CBF
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Author Notes:Maren Wiechers, Michael Strupf, Malek Bajbouj, Kerem Böge, Carine Karnouk, Stephan Goerigk, Inge Kamp-Becker, Tobias Banaschewski, Michael Rapp, Alkomiet Hasan, Peter Falkai, Andrea Jobst-Heel, Ute Habel, Thomas Stamm, Andreas Heinz, Andreas Hoell, Max Burger, Tilmann Bunse, Edgar Hoehne, Nassim Mehran, Franziska Kaiser, Eric Hahn, Paul Plener, Aline Übleis, Frank Padberg
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Summary:BackgroundAgainst the background of missing culturally sensitive mental health care services for refugees, we developed a group intervention (Empowerment) for refugees at level 3 within the stratified Stepped and Collaborative Care Model of the project Mental Health in Refugees and Asylum Seekers (MEHIRA). We aim to evaluate the effectiveness of the Empowerment group intervention with its focus on psychoeducation, stress management, and emotion regulation strategies in a culturally sensitive context for refugees with affective disorders compared to treatment-as-usual (TAU).MethodAt level 3 of the MEHIRA project, 149 refugees and asylum seekers with clinically relevant depressive symptoms were randomized to the Empowerment group intervention or TAU. Treatment comprised 16 therapy sessions conducted over 12 weeks. Effects were measured with the Patient Health Questionnaire-9 (PHQ-9) and the Montgomery-Åsberg Depression Rating Scale (MÅDRS). Further scales included assessed emotional distress, self-efficacy, resilience, and quality of life.ResultsIntention-to-treat analyses show significant cross-level interactions on both self-rated depressive symptoms (PHQ-9; F(1,147) = 13.32, p < 0.001) and clinician-rated depressive symptoms (MÅDRS; F(1,147) = 6.91, p = 0.01), indicating an improvement in depressive symptoms from baseline to post-intervention in the treatment group compared to the control group. The effect sizes for both scales were moderate (d = 0.68, 95% CI 0.21-1.15 for PHQ-9 and d = 0.51, 95% CI 0.04-0.99 for MÅDRS).ConclusionIn the MEHIRA project comparing an SCCM approach versus TAU, the Empowerment group intervention at level 3 showed effectiveness for refugees with moderately severe depressive symptoms.
Item Description:Gesehen am 14.02.2024
Physical Description:Online Resource
ISSN:1778-3585
DOI:10.1192/j.eurpsy.2023.2431

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