Effectiveness of psychosocial interventions for post-traumatic stress disorder in refugees and asylum seekers resettled in low- and middle-income countries: A systematic review and meta-analysis.

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Journal of Health Psychology Pub Date : 2024-11-01 Epub Date: 2023-09-20 DOI:10.1177/13591053231199254
Istiaque Mahmud Dowllah, Craig Melville
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引用次数: 0

Abstract

Refugees and asylum seekers are more prone to posttraumatic stress disorder (PTSD) than the general population. This systematic review aims to determine which psychosocial interventions effectively treat PTSD among refugees and asylum seekers in low- and middle-income countries (LMIC). Relevant papers were retrieved from the bibliographic databases. PTSD symptoms post-intervention was the primary outcome. Ten studies were selected with 1981 participants. In meta-analyses of Randomised control trials (RCTs), psychosocial interventions for PTSD (SMD -0.60, 95% CI -0.96 to -0.23; I2 = 91%; 95% CI 75-100; nine studies, 1789 participants) were shown to be clinically effective. Also, in case of depression (SMD -0.59, 95% CI -0.95 to -0.22; I2 = 84%; 95% CI 50-90; seven studies, 1248 participants). Eye Movement Desensitization and Reprocessing (EMDR) had the greatest effect size among psychosocial therapies for this demographic. However, the number of studies is small, and their methodological rigour is limited, thus future study should concentrate on performing more rigorous trials.

在中低收入国家重新安置的难民和寻求庇护者中,心理社会干预措施对创伤后应激障碍的有效性:一项系统综述和荟萃分析。
难民和寻求庇护者比普通人群更容易患创伤后应激障碍(PTSD)。这项系统综述旨在确定哪些心理社会干预措施能有效治疗中低收入国家难民和寻求庇护者的创伤后应激障碍。相关论文从书目数据库中检索到。干预后的PTSD症状是主要结果。选择了10项研究,共有1981名参与者。在随机对照试验的荟萃分析中,PTSD的心理社会干预(SMD-0.60,95%CI-0.96至-0.23;I2 = 91%;95%CI 75-100;1789名参与者的9项研究)被证明是临床有效的。此外,在抑郁症的情况下(SMD-0.59,95%CI-0.95至-0.22;I2 = 84%;95%CI 50-90;7项研究,1248名参与者)。在这一人群的心理社会治疗中,眼动脱敏和再处理(EMDR)的效果最大。然而,研究的数量很少,方法的严谨性有限,因此未来的研究应该集中于进行更严格的试验。
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来源期刊
Journal of Health Psychology
Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
7.50
自引率
3.10%
发文量
81
期刊介绍: ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.
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