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The effect of a low-level psychological intervention (PM+) on post-migration living difficulties – Results from two studies in Switzerland and in the Netherlands
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2023 (English)In: Comprehensive Psychiatry, ISSN 0010-440X, E-ISSN 1532-8384, Vol. 127, article id 152421Article in journal (Refereed) Published
Abstract [en]

Aims of the study: After arriving in host countries, most refugees are confronted with numerous post-migration stressors (e.g., separation from family, discrimination, and employment difficulties). Post-migration living difficulties (PMLDs) significantly contribute to the development and persistence of mental disorders. Effective treatment approaches focusing on reducing post-migration stress are urgently needed. The aim of the present study was to examine the effect of a brief psychological intervention, Problem Management Plus (PM+), on PMLDs among Syrian refugees in two European countries. Methods: We merged data from two single-blind feasibility trials with Syrian refugees experiencing elevated levels of psychological distress and impaired functioning in Switzerland (N = 59) and the Netherlands (N = 60). Participants were randomised to receive either five sessions of PM+ or an enhanced care-as-usual control condition. PMLDs were assessed at baseline and 3 months after the intervention. To estimate treatment effect on PMLD, linear mixed model analysis was performed. Results: Three months after the intervention, participants in the PM+ condition reported significantly fewer PMLDs compared to the control condition. Further analyses at item-level showed that interpersonal and family related PMLDs, such as “worries about family back home” significantly improved over time in the PM+ condition. Conclusions: This exploratory study suggests that brief psychological interventions have the potential to reduce PMLDs in refugees and asylum seekers. The reduction of post-migration stress in turn may subsequently lead to an overall reduction in psychological distress. Clinical Trial Numbers: BASEC Nr. 2017–0117 (Swiss trial) and NL61361.029.17, 7 September 2017 (Dutch trial). 

Place, publisher, year, edition, pages
Elsevier BV , 2023. Vol. 127, article id 152421
Keywords [en]
Common mental disorders, Exile-related stressors, Post-migration living difficulties, Problem management plus, Psychosocial interventions, Refugees
National Category
Psychology
Identifiers
URN: urn:nbn:se:miun:diva-49454DOI: 10.1016/j.comppsych.2023.152421ISI: 001078842300001PubMedID: 37708580Scopus ID: 2-s2.0-85171781580OAI: oai:DiVA.org:miun-49454DiVA, id: diva2:1802354
Available from: 2023-10-04 Created: 2023-10-04 Last updated: 2023-11-06Bibliographically approved

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Pfaltz, Monique C.

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