Publication:
Effectiveness of Self-Help Plus in preventing mental disorders in refugees and asylum seekers in Western Europe: a multinational randomized controlled trial

dc.contributor.coauthorPurgato, Marianna
dc.contributor.coauthorCarswell, Kenneth
dc.contributor.coauthorTedeschi, Federico
dc.contributor.coauthorAnttila, Minna
dc.contributor.coauthorAu, Teresa
dc.contributor.coauthorBajbouj, Malek
dc.contributor.coauthorBaumgartner, Josef
dc.contributor.coauthorBiondi, Massimo
dc.contributor.coauthorChurchill, Rachel
dc.contributor.coauthorCuijpers, Pim
dc.contributor.coauthorKoesters, Markus
dc.contributor.coauthorGastaldon, Chiara
dc.contributor.coauthorLantta, Tella
dc.contributor.coauthorNose, Michela
dc.contributor.coauthorOstuzzi, Giovanni
dc.contributor.coauthorPapola, Davide
dc.contributor.coauthorPopa, Mariana
dc.contributor.coauthorRoselli, Valentina
dc.contributor.coauthorSijbrandij, Marit
dc.contributor.coauthorTarsitani, Lorenzo
dc.contributor.coauthorTurrini, Giulia
dc.contributor.coauthorValimaki, Maritta
dc.contributor.coauthorWalker, Lauren
dc.contributor.coauthorWancata, Johannes
dc.contributor.coauthorZanini, Elisa
dc.contributor.coauthorWhite, Ross
dc.contributor.coauthorvan Ommeren, Mark
dc.contributor.coauthorBarbui, Corrado
dc.contributor.departmentDepartment of Psychology
dc.contributor.departmentGraduate School of Social Sciences and Humanities
dc.contributor.kuauthorİlkkurşun, Zeynep
dc.contributor.kuauthorAcartürk, Ceren
dc.contributor.schoolcollegeinstituteCollege of Social Sciences and Humanities
dc.contributor.schoolcollegeinstituteGRADUATE SCHOOL OF SOCIAL SCIENCES AND HUMANITIES
dc.date.accessioned2024-11-09T13:27:29Z
dc.date.issued2021
dc.description.abstractIntroduction: 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.
dc.description.fulltextYES
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue6
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuEU
dc.description.sponsorshipEuropean Union (EU)
dc.description.sponsorshipHorizon 2020
dc.description.sponsorshipEuropean Commission (EC)
dc.description.sponsorshipRE-DEFINE: Refugee Emergency: DEFining and Implementing Novel Evidence-based Psychosocial Interventions
dc.description.versionPublisher version
dc.description.volume90
dc.identifier.doi10.1159/000517504
dc.identifier.eissn1423-0348
dc.identifier.embargoNO
dc.identifier.filenameinventorynoIR03053
dc.identifier.issn0033-3190
dc.identifier.quartileN/A
dc.identifier.scopus2-s2.0-85111565463
dc.identifier.urihttps://hdl.handle.net/20.500.14288/3517
dc.identifier.wos675441900001
dc.keywordsRandomized controlled trial
dc.keywordsPsychological stress
dc.keywordsPsychological well-being
dc.keywordsPsychological trauma
dc.keywordsAdult
dc.keywordsRefugees
dc.keywordsAsylum seekers
dc.keywordsSelf-help Plus
dc.language.isoeng
dc.publisherKarger Publishers
dc.relation.grantno779255
dc.relation.ispartofPsychotherapy and Psychosomatics
dc.relation.urihttp://cdm21054.contentdm.oclc.org/cdm/ref/collection/IR/id/9712
dc.subjectPsychiatry
dc.subjectPsychology
dc.titleEffectiveness of Self-Help Plus in preventing mental disorders in refugees and asylum seekers in Western Europe: a multinational randomized controlled trial
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorAcartürk, Zeynep Ceren
local.contributor.kuauthorİlkkurşun, Zeynep
local.publication.orgunit1College of Social Sciences and Humanities
local.publication.orgunit1GRADUATE SCHOOL OF SOCIAL SCIENCES AND HUMANITIES
local.publication.orgunit2Department of Psychology
local.publication.orgunit2Graduate School of Social Sciences and Humanities
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