Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Department of Clinical, Neuro- and Developmental Psychology, Amsterdam Public Health Research Institute, and WHO Collaborating Centre for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Compr Psychiatry. 2023 Nov;127:152421. doi: 10.1016/j.comppsych.2023.152421. Epub 2023 Sep 9.
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.
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.
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.
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.
BASEC Nr. 2017-0117 (Swiss trial) and NL61361.029.17, 7 September 2017 (Dutch trial).
大多数难民抵达收容国后面临着许多移民后应激源（例如，与家人分离、歧视和就业困难）。移民后生活困难（PMLD）是导致精神障碍发展和持续存在的重要因素。迫切需要针对减轻移民后应激的有效治疗方法。本研究旨在检验一种简短的心理干预措施，即问题管理加（PM+）对两个欧洲国家的叙利亚难民的 PMLD 的影响。
我们合并了两项单盲可行性试验的数据，这些试验纳入了在瑞士（N=59）和荷兰（N=60）经历心理困扰程度较高和功能受损的叙利亚难民。参与者被随机分配接受五节 PM+或增强的常规护理对照组。在干预前和干预后 3 个月评估 PMLD。为了估计 PMLD 的治疗效果，进行了线性混合模型分析。
干预 3 个月后，PM+组的参与者报告的 PMLD 明显少于对照组。进一步的项目水平分析表明，人际关系和家庭相关的 PMLD，如“对家人生活的担忧”，在 PM+组中随着时间的推移显著改善。
这项探索性研究表明，简短的心理干预有可能减轻难民和寻求庇护者的 PMLD。移民后应激的减少反过来可能会导致心理困扰的整体减少。
BASEC Nr. 2017-0117（瑞士试验）和 NL61361.029.17，2017 年 9 月 7 日（荷兰试验）。
