Twelve-month follow-up of a randomised clinical trial of a brief group psychological intervention for common mental disorders in Syrian refugees in Jordan.


Journal

Epidemiology and psychiatric sciences
ISSN: 2045-7979
Titre abrégé: Epidemiol Psychiatr Sci
Pays: England
ID NLM: 101561091

Informations de publication

Date de publication:
15 Nov 2022
Historique:
entrez: 15 11 2022
pubmed: 16 11 2022
medline: 18 11 2022
Statut: epublish

Résumé

There is increasing evidence that brief psychological interventions delivered by lay providers can reduce common mental disorders in the short-term. This study evaluates the longer-term impact of a brief, lay provider delivered group psychological intervention (Group Problem Management Plus; gPM+) on the mental health of refugees and their children's mental health. This single-blind, parallel, controlled trial randomised 410 adult Syrians in Azraq Refugee Camp in Jordan who screened positive for distress and impaired functioning to either five sessions of gPM+ or enhanced usual care (EUC). Primary outcomes were scores on the Hopkins Symptom Checklist-25 (HSCL-25; depression and anxiety scales) assessed at baseline, 6 weeks, 3 months and 12 months Secondary outcomes included disability, posttraumatic stress, personally identified problems, prolonged grief, prodromal psychotic symptoms, parenting behaviour and children's mental health. Between 15 October 2019 and 2 March 2020, 204 participants were assigned to gPM + and 206 to EUC, and 307 (74.9%) were retained at 12 months. Intent-to-treat analyses indicated that although participants in gPM + had greater reductions in depression at 3 months, at 12 months there were no significant differences between treatment arms on depression (mean difference -0.9, 95% CI -3.2 to 1.3; The short-term benefits of a brief, psychological programme delivered by lay providers may not be sustained over longer time periods, and there is a need for sustainable programmes that can prolong benefits gained through gPM + .

Identifiants

pubmed: 36377410
doi: 10.1017/S2045796022000658
pii: S2045796022000658
pmc: PMC9677446
doi:

Types de publication

Randomized Controlled Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e81

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Auteurs

Richard A Bryant (RA)

School of Psychology, University of New South Wales, Sydney, Australia.
Brain Dynamics Centre, Westmead Institute of Medical Research, Sydney, Australia.

Ahmad Bawaneh (A)

Jordan Country Office, International Medical Corps, Amman, Jordan.

Manar Awwad (M)

Jordan Country Office, International Medical Corps, Amman, Jordan.

Hadeel Al-Hayek (H)

Jordan Country Office, International Medical Corps, Amman, Jordan.

Luana Giardinelli (L)

Jordan Country Office, International Medical Corps, Amman, Jordan.

Claire Whitney (C)

Technical Unit, International Medical Corps, Washington, DC, USA.

Mark J D Jordans (MJD)

Research and Development Department, War Child, Amsterdam, Netherlands.
Amsterdam Institute of Social Science Research, University of Amsterdam, Amsterdam, Netherlands.

Pim Cuijpers (P)

Department of Clinical, Neuro and Developmental Psychology and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit, Amsterdam, Netherlands.

Marit Sijbrandij (M)

Department of Clinical, Neuro and Developmental Psychology and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit, Amsterdam, Netherlands.

Peter Ventevogel (P)

United Nations High Commissioner for Refugees, Geneva, Switzerland.

Katie Dawson (K)

School of Psychology, University of New South Wales, Sydney, Australia.

Aemal Akhtar (A)

School of Psychology, University of New South Wales, Sydney, Australia.
Department of Clinical, Neuro and Developmental Psychology and WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit, Amsterdam, Netherlands.

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