STARC-SUD - Adaptation of a Transdiagnostic Intervention for Refugees With Substance Use Disorders.
addiction
affect regulation
cultural adaption
emotion regulation
formative research
group treatment
refugees
substance use disorders
Journal
Clinical psychology in Europe
ISSN: 2625-3410
Titre abrégé: Clin Psychol Eur
Pays: Germany
ID NLM: 9918266187206676
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
01
12
2020
accepted:
05
09
2021
entrez:
21
11
2022
pubmed:
22
11
2022
medline:
22
11
2022
Statut:
epublish
Résumé
Refugees often suffer from multiple mental health problems, which transdiagnostic interventions can address. STARC (Skills-Training of Affect Regulation - A Culture-sensitive Approach) is a culturally sensitive transdiagnostic group intervention that has been developed for refugees to improve affect regulation. In refugees with substance use disorders (SUD), the consideration of SUD-specific elements might improve the acceptance and effectiveness of such an intervention. We aimed to adapt the STARC program for refugees with SUD in a culturally sensitive way. The conceptual framework of Heim and Kohrt (2019) was used to culturally sensitively adapt the STARC program to the needs of Syrian refugees with SUD. The results of five focus group discussions with refugees on cultural concepts of SUD and their treatment informed the adaption. An expert group suggested adaptions and decided by consensus on their implementation. Two pilot groups were conducted with the adapted STARC-SUD program. Interviews with the therapists of these pilot groups informed further adaption. The concepts related to SUD identified in focus groups and therapists' interviews that differed from Western concepts were integrated into the STARC intervention. Further studies should assess the acceptance and effectiveness of the culturally sensitive STARC-SUD program for refugees with SUD.
Sections du résumé
Background
UNASSIGNED
Refugees often suffer from multiple mental health problems, which transdiagnostic interventions can address. STARC (Skills-Training of Affect Regulation - A Culture-sensitive Approach) is a culturally sensitive transdiagnostic group intervention that has been developed for refugees to improve affect regulation. In refugees with substance use disorders (SUD), the consideration of SUD-specific elements might improve the acceptance and effectiveness of such an intervention. We aimed to adapt the STARC program for refugees with SUD in a culturally sensitive way.
Method
UNASSIGNED
The conceptual framework of Heim and Kohrt (2019) was used to culturally sensitively adapt the STARC program to the needs of Syrian refugees with SUD. The results of five focus group discussions with refugees on cultural concepts of SUD and their treatment informed the adaption. An expert group suggested adaptions and decided by consensus on their implementation. Two pilot groups were conducted with the adapted STARC-SUD program. Interviews with the therapists of these pilot groups informed further adaption.
Results
UNASSIGNED
The concepts related to SUD identified in focus groups and therapists' interviews that differed from Western concepts were integrated into the STARC intervention.
Discussion
UNASSIGNED
Further studies should assess the acceptance and effectiveness of the culturally sensitive STARC-SUD program for refugees with SUD.
Identifiants
pubmed: 36405673
doi: 10.32872/cpe.5329
pii: cpe.5329
pmc: PMC9670832
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e5329Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Addict Health. 2016 Apr;8(2):68-75
pubmed: 27882203
Clin Psychol Rev. 2010 Mar;30(2):217-37
pubmed: 20015584
Cogn Behav Pract. 2014 May;21(2):111-123
pubmed: 25620867
J Affect Disord. 2021 Jan 1;278:296-310
pubmed: 32979561
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012 Sep;55(9):1168-75
pubmed: 22936485
Transcult Psychiatry. 2016 Oct;53(5):630-53
pubmed: 27507761
Confl Health. 2021 Apr 12;15(1):26
pubmed: 33845859
Soc Psychiatry Psychiatr Epidemiol. 2013 Jan;48(1):105-16
pubmed: 22714866
World Psychiatry. 2015 Oct;14(3):354-7
pubmed: 26407793
Trials. 2022 Oct 28;23(1):915
pubmed: 36307862
BMC Public Health. 2017 Mar 24;17(1):280
pubmed: 28340567
BMC Health Serv Res. 2019 Oct 25;19(1):753
pubmed: 31653211
Behav Ther. 2016 Nov;47(6):993-1014
pubmed: 27993346
Int J Ment Health Syst. 2016 Apr 12;10:31
pubmed: 27073412
Behav Res Ther. 2020 Jun 27;132:103689
pubmed: 32688046
Psychother Psychosom Med Psychol. 2011 Mar;61(3-4):140-7
pubmed: 20945269
PLoS Med. 2020 Apr 17;17(4):e1003056
pubmed: 32302308
PLoS Med. 2017 Aug 15;14(8):e1002371
pubmed: 28809935
PLoS One. 2016 Jul 13;11(7):e0159134
pubmed: 27411086
Front Public Health. 2018 Jun 19;6:179
pubmed: 29971226
Psychol Med. 2014 Apr;44(6):1131-46
pubmed: 23866176
Int J Group Psychother. 2012 Jan;62(1):69-88
pubmed: 22229369
Behav Res Ther. 2011 Apr;49(4):275-80
pubmed: 21333272