Efficacy and cultural adaptations of narrative exposure therapy for trauma-related outcomes in refugees/asylum-seekers: A systematic review and meta-analysis

Wright, A. Michelle; Reisig, Alexandra; Cullen, Breda

doi:10.1016/j.jbct.2020.10.003

Cited by 26 publications

(24 citation statements)

References 46 publications

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“…Testimonio as situated within liberation psychology in particular has the goal of documenting and recognizing the oppression people have experienced and providing a counternarrative to resist oppressive systems (Cervantes, 2020 ). Testimonial therapy has also been combined with exposure therapy to develop narrative exposure therapy, which has been used with various refugee and asylee populations (Neuner et al, 2004 ; Wright et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Intergenerational Communication about Historical Trauma in Asian American Families

Cai

2022

ADV RES SCI

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Little is known about how Asian American families, as well as other racially marginalized families, communicate about ethnic and racial group histories, particularly regarding historical trauma. Unlike personal trauma, historical trauma refers to distressing or life-threatening events which members of a group with a shared social identity experience together and pass on to their descendants. It has been studied in a variety of groups and contexts, notably in Holocaust survivors and their families and in Native American communities. The concept has seen limited application to Asian American groups, despite its relevance to their unique and shared lived experiences. For instance, the majority of Asian Americans have immigrated from countries across Asia that have been profoundly affected by war and political upheaval in the past century. Research on historical trauma among Asian Americans has focused primarily on refugees who fled the US wars in Southeast Asia, with some research on Japanese Americans who were incarcerated during World War II. Historical trauma related to other major events, such as the India/Pakistan Partition, the Chinese Civil War and Cultural Revolution, the Korean War, and the Sri Lankan Civil War, have not been examined among Asian Americans. A lack of recognition of these historical traumas within families and communities, as well as in the psychological literature, may mask important pre-migration history effects on Asian American families across generations. In this paper, we consider how historical trauma impacts Asian American individuals, families, and communities. We also examine the role of intergenerational communication in historical trauma and in Asian American families and communities. Finally, we discuss historical trauma among Asian Americans within the framework of radical healing, particularly how intergenerational communication about historical trauma can raise critical consciousness, facilitate ethnic-racial identity development, and reinforce ethnic-racial socialization.

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Section: Discussionmentioning

confidence: 99%

Intergenerational Communication about Historical Trauma in Asian American Families

Cai

2022

ADV RES SCI

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“…Post-displacement risk factors include life-threatening migration often through smuggling (Schwarzer & Schulz, 2003). Being displaced in a new country creates additional stressors which can exacerbate existing mental health issues (Wright et al, 2020). Compared with other populations, relatively few randomized controlled trials of trauma-focused therapies have been conducted with refugees.…”

Section: Theoretical and Research Basis For Treatmentmentioning

confidence: 99%

“…Narrative Exposure Therapy (NET), which was the treatment of choice and was utilized in this case study, is a trauma-focused short-term psychotherapy that was developed for the treatment of PTSD (Neuner et al, 2010) and is particularly effective when treating refugee populations, because it enables individuals to discuss their traumatic experiences in a testimonial approach (as opposed to a potentially more stigmatizing clinical approach) and explicitly acknowledges the role of human rights violations in producing psychological distress (Wright et al, 2020). Research has shown that there are positive findings for NET in long-term follow-ups that are consistent within reviews regarding psychological therapies utilized with refugee populations (Crumlish & O'Rourke, 2010; Nosè et al, 2017).…”

Section: Theoretical and Research Basis For Treatmentmentioning

confidence: 99%

Section: Theoretical and Research Basis For Treatmentmentioning

confidence: 99%

“…According to a systematic review and meta-analysis on the efficacy of NET for trauma-related outcomes in refugees/asylum-seekers, all studies reported a significant reduction in trauma scores in the NET group in comparison to the control groups, indicating that NET can be effective in reducing symptoms of trauma (Wright et al, 2020). Wright et al (2020) additionally looked at whether the NET interventions had been successfully culturally adapted. They found that most of the included studies in their systematic review did not explicitly state if cultural adaptation had taken place, despite all studies utilizing a language interpreter if required, making it challenging to determine if the sessions were culturally relevant to the participants (Wright et al, 2020).…”

Section: Theoretical and Research Basis For Treatmentmentioning

confidence: 99%

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Narrative Exposure Therapy: A Case for Use With Refugees via Telehealth With the use of an Interpreter

Olavarrieta

Benuto

2022

Clinical Case Studies

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Rates of PTSD and depression are as high as or higher among samples of refugees than in the general population. There have been few randomized controlled trials of trauma-focused therapies conducted with refugees. Additionally, there has been little research on the use of interpreters in psychotherapy with refugees, but across the studies included in a meta-analysis, a nonsignificant difference between studies that used an interpreter and those that did not was found. Due to COVID-19, mental health providers have had to adapt to the crisis by utilizing telemental health. Research on telemental health with refugee clients is limited, despite a recognition in the literature that telemental health can address some mental healthcare disparities. We review the case of a 26-year-old Afghani/Iranian bilingual diagnosed with post-traumatic stress disorder (PTSD) who presented with intrusive thoughts, panic attacks, nightmares, and flashbacks. Narrative Exposure Therapy (NET) was used with an interpreter via telehealth because it is effective in reducing symptoms of trauma in refugee populations. Treatment success for this case was reflected in the client’s self-reported reduction in symptoms. From this case study, we can conclude that (a) NET is a short-term, cost-effective means for providing trauma-focused care for refugees/asylum-seekers; (b) NET diminishes trauma symptoms with the use of an interpreter via telehealth; (c) a good relationship between therapist, interpreter, and client aids in the effectiveness of NET; and (d) clinician flexibility in the delivery of telemental health and interventions being utilized with refugee/asylum-seeker populations is imperative.

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Psychological Interventions for Post-traumatic Stress Disorder in Adults

Emmelkamp

2023

Mental Health of Refugees

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Efficacy and cultural adaptations of narrative exposure therapy for trauma-related outcomes in refugees/asylum-seekers: A systematic review and meta-analysis

Cited by 26 publications

References 46 publications

Intergenerational Communication about Historical Trauma in Asian American Families

Intergenerational Communication about Historical Trauma in Asian American Families

Narrative Exposure Therapy: A Case for Use With Refugees via Telehealth With the use of an Interpreter

Psychological Interventions for Post-traumatic Stress Disorder in Adults

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