Eye movement desensitisation and reprocessing therapy <i>v.</i> stabilisation as usual for refugees: randomised controlled trial

Heide, F. Jackie June ter; Mooren, Trudy; Schoot, Rens van de; Jongh, Ad de; Kleber, Rolf J.

doi:10.1192/bjp.bp.115.167775

Cited by 58 publications

(65 citation statements)

References 34 publications

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“…Moreover, 3 participants reported a deterioration of symptoms and 1 of selfefficacy. Although these findings are in contradiction with the treatment aims, they are in accordance with reported deterioration rates from a previous treatment study with a comparable sample and setting (Ter Heide, Mooren, van de Schoot, de Jongh, & Kleber, 2016).…”

Section: Discussionsupporting

confidence: 84%

7ROSES, a transdiagnostic intervention for promoting self-efficacy in traumatized refugees: a first quantitative evaluation

Heemstra

Scholte

Haagen

et al. 2019

European Journal of Psychotraumatology

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Objective: Due to traumatic experiences and highly prevalent post-migration stressors, refugees are vulnerable for developing psychopathology. To date, research has mainly evaluated trauma-focused therapies, targeting post traumatic stresss symptoms. Treatments targeting post-migration stressors are relatively understudied. The present cohort study evaluated the potential effectiveness of 7ROSES, a transdiagnostic intervention that aims to increase self-efficacy among treatment-seeking refugees in dealing with postmigration stressors. Because it can be applied by non-specialist health care workers, it can be disseminated on a large scale, thereby increasing options for psychosocial support for refugees. Method: Forty-nine refugees (65% male, average age: 36.02 years, SD = 8.52) with psychopathology were included. Before and after participation in 7ROSES, self-efficacy was measured using the General Self-Efficacy Scale (GSES), and general psychopathology using the Brief Symptom Inventory (BSI). Results: Completers analysis yielded a significant increase in GSES scores (Z = −2.16, p = .03) and significant decrease in BSI scores (Z = −2.05, p = .04) with medium-small effects (both r = −.28). Intent-to-treat analysis, using predictive mean matching imputation, yielded significant results for the GSES (p = .012) but not for the BSI (p = .14) with small effects (GSES r = .14, BSI r = .12). Reliable change indices established negative change in 3%, no change in 70%, and positive change in 27% based on the GSES; percentages were 11.5%, 65.5%, and 23%, respectively, based on the BSI. Conclusion: Findings provide preliminary evidence that 7ROSES could improve self-efficacy and general mental health in refugees with psychopathology. ARTICLE HISTORY

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Section: Discussionsupporting

confidence: 84%

7ROSES, a transdiagnostic intervention for promoting self-efficacy in traumatized refugees: a first quantitative evaluation

Heemstra

Scholte

Haagen

et al. 2019

European Journal of Psychotraumatology

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“…However, as mentioned, due to the number of and type of traumas as well as postmigratory stressors that trauma-affected refuges face, conclusions based on other populations do not necessarily apply to trauma-affected refugees. Several studies have previously suggested PLOS ONE that treatment effects in trauma-affected refugees are typically smaller than in other traumaaffected populations [24][25][26]45].…”

Section: Discussionmentioning

confidence: 99%

Trauma-affected refugees treated with basic body awareness therapy or mixed physical activity as augmentation to treatment as usual—A pragmatic randomised controlled trial

et al. 2020

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“…In addition, NET was expected to outperform non-active and active non-TF comparators for PTSD outcomes (Lambert & Alhassoon, 2015). According to direct comparisons of TF interventions (Brom, Kleber, & Defares, 1989;Nijdam, Gersons, Reitsma, De Jongh, & Olff, 2012;Ter Heide, Mooren, Van de Schoot, De Jongh, & Kleber, 2016), no significant differences were expected comparing NET with all active control conditions (non-TF and TF comparators). Finally, advancing age and female gender were hypothesized to predict larger treatment effects, while having migrated to Western countries was hypothesized to predict lower treatment effects.…”

Section: Aims and Hypothesesmentioning

confidence: 99%

The effectiveness of narrative exposure therapy: a review, meta-analysis and meta-regression analysis

Lely

Smid

Jongedijk

et al. 2019

European Journal of Psychotraumatology

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101

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Background: Narrative exposure therapy (NET) is a short-term psychological treatment for post-traumatic stress disorder (PTSD) that has been investigated in various contexts among traumatized refugees and other trauma survivors. Sustained treatment results have been reported, but the methodological quality of the trials needs a more thorough examination. Objective: To evaluate the effectiveness of NET for survivors of trauma, using a quality assessment, an updated meta-analysis, and a meta-regression analysis. Method: Following a systematic literature selection, the methodological quality of the included studies was assessed; Non-controlled and controlled effect sizes (Hedges' g) were estimated using a random effects model. Predictor analyses were performed. Non-controlled effect sizes for PTSD and depression included symptom change at post-treatment and follow-up time-points. Controlled effect sizes included post-treatment comparisons of NET with non-active and active comparators: both trauma-focused (TF) and non-trauma-focused (non-TF) interventions. Results: The selected studies showed high external validity; methodological quality was equivalent to other guideline-supported TF interventions. In 16 randomized controlled trials, involving 947 participants, large non-controlled effect sizes were found for PTSD symptoms, at post-treatment (g = 1.18, 95% confidence interval [0.87; 1.50]) and follow-up (g = 1.37 [0.96; 1.77]). For depression symptoms, medium non-controlled effect sizes were found, at post-treatment (g = 0.47 [0.23; 0.71]) and follow-up (g = 0.

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Eye movement desensitisation and reprocessing therapy v. stabilisation as usual for refugees: randomised controlled trial

Abstract: Directly targeting traumatic memories through 12 h of EMDR in refugee patients needing specialised treatment is safe, but is only of limited efficacy.

Cited by 58 publications

References 34 publications

7ROSES, a transdiagnostic intervention for promoting self-efficacy in traumatized refugees: a first quantitative evaluation

7ROSES, a transdiagnostic intervention for promoting self-efficacy in traumatized refugees: a first quantitative evaluation

Trauma-affected refugees treated with basic body awareness therapy or mixed physical activity as augmentation to treatment as usual—A pragmatic randomised controlled trial

The effectiveness of narrative exposure therapy: a review, meta-analysis and meta-regression analysis

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