Psychosocial mechanisms of change in symptoms of Persistent Complex Bereavement Disorder amongst refugees from Myanmar over the course of Integrative Adapt Therapy

Tay, Alvin Kuowei; Mung, Hau Khat; Badrudduza, Mohammad; Balasundaram, Susheela; Azim, Darlina Fadil; Zaini, Nur Arfah; Morgan, Kàren; Mohsin, Mohammed; Silove, Derrick

doi:10.1080/20008198.2020.1807170

Cited by 4 publications

(11 citation statements)

References 23 publications

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“…For example, Hossain A K M et al, 2020 conducted a cross-sectional survey among Rohingya refugees in Bangladesh. Six of the included articles were intervention studies (A. K. Tay et al, 2019;Mahmuda et al, 2019;Tarannum et al, 2019;Tay, Khat Mung, et al, 2020;Tay et al, 2021). For example, Tarannum et al, 2019 reported the findings from an intervention study.…”

Section: Methodsmentioning

confidence: 99%

“…Most of the studies (n = 16) were conducted in Bangladesh (Zaman et al, no date;Riley et al, 2017Tarannum et al, 2019;Wells et al, 2019;Mahmuda et al, 2019;Christensen, Ahsan and Mandal, 2020;Hossain et al, 2020Tay et al, 2021;Haque, 2021b, 2021a;O'connor and Seager, 2021;Awang, Mohamad and Maria Awaluddin, 2022;Palit et al, 2022), for example, Wells et al, 2019 conducted a qualitative study on Rohingya refugees, living in the camps, whereas some studies (n = 8) were conducted in Malaysia (A. K. Tay et al, 2019;Alvin Kuowei Tay et al, 2019;Shaw et al, 2019;Welton-Mitchell et al, 2019;Kaur et al, 2020;Tay, Khat Mung, et al, 2020;Tay et al, 2022), such as a cross sectional study by Tay et al, 2019.…”

Section: Countrymentioning

confidence: 99%

“…Some studies (n = 5) followed purposive sampling (Zaman et al, no date; A. K. Tay et al, 2019;Wells et al, 2019;Tay et al, 2021), for example, Zaman et al, 2019 purposively selected 117 Rohingya refugees female patients to see their mental health status. In addition, Cluster sampling (n = 5) (Alvin Kuowei Tay et al, 2019;Welton-Mitchell et al, 2019;Tay, Khat Mung, et al, 2020;Tay et al, 2022) and convenience sampling (n = 4) Haque, 2021b, 2021a;Palit et al, 2022) was also the choices for some studies, such as Mitchel et al, 2019 recruited 75 study participants by cluster sampling in their study from Rohingya community in Malaysia as well as Khan et al, 2020 selected participants conveniently from Bangladesh Rohingya camp and Malaysian Rohingya community to include in their study. Few studies (n = 3) also followed random sampling (Christensen, Ahsan and Mandal, 2020;Kaur et al, 2020;, for example, Kaur et al, 2020 used random sampling in their study to recruit 220 Rohingya participants to assess their mental health and related factors.…”

Section: Sampling Techniquementioning

confidence: 99%

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Mental health and wellbeing of Rohingya refugees: A scoping review

Das¹,

Prima²,

Rimu³

et al. 2022

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The Rohingya population are being exiled form Myanmar during several humanitarian crises since 1978 with a recent spike in 2017. Reportedly, the violence, persecution and trauma have posed grievous impacts on the mental health of these forcibly displaced people. This scoping review aims to synthesize the evidence regarding overall epidemiologic burden of psychological problems of Rohingya refugees with their associated factors. We evaluated five major databases and additional sources till 08/05/2022 and included articles according to the eligibility criteria following the Joanna Briggs Institute (JBI) guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. Out of 331 citations retrieved from multiple sources, we included 24 articles in this review. Most of the articles reported high prevalence of different psychological symptoms of Rohingya refugees, such as, depression, anxiety, post-traumatic stress disorder, persistent complex bereavement disorder, feeling of afraid etc. Several correlates of mental health problems were reported, including older age, female, illiteracy, experiences of torture, sexual violence, unemployment, food insecurity, statelessness, separation from family, lack of healthcare access, overcrowded and unhygienic campsites, preexisting health problems etc. There is huge gaps in community level intervention studies, however, Group Integrated Adapt Therapy (IAT-G) and Mental Health and Psychosocial Support (MHPSS) services are widely used. The available evidence suggests a huge burden of mental health disorders with several biopsychosocial factors that may assist in better policymaking and implementation of multilayered approaches like improving healthcare access, training healthcare providers, more community-based intervention studies, and introducing tele-mental health services for Rohingya refugees.

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Section: Methodsmentioning

confidence: 99%

Section: Countrymentioning

confidence: 99%

Section: Sampling Techniquementioning

confidence: 99%

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Mental health and wellbeing of Rohingya refugees: A scoping review

Das¹,

Prima²,

Rimu³

et al. 2022

Preprint

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“…These numbers are predicted to increase (Maretti et al, 2019;Marsella & Ring, 2003). Mental health issues that may arise from experiences related to forced displacement include anxiety disorders, post-traumatic stress reactions, somatic complaints, depression, and complex grief reactions (Munz & Melcop, 2018;Shannon et al, 2015;Tay et al, 2020). Among circa 40% of refugee children, traumatizing experiences along the way to seek refuge have had a severe effect on the children's interpersonal skills (Baron & Flory, 2019).…”

Section: Introductionmentioning

confidence: 99%

Psychological Applications and Trends 2022

2022

Psychological Applications and Trends

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The United Nations High Commissioner for Refugees (UNHCR) estimated that as of 2021 there were currently 84 million who have been forcibly displaced from their homes across the globe. The conflict in Ukraine has led to a further marked increase in these numbers. Mental health difficulties have been shown to be elevated in forcibly displaced people (including asylum seeking and refugee populations). Risk factors can be associated with events that occurred prior to, during, and after the migratory journey. Whilst there is recognition of the important impact that a history of traumatic events (e.g., torture, abuse and neglect) can have, social adversity in the form of 'daily stressors' (e.g., a lack of access to basic resources, isolation, lack of safety and security, family violence) is being increasingly recognised as an important determinant of the mental health of forcibly displaced people. Concerns have been raised about the potential medicalization of social adversity faced by displaced populations. There has also been a comparative lack of research investigating approaches that may be helpful for enhancing the quality of life and subjective wellbeing of forcibly displaced people. Psychosocial interventions and low-intensity psychological interventions can provide scalable opportunities for treating common mental disorders and promoting wellbeing. This presentation will focus on research studies that I have been involved in which have been undertaken in the EU and in sub-Saharan Africa to evaluate the efficacy of psychosocial interventions for forcibly displaced people. These projects have involved the linguistic and cultural adaptation of interventions and assessment measures. The implications that this research has for the integration of forcibly displaced people in the EU and beyond will be discussed. This will include a focus on conceptual frameworks that provide opportunities for situating determinants of mental health in the socio-political context in which forcibly displaced people live their lives, and not just risk-and protective-factors specific to the individual. BiographyProf. Ross White (PhD, DClinPsy) is a Professor of Clinical Psychology at Queen's University Belfast. He is an expert in Global Mental Health. He was lead editor of 'The Palgrave Handbook of Socio-cultural Perspectives on Global Mental Health'. Ross has research collaborations with the World Health Organization and United Nations High Commissioner for Refugees investigating the efficacy of psychosocial interventions for reducing distress experienced by refugees particularly in the context and/or aftermath of humanitarian crises. He also has an interest in the processes involved in the linguistic/cultural adaptation of psychological therapies. Ross is the Principal Investigator on the ESRC/AHRC funded Community-based Sociotherapy Adapted for Refugees (COSTAR) project that is evaluating a psychosocial intervention for Congolese refugees living in Uganda and Rwanda. Ross was a co-investigator on the EU Horizon2020 funded Refugee Emerg...

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“…15 In addition to the abovementioned factors, key predictors of treatment response in refugee populations that warrant attention are gender, age, time since arrival, premigration trauma, access to support and resources, residency status, access to employment, social relations, baseline symptom severity, length of functional impairment, comorbidities and chronic pain. [16][17][18] None of these predictors have been consistently replicated across studies and settings, but should be considered in future studies.…”

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confidence: 99%