当前位置： SCI文献检索 > CLINICAL PSYCHOLOGY & PSYCHOTHERAPY期刊下所有文献 > Psychological interventions for posttraumatic stress disorder and depression in refugees: A meta-analysis of randomized controlled trials.

Psychological interventions for posttraumatic stress disorder and depression in refugees: A meta-analysis of randomized controlled trials.

Abstract：

:Millions of refugees around the globe suffer from posttraumatic stress disorder (PTSD) and/or depression. We conducted a meta-analysis of randomized controlled trials (RCTs) to determine the efficacy of psychological interventions for PTSD and/or depression in refugees. The meta-analysis was registered on the PROSPERO database (CRD42017071384). A search using the Medline, PsycINFO, and PILOTS databases was conducted in January 2019, resulting in 17 RCTs, of which 14 were conducted with adult refugees (1,108 participants) and 3 with young refugees (<18 years; 151 participants). Further inclusion criteria were at least 10 participants completing an active psychological intervention for PTSD, depression, or both and less than 50% of participants receiving concurrent psychotropic drugs. Random effects models showed that active interventions for adult PTSD yielded a medium to large aggregated effect size (g = 0.77; 95% confidence interval [CI] [0.26, 1.28]) at posttreatment when compared with passive and active control conditions. Active interventions for adult depression also produced large controlled effect sizes at posttreatment (g = 0.82; 95% CI [0.24, 1.40]). The effects appeared to persist over the average follow-up period of 6 months. The findings suggest that psychological interventions can effectively reduce symptoms of both PTSD and depression in adult refugees. However, the considerable heterogeneity between studies indicates that the efficacy may vary significantly. Future studies should aim to explore the substantial heterogeneity in effect sizes between studies with adult refugees. Additionally, more trials with young refugees suffering from PTSD or depression are needed to determine treatment efficacy for this population.

journal_name

Clin Psychol Psychother

journal_title

Clinical psychology & psychotherapy

authors

Kip A,Priebe S,Holling H,Morina N

doi

10.1002/cpp.2446

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

489-503

issue

eissn

1063-3995

issn

1099-0879

journal_volume

pub_type

杂志文章,评审

在线工具

Psychological interventions for posttraumatic stress disorder and depression in refugees: A meta-analysis of randomized controlled trials.