Long-term effectiveness of Self-Help Plus in refugees and asylum seekers resettled in Western Europe: 12-month outcomes of a randomised controlled trial

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dc.authorid0000-0003-3268-119Xen_US
dc.contributor.authorUygun, Ersin
dc.date.accessioned2022-12-16T11:43:55Z
dc.date.available2022-12-16T11:43:55Z
dc.date.issued2022-06-13
dc.description.abstractAbstract: Aims As refugees and asylum seekers are at high risk of developing mental disorders, we assessed the effectiveness of Self-Help Plus (SH + ), a psychological intervention developed by the World Health Organization, in reducing the risk of developing any mental disorders at 12-month follow-up in refugees and asylum seekers resettled in Western Europe. Methods Refugees and asylum seekers with psychological distress (General Health Questionnaire-12 > 3) but without a mental disorder according to the Mini International Neuropsychiatric Interview (M.I.N.I.) were randomised to either SH + or enhanced treatment as usual (ETAU). The frequency of mental disorders at 12 months was measured with the M.I.N.I., while secondary outcomes included self-identified problems, psychological symptoms and other outcomes. Results Of 459 participants randomly assigned to SH + or ETAU, 246 accepted to be interviewed at 12 months. No difference in the frequency of any mental disorders was found (relative risk [RR] = 0.841; 95% confidence interval [CI] 0.389-1.819; p-value = 0.659). In the per protocol (PP) population, that is in participants attending at least three group-based sessions, SH + almost halved the frequency of mental disorders at 12 months compared to ETAU, however so few participants and events contributed to this analysis that it yielded a non-significant result (RR = 0.528; 95% CI 0.180-1.544; p-value = 0.230). SH + was associated with improvements at 12 months in psychological distress (p-value = 0.004), depressive symptoms (p-value = 0.011) and wellbeing (p-value = 0.001). Conclusions The present study failed to show any long-term preventative effect of SH + in refugees and asylum seekers resettled in Western European countries. Analysis of the PP population and of secondary outcomes provided signals of a potential effect of SH + in the long-term, which would suggest the value of exploring the effects of booster sessions and strategies to increase SH + adherence.en_US
dc.fullTextLevelFull Texten_US
dc.identifier.doi10.1017/S2045796022000269
dc.identifier.issn2045-7979
dc.identifier.issn2045-7960
dc.identifier.pmid35674122en_US
dc.identifier.scopus2-s2.0-85131468137en_US
dc.identifier.urihttps://hdl.handle.net/11411/4782
dc.identifier.urihttps://doi.org/10.1017/S2045796022000269
dc.identifier.wosWOS:000807569400001en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.nationalInternationalen_US
dc.numberofauthors10+en_US
dc.publisherCAMBRIDGE UNIV PRESSen_US
dc.relation.ispartofEPIDEMIOLOGY AND PSYCHIATRIC SCIENCESen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPreventionen_US
dc.subjectpsychosocial interventionen_US
dc.subjectrandomised controlled trialen_US
dc.subjectrefugeesen_US
dc.titleLong-term effectiveness of Self-Help Plus in refugees and asylum seekers resettled in Western Europe: 12-month outcomes of a randomised controlled trial
dc.typeArticle
dc.volume31en_US

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