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Treating PTSD in refugees and asylum seekers within the general health care system. A randomized controlled multicenter study.
Behav Res Ther. 2013 Oct; 51(10):641-7.BR

Abstract

OBJECTIVE

There has been uncertainty about whether refugees and asylum seekers with PTSD can be treated effectively in standard psychiatric settings in industrialized countries. In this study, Narrative Exposure Therapy (NET) was compared to Treatment As Usual (TAU) in 11 general psychiatric health care units in Norway. The focus was on changes in symptom severity and in the diagnostic status for PTSD and depression.

METHOD

Refugees and asylum seekers fulfilling the DSM-IV criteria for PTSD (N = 81) were randomized with an a-priori probability of 2:1 to either NET (N = 51) or TAU (N = 30). The patients were assessed with Clinician Administered PTSD Scale, Hamilton rating scale for depression and the MINI Neuropsychiatric Interview before treatment, and again at one and six months after the completion.

RESULTS

Both NET and TAU gave clinically relevant symptom reduction both in PTSD and in depression. NET gave significantly more symptom reduction compared to TAU as well as significantly more reduction in participants with PTSD diagnoses. No difference in treatment efficacy was found between refugees and asylum seekers.

CONCLUSIONS

The study indicated that refugees and asylum seekers can be treated successfully for PTSD and depression in the general psychiatric health care system; NET appeared to be a promising treatment for both groups.

Authors+Show Affiliations

Dept. of Neuroscience, Norwegian University of Science and Technology, 7489 Trondheim, Norway; Centre on Violence, Traumatic Stress and Suicide Prevention, Mid-Norway, St. Olav University Hospital, Schwacks Gt. 1, 7030 Trondheim, Norway. Electronic address: hakon.stenmark@stolav.no.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23916633

Citation

Stenmark, Håkon, et al. "Treating PTSD in Refugees and Asylum Seekers Within the General Health Care System. a Randomized Controlled Multicenter Study." Behaviour Research and Therapy, vol. 51, no. 10, 2013, pp. 641-7.
Stenmark H, Catani C, Neuner F, et al. Treating PTSD in refugees and asylum seekers within the general health care system. A randomized controlled multicenter study. Behav Res Ther. 2013;51(10):641-7.
Stenmark, H., Catani, C., Neuner, F., Elbert, T., & Holen, A. (2013). Treating PTSD in refugees and asylum seekers within the general health care system. A randomized controlled multicenter study. Behaviour Research and Therapy, 51(10), 641-7. https://doi.org/10.1016/j.brat.2013.07.002
Stenmark H, et al. Treating PTSD in Refugees and Asylum Seekers Within the General Health Care System. a Randomized Controlled Multicenter Study. Behav Res Ther. 2013;51(10):641-7. PubMed PMID: 23916633.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treating PTSD in refugees and asylum seekers within the general health care system. A randomized controlled multicenter study. AU - Stenmark,Håkon, AU - Catani,Claudia, AU - Neuner,Frank, AU - Elbert,Thomas, AU - Holen,Are, Y1 - 2013/07/08/ PY - 2012/04/30/received PY - 2013/06/20/revised PY - 2013/07/01/accepted PY - 2013/8/7/entrez PY - 2013/8/7/pubmed PY - 2014/11/13/medline KW - Asylum seeker KW - Narrative Exposure Therapy KW - PTSD KW - Randomized controlled trial KW - Refugee KW - Treatment SP - 641 EP - 7 JF - Behaviour research and therapy JO - Behav Res Ther VL - 51 IS - 10 N2 - OBJECTIVE: There has been uncertainty about whether refugees and asylum seekers with PTSD can be treated effectively in standard psychiatric settings in industrialized countries. In this study, Narrative Exposure Therapy (NET) was compared to Treatment As Usual (TAU) in 11 general psychiatric health care units in Norway. The focus was on changes in symptom severity and in the diagnostic status for PTSD and depression. METHOD: Refugees and asylum seekers fulfilling the DSM-IV criteria for PTSD (N = 81) were randomized with an a-priori probability of 2:1 to either NET (N = 51) or TAU (N = 30). The patients were assessed with Clinician Administered PTSD Scale, Hamilton rating scale for depression and the MINI Neuropsychiatric Interview before treatment, and again at one and six months after the completion. RESULTS: Both NET and TAU gave clinically relevant symptom reduction both in PTSD and in depression. NET gave significantly more symptom reduction compared to TAU as well as significantly more reduction in participants with PTSD diagnoses. No difference in treatment efficacy was found between refugees and asylum seekers. CONCLUSIONS: The study indicated that refugees and asylum seekers can be treated successfully for PTSD and depression in the general psychiatric health care system; NET appeared to be a promising treatment for both groups. SN - 1873-622X UR - https://www.unboundmedicine.com/medline/citation/23916633/Treating_PTSD_in_refugees_and_asylum_seekers_within_the_general_health_care_system__A_randomized_controlled_multicenter_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0005-7967(13)00118-6 DB - PRIME DP - Unbound Medicine ER -