Abstract
There are several challenges to providing mental health care for refugees, including high comorbidity and structural barriers. Targeting transdiagnostic processes in a low-threshold group intervention appears particularly promising to meet these challenges. This study examined the feasibility, acceptability and effectiveness of a new transdiagnostic intervention, Skills-Training of Affect Regulation-A Culture-sensitive Approach (STARC), focusing on conveying strategies to improve emotional clarity and to regulate emotions. A parallel-group (STARC vs. waitlist) randomized-controlled study with 44 young male Afghan refugees was conducted in a routine clinical setting (NCT03162679). In intention-to-treat analyses, participants of STARC significantly improved in self-reported difficulties in emotion regulation (Delta d(STARC-Waitlist) = 1.22), transdiagnostic symptom severity (Delta d(STARC-Waitlist) = 1.69), posttraumatic stress symptoms (Delta d(STARC-Waitlist) = 1.19), and caregiver-reported emotional competence (Delta d(STARC-Waitlist) = -0.90), but not anger reactions (Delta d(STARC-Waitlist) = 0.50) compared to waitlist. Effects were maintained over 3 months. STARC is a feasible transdiagnostic intervention in a routine clinical setting and effective for young Afghan refugees. If replicated in large-scale studies with active control groups, it might be promising as an initial low-threshold intervention offered in a phased-based and/or stepped care approach.
Dokumententyp: | Zeitschriftenartikel |
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Fakultät: | Psychologie und Pädagogik > Department Psychologie |
Themengebiete: | 100 Philosophie und Psychologie > 150 Psychologie |
ISSN: | 0005-7967 |
Sprache: | Englisch |
Dokumenten ID: | 88496 |
Datum der Veröffentlichung auf Open Access LMU: | 25. Jan. 2022, 09:27 |
Letzte Änderungen: | 25. Jan. 2022, 09:27 |