Cargando…
Brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: study protocol for a multi-center randomized-controlled trial
Background: Many refugees have experienced multiple traumatic events in their country of origin and/or during flight. Trauma-related disorders such as posttraumatic stress disorder (PTSD) or complex PTSD (CPTSD) are prevalent in this population, which highlights the need for accessible and effective...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8725706/ https://www.ncbi.nlm.nih.gov/pubmed/34992749 http://dx.doi.org/10.1080/20008198.2021.1872967 |
_version_ | 1784626169661882368 |
---|---|
author | Steil, Regina Lechner-Meichsner, Franziska Johow, Johannes Krüger-Gottschalk, Antje Mewes, Ricarda Reese, Jens-Peter Schumm, Hannah Weise, Cornelia Morina, Nexhmedin Ehring, Thomas |
author_facet | Steil, Regina Lechner-Meichsner, Franziska Johow, Johannes Krüger-Gottschalk, Antje Mewes, Ricarda Reese, Jens-Peter Schumm, Hannah Weise, Cornelia Morina, Nexhmedin Ehring, Thomas |
author_sort | Steil, Regina |
collection | PubMed |
description | Background: Many refugees have experienced multiple traumatic events in their country of origin and/or during flight. Trauma-related disorders such as posttraumatic stress disorder (PTSD) or complex PTSD (CPTSD) are prevalent in this population, which highlights the need for accessible and effective treatment. Imagery Rescripting (ImRs), an imagery-based treatment that does not use formal exposure and that has received growing interest as an innovative treatment for PTSD, appears to be a promising approach. Objective: This randomized-controlled trial aims to investigate the efficacy of ImRs for refugees compared to Usual Care and Treatment Advice (UC+TA) on (C)PTSD remission and reduction in other related symptoms. Method: Subjects are 90 refugees to Germany with a diagnosis of PTSD according to DSM-5. They will be randomly allocated to receive either UC+TA (n = 45) or 10 sessions of ImRs (n = 45). Assessments will be conducted at baseline, post-intervention, three-month follow-up, and 12-month follow-up. Primary outcome is the (C)PTSD remission rate. Secondary outcomes are severity of PTSD and CPTSD symptoms, psychiatric symptoms, dissociative symptoms, quality of sleep, and treatment satisfaction. Economic analyses will investigate health-related quality of life and costs. Additional measures will assess migration and stress-related factors, predictors of dropout, therapeutic alliance and session-by-session changes in trauma-related symptoms. Results and Conclusions: Emerging evidence suggests the suitability of ImRs in the treatment of refugees with PTSD. After positive evaluation, this short and culturally adaptable treatment can contribute to close the treatment gap for refugees in high-income countries such as Germany. Trial registration: German Clinical Trials Register under trial number DRKS00019876, registered prospectively on 28 April 2020. |
format | Online Article Text |
id | pubmed-8725706 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-87257062022-01-05 Brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: study protocol for a multi-center randomized-controlled trial Steil, Regina Lechner-Meichsner, Franziska Johow, Johannes Krüger-Gottschalk, Antje Mewes, Ricarda Reese, Jens-Peter Schumm, Hannah Weise, Cornelia Morina, Nexhmedin Ehring, Thomas Eur J Psychotraumatol Study Protocol Background: Many refugees have experienced multiple traumatic events in their country of origin and/or during flight. Trauma-related disorders such as posttraumatic stress disorder (PTSD) or complex PTSD (CPTSD) are prevalent in this population, which highlights the need for accessible and effective treatment. Imagery Rescripting (ImRs), an imagery-based treatment that does not use formal exposure and that has received growing interest as an innovative treatment for PTSD, appears to be a promising approach. Objective: This randomized-controlled trial aims to investigate the efficacy of ImRs for refugees compared to Usual Care and Treatment Advice (UC+TA) on (C)PTSD remission and reduction in other related symptoms. Method: Subjects are 90 refugees to Germany with a diagnosis of PTSD according to DSM-5. They will be randomly allocated to receive either UC+TA (n = 45) or 10 sessions of ImRs (n = 45). Assessments will be conducted at baseline, post-intervention, three-month follow-up, and 12-month follow-up. Primary outcome is the (C)PTSD remission rate. Secondary outcomes are severity of PTSD and CPTSD symptoms, psychiatric symptoms, dissociative symptoms, quality of sleep, and treatment satisfaction. Economic analyses will investigate health-related quality of life and costs. Additional measures will assess migration and stress-related factors, predictors of dropout, therapeutic alliance and session-by-session changes in trauma-related symptoms. Results and Conclusions: Emerging evidence suggests the suitability of ImRs in the treatment of refugees with PTSD. After positive evaluation, this short and culturally adaptable treatment can contribute to close the treatment gap for refugees in high-income countries such as Germany. Trial registration: German Clinical Trials Register under trial number DRKS00019876, registered prospectively on 28 April 2020. Taylor & Francis 2021-02-04 /pmc/articles/PMC8725706/ /pubmed/34992749 http://dx.doi.org/10.1080/20008198.2021.1872967 Text en © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Study Protocol Steil, Regina Lechner-Meichsner, Franziska Johow, Johannes Krüger-Gottschalk, Antje Mewes, Ricarda Reese, Jens-Peter Schumm, Hannah Weise, Cornelia Morina, Nexhmedin Ehring, Thomas Brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: study protocol for a multi-center randomized-controlled trial |
title | Brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: study protocol for a multi-center randomized-controlled trial |
title_full | Brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: study protocol for a multi-center randomized-controlled trial |
title_fullStr | Brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: study protocol for a multi-center randomized-controlled trial |
title_full_unstemmed | Brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: study protocol for a multi-center randomized-controlled trial |
title_short | Brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: study protocol for a multi-center randomized-controlled trial |
title_sort | brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: study protocol for a multi-center randomized-controlled trial |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8725706/ https://www.ncbi.nlm.nih.gov/pubmed/34992749 http://dx.doi.org/10.1080/20008198.2021.1872967 |
work_keys_str_mv | AT steilregina briefimageryrescriptingvsusualcareandtreatmentadviceinrefugeeswithposttraumaticstressdisorderstudyprotocolforamulticenterrandomizedcontrolledtrial AT lechnermeichsnerfranziska briefimageryrescriptingvsusualcareandtreatmentadviceinrefugeeswithposttraumaticstressdisorderstudyprotocolforamulticenterrandomizedcontrolledtrial AT johowjohannes briefimageryrescriptingvsusualcareandtreatmentadviceinrefugeeswithposttraumaticstressdisorderstudyprotocolforamulticenterrandomizedcontrolledtrial AT krugergottschalkantje briefimageryrescriptingvsusualcareandtreatmentadviceinrefugeeswithposttraumaticstressdisorderstudyprotocolforamulticenterrandomizedcontrolledtrial AT mewesricarda briefimageryrescriptingvsusualcareandtreatmentadviceinrefugeeswithposttraumaticstressdisorderstudyprotocolforamulticenterrandomizedcontrolledtrial AT reesejenspeter briefimageryrescriptingvsusualcareandtreatmentadviceinrefugeeswithposttraumaticstressdisorderstudyprotocolforamulticenterrandomizedcontrolledtrial AT schummhannah briefimageryrescriptingvsusualcareandtreatmentadviceinrefugeeswithposttraumaticstressdisorderstudyprotocolforamulticenterrandomizedcontrolledtrial AT weisecornelia briefimageryrescriptingvsusualcareandtreatmentadviceinrefugeeswithposttraumaticstressdisorderstudyprotocolforamulticenterrandomizedcontrolledtrial AT morinanexhmedin briefimageryrescriptingvsusualcareandtreatmentadviceinrefugeeswithposttraumaticstressdisorderstudyprotocolforamulticenterrandomizedcontrolledtrial AT ehringthomas briefimageryrescriptingvsusualcareandtreatmentadviceinrefugeeswithposttraumaticstressdisorderstudyprotocolforamulticenterrandomizedcontrolledtrial |