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Twelve-month follow-up of a randomised clinical trial of a brief group psychological intervention for common mental disorders in Syrian refugees in Jordan

AIMS: There is increasing evidence that brief psychological interventions delivered by lay providers can reduce common mental disorders in the short-term. This study evaluates the longer-term impact of a brief, lay provider delivered group psychological intervention (Group Problem Management Plus; g...

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Autores principales: Bryant, Richard A., Bawaneh, Ahmad, Awwad, Manar, Al-Hayek, Hadeel, Giardinelli, Luana, Whitney, Claire, Jordans, Mark J. D., Cuijpers, Pim, Sijbrandij, Marit, Ventevogel, Peter, Dawson, Katie, Akhtar, Aemal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9677446/
https://www.ncbi.nlm.nih.gov/pubmed/36377410
http://dx.doi.org/10.1017/S2045796022000658
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author Bryant, Richard A.
Bawaneh, Ahmad
Awwad, Manar
Al-Hayek, Hadeel
Giardinelli, Luana
Whitney, Claire
Jordans, Mark J. D.
Cuijpers, Pim
Sijbrandij, Marit
Ventevogel, Peter
Dawson, Katie
Akhtar, Aemal
author_facet Bryant, Richard A.
Bawaneh, Ahmad
Awwad, Manar
Al-Hayek, Hadeel
Giardinelli, Luana
Whitney, Claire
Jordans, Mark J. D.
Cuijpers, Pim
Sijbrandij, Marit
Ventevogel, Peter
Dawson, Katie
Akhtar, Aemal
author_sort Bryant, Richard A.
collection PubMed
description AIMS: There is increasing evidence that brief psychological interventions delivered by lay providers can reduce common mental disorders in the short-term. This study evaluates the longer-term impact of a brief, lay provider delivered group psychological intervention (Group Problem Management Plus; gPM+) on the mental health of refugees and their children's mental health. METHODS: This single-blind, parallel, controlled trial randomised 410 adult Syrians in Azraq Refugee Camp in Jordan who screened positive for distress and impaired functioning to either five sessions of gPM+ or enhanced usual care (EUC). Primary outcomes were scores on the Hopkins Symptom Checklist-25 (HSCL-25; depression and anxiety scales) assessed at baseline, 6 weeks, 3 months and 12 months Secondary outcomes included disability, posttraumatic stress, personally identified problems, prolonged grief, prodromal psychotic symptoms, parenting behaviour and children's mental health. RESULTS: Between 15 October 2019 and 2 March 2020, 204 participants were assigned to gPM + and 206 to EUC, and 307 (74.9%) were retained at 12 months. Intent-to-treat analyses indicated that although participants in gPM + had greater reductions in depression at 3 months, at 12 months there were no significant differences between treatment arms on depression (mean difference −0.9, 95% CI −3.2 to 1.3; p = 0.39) or anxiety (mean difference −1.7, 95% CI −4.8 to −1.3; p = 0.06). There were no significant differences between conditions for secondary outcomes except that participants in gPM + had greater increases in positive parenting. CONCLUSIONS: The short-term benefits of a brief, psychological programme delivered by lay providers may not be sustained over longer time periods, and there is a need for sustainable programmes that can prolong benefits gained through gPM + .
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spelling pubmed-96774462022-11-29 Twelve-month follow-up of a randomised clinical trial of a brief group psychological intervention for common mental disorders in Syrian refugees in Jordan Bryant, Richard A. Bawaneh, Ahmad Awwad, Manar Al-Hayek, Hadeel Giardinelli, Luana Whitney, Claire Jordans, Mark J. D. Cuijpers, Pim Sijbrandij, Marit Ventevogel, Peter Dawson, Katie Akhtar, Aemal Epidemiol Psychiatr Sci Original Article AIMS: There is increasing evidence that brief psychological interventions delivered by lay providers can reduce common mental disorders in the short-term. This study evaluates the longer-term impact of a brief, lay provider delivered group psychological intervention (Group Problem Management Plus; gPM+) on the mental health of refugees and their children's mental health. METHODS: This single-blind, parallel, controlled trial randomised 410 adult Syrians in Azraq Refugee Camp in Jordan who screened positive for distress and impaired functioning to either five sessions of gPM+ or enhanced usual care (EUC). Primary outcomes were scores on the Hopkins Symptom Checklist-25 (HSCL-25; depression and anxiety scales) assessed at baseline, 6 weeks, 3 months and 12 months Secondary outcomes included disability, posttraumatic stress, personally identified problems, prolonged grief, prodromal psychotic symptoms, parenting behaviour and children's mental health. RESULTS: Between 15 October 2019 and 2 March 2020, 204 participants were assigned to gPM + and 206 to EUC, and 307 (74.9%) were retained at 12 months. Intent-to-treat analyses indicated that although participants in gPM + had greater reductions in depression at 3 months, at 12 months there were no significant differences between treatment arms on depression (mean difference −0.9, 95% CI −3.2 to 1.3; p = 0.39) or anxiety (mean difference −1.7, 95% CI −4.8 to −1.3; p = 0.06). There were no significant differences between conditions for secondary outcomes except that participants in gPM + had greater increases in positive parenting. CONCLUSIONS: The short-term benefits of a brief, psychological programme delivered by lay providers may not be sustained over longer time periods, and there is a need for sustainable programmes that can prolong benefits gained through gPM + . Cambridge University Press 2022-11-15 /pmc/articles/PMC9677446/ /pubmed/36377410 http://dx.doi.org/10.1017/S2045796022000658 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
spellingShingle Original Article
Bryant, Richard A.
Bawaneh, Ahmad
Awwad, Manar
Al-Hayek, Hadeel
Giardinelli, Luana
Whitney, Claire
Jordans, Mark J. D.
Cuijpers, Pim
Sijbrandij, Marit
Ventevogel, Peter
Dawson, Katie
Akhtar, Aemal
Twelve-month follow-up of a randomised clinical trial of a brief group psychological intervention for common mental disorders in Syrian refugees in Jordan
title Twelve-month follow-up of a randomised clinical trial of a brief group psychological intervention for common mental disorders in Syrian refugees in Jordan
title_full Twelve-month follow-up of a randomised clinical trial of a brief group psychological intervention for common mental disorders in Syrian refugees in Jordan
title_fullStr Twelve-month follow-up of a randomised clinical trial of a brief group psychological intervention for common mental disorders in Syrian refugees in Jordan
title_full_unstemmed Twelve-month follow-up of a randomised clinical trial of a brief group psychological intervention for common mental disorders in Syrian refugees in Jordan
title_short Twelve-month follow-up of a randomised clinical trial of a brief group psychological intervention for common mental disorders in Syrian refugees in Jordan
title_sort twelve-month follow-up of a randomised clinical trial of a brief group psychological intervention for common mental disorders in syrian refugees in jordan
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9677446/
https://www.ncbi.nlm.nih.gov/pubmed/36377410
http://dx.doi.org/10.1017/S2045796022000658
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