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Evidensbaserad psykologisk behandling av posttraumatisk stress hos vuxna personer med erfarenhet av flykt: En kartläggande litteraturöversikt.

Fredriksson, Lisa LU and Perrin, Sean LU orcid (2023)
Abstract
People with a refugee background are at significantly increased risk of mental health difficulties, including Post-Traumatic Stress Disorder (PTSD). There is a large evidence base showing that trauma-focused psychological treatments for PTSD are effective. However, the majority of trials do not include refugees and less is known about how refugees respond to treatment. The present report explores the
current state of the literature about psychological interventions for PTSD in adult refugees. A scoping review was conducted in two stages to identify: 1) recent meta-analyses of randomized controlled trials (RCTs) of psychological interventions for PTSD in adult refugees; and 2) RCTs published after the meta-analyses that
address... (More)
People with a refugee background are at significantly increased risk of mental health difficulties, including Post-Traumatic Stress Disorder (PTSD). There is a large evidence base showing that trauma-focused psychological treatments for PTSD are effective. However, the majority of trials do not include refugees and less is known about how refugees respond to treatment. The present report explores the
current state of the literature about psychological interventions for PTSD in adult refugees. A scoping review was conducted in two stages to identify: 1) recent meta-analyses of randomized controlled trials (RCTs) of psychological interventions for PTSD in adult refugees; and 2) RCTs published after the meta-analyses that
address knowledge gaps identified in the meta-analyses. The status of the evidence base is summarized from these sources. A total of four meta-analyses were included, all yielding support for trauma-focused psychological interventions, primarily trauma-focused cognitive behavioural therapy (TF-CBT). Included meta-analyses
indicated that the majority of RCTs involved inactive comparisons and short follow-ups. In the secondary search, 12 recent RCTs were identified. However, only one involved active treatment comparison and long-term follow-up, and the majority of trials are of varying methodological quality. Across included studies, the most frequently evaluated interventions are TF-CBT, Eye Movement Desensitization
and Reprocessing Therapy (EMDR) and Narrative Exposure Therapy (NET). The available evidence suggests that these interventions yield moderate to large effect sizes for PTSD at post-treatment relative to no-treatment in refugee populations, which is similar to effect sizes found in RCTs with non-refugee populations.
However, firm conclusions await more rigorous RCTs involving active comparisons and long-term follow-ups. In the interim, the available evidence suggests that TF-CBT, EMDR and NET interventions should be made available to refugees with PTSD. (Less)
Please use this url to cite or link to this publication:
author
and
organization
alternative title
Evidence-based psychological treatment of post-traumatic stress in adult refugees: A scoping literature review.
publishing date
type
Book/Report
publication status
published
subject
pages
57 pages
publisher
Röda Korsets kompetenscenter för tortyr- och krigsskaderehabilitering
ISBN
978-91-983684-7-5
978-91-983684-5-1
language
Swedish
LU publication?
yes
id
d83fc80e-8576-4e5d-b0df-ad297f6e5a29
alternative location
https://www.rkh.se/globalassets/kcrapport-20232-evidensbaserad-psykologisk-behandling-lisa-fredriksson.pdf
date added to LUP
2024-03-15 09:46:54
date last changed
2024-03-16 02:43:46
@techreport{d83fc80e-8576-4e5d-b0df-ad297f6e5a29,
  abstract     = {{People with a refugee background are at significantly increased risk of mental health difficulties, including Post-Traumatic Stress Disorder (PTSD). There is a large evidence base showing that trauma-focused psychological treatments for PTSD are effective. However, the majority of trials do not include refugees and less is known about how refugees respond to treatment. The present report explores the<br/>current state of the literature about psychological interventions for PTSD in adult refugees. A scoping review was conducted in two stages to identify: 1) recent meta-analyses of randomized controlled trials (RCTs) of psychological interventions for PTSD in adult refugees; and 2) RCTs published after the meta-analyses that<br/>address knowledge gaps identified in the meta-analyses. The status of the evidence base is summarized from these sources. A total of four meta-analyses were included, all yielding support for trauma-focused psychological interventions, primarily trauma-focused cognitive behavioural therapy (TF-CBT). Included meta-analyses<br/>indicated that the majority of RCTs involved inactive comparisons and short follow-ups. In the secondary search, 12 recent RCTs were identified. However, only one involved active treatment comparison and long-term follow-up, and the majority of trials are of varying methodological quality. Across included studies, the most frequently evaluated interventions are TF-CBT, Eye Movement Desensitization<br/>and Reprocessing Therapy (EMDR) and Narrative Exposure Therapy (NET). The available evidence suggests that these interventions yield moderate to large effect sizes for PTSD at post-treatment relative to no-treatment in refugee populations, which is similar to effect sizes found in RCTs with non-refugee populations.<br/>However, firm conclusions await more rigorous RCTs involving active comparisons and long-term follow-ups. In the interim, the available evidence suggests that TF-CBT, EMDR and NET interventions should be made available to refugees with PTSD.}},
  author       = {{Fredriksson, Lisa and Perrin, Sean}},
  institution  = {{Röda Korsets kompetenscenter för tortyr- och krigsskaderehabilitering}},
  isbn         = {{978-91-983684-7-5}},
  language     = {{swe}},
  month        = {{04}},
  title        = {{Evidensbaserad psykologisk behandling av posttraumatisk stress hos vuxna personer med erfarenhet av flykt: En kartläggande litteraturöversikt.}},
  url          = {{https://www.rkh.se/globalassets/kcrapport-20232-evidensbaserad-psykologisk-behandling-lisa-fredriksson.pdf}},
  year         = {{2023}},
}