■创伤后应激障碍(PTSD),焦虑,抑郁症是难民中常见的心理健康障碍,所有这些都需要立即的心理健康支持,以防止短期和长期有害的健康结果。这项研究的目的是评估叙事暴露疗法(NET)在减轻PTSD症状方面的可行性和初步疗效。抑郁症,以及居住在约旦的叙利亚难民的焦虑。
■采用双臂随机对照试验。使用计算机生成的分配列表,将总共40名被诊断患有PTSD的18至64岁的叙利亚难民随机分配到NET干预组(n=20)或等待列表对照组(n=20)。1分配。创伤后应激障碍症状使用哈佛创伤问卷的阿拉伯文表达进行评估,而抑郁和焦虑症状使用阿拉伯语适应霍普金斯症状清单25进行评估。采用描述性统计来表征样本和调查数据。进行独立t检验以评估PTSD的平均得分差异,焦虑,干预组和对照组之间的抑郁。
■网络干预后,PTSD显著降低(t=-10.00,P<0.001),焦虑(t=-9.46,P<0.001),与对照组相比,干预组观察到抑郁(t=-6.00,P<0.001)评分。创伤(科恩d=0.73)和抑郁(科恩d=0.79)症状的效应大小适中,焦虑症状的效应大小明显较大(科恩d=0.97)。没有与研究参与相关的不良事件。干预措施实现了100%的参与者保留率。
■与保留率有关的结果,坚持研究方案,数据完整性,文化一致性,参与者的满意度为未来全面RCT的实施提供了强有力的支持。NET可能是难民和其他PTSD患者的可行和有益的方法,焦虑,和抑郁症。
UNASSIGNED: Post-traumatic stress disorder (PTSD), anxiety, and depression are common mental health disorders among refugees, and all require immediate mental health support to prevent short- and long-term detrimental health outcomes. The purpose of this study was to evaluate the feasibility and preliminary efficacy of narrative exposure therapy (NET) in reducing symptoms of PTSD, depression, and anxiety among Syrian refugees residing in Jordan.
UNASSIGNED: A two-arm randomized control trial was utilized. A total of 40 Syrian refugees aged 18 to 64 diagnosed with PTSD were randomly allocated to either the NET intervention group (n = 20) or the waitlist control group (n = 20) using a computer-generated allocation list with 1:1 allocation. PTSD symptoms were evaluated using the Arabic rendition of the Harvard Trauma Questionnaire, while depression and anxiety symptoms were appraised using the Arabic adaptation of the Hopkins Symptoms Checklist-25. Descriptive statistics were employed to characterize the sample and survey data. Independent t-tests were conducted to assess mean score differences in PTSD, anxiety, and depression between the intervention and control groups.
UNASSIGNED: Post NET intervention, significant reductions in PTSD (t = -10.00, P < 0.001), anxiety (t = -9.46, P < 0.001), and depression (t = -6.00, P < 0.001) scores were observed in the intervention group compared to the control group. Effect sizes were moderate for the trauma (Cohen\'s d = 0.73) and depression (Cohen\'s d = 0.79) symptoms and notably large for anxiety symptoms (Cohen\'s d = 0.97). There were no adverse events related to study participation. The intervention achieved a 100% participant retention rate.
UNASSIGNED: The results pertaining to retention rate, adherence to the study protocol, data completeness, cultural congruence, and participants\' satisfaction provided strong support for the future implementation of the full-scale RCT. NET may be a feasible and helpful approach for refugees and other patients with PTSD, anxiety, and depression.