Evidensbaserad psykologisk behandling av posttraumatisk stress hos vuxna personer med erfarenhet av flyk : En kartläggande litteraturöversikt
Year: 2023
Type: report
Study design: Systematic Review
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 thecurrent 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 thataddress 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-analysesindicated 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 Desensitizationand 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.
Authors: Fredriksson, Lisa, Perrin, Sean
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W7065703145