Common mental disorders
Conditions
Interventions
The study has two arms:
1. Control group: participants receive care-as-usual (CAU) and Psychological First Aid (PFA).
2. Treatment group: participants receive care-as-usual (CAU), Psychological First
it does not completely cover mental health service costs. Labour migrants who signed up for the basic health insurance package (which is obligated for everyone who plans to stay for more than 4 months
Sponsors
Vrije Universiteit Amsterdam
Eligibility
Inclusion criteria
Inclusion criteria: - 18 years or older - Living in the Netherlands as labour migrant - Having elevated levels of psychological distress (Kessler Psychological Distress Scale (K10) >15.9). - Sufficient mastery (written and spoken) of one of the languages the DWM/PM+ intervention is being delivered in (e.g. Polish, English).
Exclusion criteria
Exclusion criteria: - Planning to permanently move back to their home country before the last quantitative assessment at 2 months after PM+ - Having acute medical conditions (requiring hospitalisation) - Imminent suicide risk, or expressed acute needs or protection risks that require immediate follow-up - Having a severe mental disorder (e.g. psychotic disorders, substance-dependence) - Having severe cognitive impairment (e.g. severe intellectual disability or dementia) - Currently receiving specialised psychological treatment (e.g. EMDR, CBT) - In case of current psychotropic medication use: being on an unstable dose for at least 2 months or a change in dosage over the past 2 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome will be the decrease in symptoms of anxiety and depression from baseline to two-month follow-up, measured through the sum score of the Patient Health Questionnaire (PHQ-9) and General Anxiety Disorder-7 (GAD-7), i.e. the PHQ-Anxiety and Depression Score (PHQ-ADS). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes will be reported separately, according to different prespecified research questions and planned analyses. Clinical secondary outcomes are depressive symptoms (PHQ-9), anxiety symptoms (GAD-7), and posttraumatic stress symptoms (PCL-5). Resilience-related outcomes/measures include stressor exposure assessed with the Mainz Inventory of Microstressors (MIMIS) and positive appraisal style assessed with the Positive Appraisal Style Scale, content-focused (PASS-content). Cost-effectiveness outcomes include quality of life (EQ-5D-5L) and care/resource use (CSRI). | — |
Contacts
Public ContactRinske Roos
Vrije Universiteit Amsterdam
Outcome results
None listed