Psychological symptoms of anxiety, (posttraumatic) stress and depression, anger, hair biomarkers anxiety depression distress Psychological symptoms
Conditions
Interventions
Participants in the treatment group will receive five sessions of Problem
Management Plus (PM+), and treatment as usual (TAU). PM+ is an evidence-based,
low-intensity, psychological intervention and
Sponsors
Vrije Universiteit
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: (Phase 2 and 4B, Exploratory randomized controlled trial (RCT) and Definite RCT) - 18 years or above - refugee - Arabic-speaking - Elevated levels of psychological distress (K10 >15.9) and reduced psychosocial functioning (WHODAS 2.0 >16)
Exclusion criteria
Exclusion criteria: (for participants in phase 2 and 4B) - Acute medical conditions - Imminent suicide risk or with expressed acute needs/protection risks (e.g., a young woman who expresses that she is at acute risk of being assaulted or killed) - Severe mental disorder (psychotic disorders, substance-dependence) - Severe cognitive impairment (e.g., severe intellectual disability or dementia) - Currently enrolled in a specialized psychological treatment program (e.g., EMDR, CBT)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameter will be the decrease in psychological distress from baseline to three-month follow-up, measured through the Hopkins Symptoms Checklist (HSCL-25), a self-report measure for symptoms of psychological distress. We expect a difference of Cohen*s d effect size of .4 between the PM+ group and controls. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary parameters include functional impairment (WHODAS 2.0), posttraumatic stress reactions (PCL-5), self-identified problems (PSYCHLOPS), cost of care (CSRI schedule), anger (STAS-T), and hair biomarkers | — |
Countries
Netherlands
Outcome results
None listed