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Internet-based, culturally sensitive, problem-solving therapy for Turkish migrants with depression: randomized

Burçin Ünlü Ince1, Pim Cuijpers, Edith van 't Hof

  • 1Department of Clinical Psychology, Faculty of Psychology and Education, VU University Amsterdam, Amsterdam, Netherlands. b.unlu@vu.nl.

Journal of Medical Internet Research
|October 15, 2013
PubMed
Summary

A culturally sensitive online intervention for Turkish migrants showed higher recovery rates for depressive symptoms. Despite high attrition, the intervention may be effective in larger, powered trials.

Keywords:
Internetdepressionethnic groupspsychotherapyrandomized controlled trial

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Area of Science:

  • Mental Health Research
  • Digital Health Interventions
  • Migrant Health

Background:

  • Turkish migrants in the Netherlands exhibit high rates of depressive disorders.
  • Access to professional mental health services is challenging for this population.
  • Internet-based treatments offer a potential solution to overcome barriers.

Purpose of the Study:

  • To assess the effectiveness of a culturally sensitive, guided, self-help, problem-solving intervention delivered online.
  • The intervention aimed to reduce depressive symptoms among Turkish migrants.

Main Methods:

  • A two-armed randomized controlled trial (RCT) was conducted with 96 Turkish adults.
  • Primary outcome: depressive symptom severity. Secondary outcomes: somatic symptoms, anxiety, quality of life, treatment satisfaction.
  • Online assessments at baseline, 6 weeks, and 4 months; intention-to-treat analysis with multiple imputation for missing values.

Main Results:

  • No significant difference in depression severity between groups at posttest in the intention-to-treat sample.
  • Significantly higher recovery rates observed in the intervention group (33%) versus control (9%) at posttest (P=.02).
  • Completers-only analysis revealed significant improvements in depression for the intervention group at both posttest and follow-up (P=.01).

Conclusions:

  • The study did not demonstrate a significant reduction in depressive symptoms overall.
  • A high effect size at posttest suggests potential effectiveness in larger, adequately powered trials.
  • Replication with robust methodology and sufficient sample size is recommended for future research.