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Group problem management plus (PM+) to decrease psychological distress among Syrian refugees in Turkey: a pilot

C Acarturk1, E Uygun2, Z Ilkkursun3

  • 1Department of Psychology, Koc University, Istanbul, Turkey. cacarturk@ku.edu.tr.

BMC Psychiatry
|January 5, 2022
PubMed
Summary
This summary is machine-generated.

This pilot study found that Group Problem Management Plus (gPM+) is an acceptable, feasible, and safe psychological intervention for Syrian refugees in Turkey experiencing psychological distress. Further research with a larger sample size is recommended.

Keywords:
Common mental health problemsFeasibilityGroup interventionPilotRandomised controlled trialRefugeesTask sharing

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Area of Science:

  • Global Mental Health
  • Refugee Health
  • Psychological Interventions

Background:

  • Syrian refugees resettled in Turkey exhibit high rates of mental health disorders.
  • Problem Management Plus (PM+) is a proven psychological intervention for adversity-exposed populations.
  • Group PM+ (gPM+) was piloted among Syrian refugees in Istanbul to assess its effectiveness.

Purpose of the Study:

  • To examine the methodological trial procedures of gPM+ for Syrian refugees.
  • To assess the feasibility, acceptability, and perceived impact of gPM+.
  • To explore the potential cost-effectiveness of gPM+.

Main Methods:

  • A single-blind pilot randomized controlled trial was conducted.
  • Participants with psychological distress (K10 > 15) and impaired functioning (WHODAS 2.0 > 16) were randomized to gPM+ plus enhanced usual care (E-CAU) or E-CAU alone.
  • Outcomes included depression, anxiety, PTSD symptoms, psychosocial functioning, and cost-effectiveness.

Main Results:

  • Recruitment and randomization were successful, with high retention (75%) in the gPM+ group.
  • Syrian refugees reported positive views on gPM+'s content, implementation, and format.
  • No adverse events were reported; however, no significant differences were found between groups due to the study's limited power.

Conclusions:

  • Group PM+ appears to be an acceptable, feasible, and safe intervention for Syrian refugees with psychological distress in Turkey.
  • This pilot study provides a foundation for a larger, fully powered randomized controlled trial.
  • Non-specialist peer providers can effectively deliver gPM+ to this population.