7ROSES, a transdiagnostic intervention for promoting self-efficacy in traumatized refugees: a first quantitative evaluation. Issue 1 (31st December 2019)

• Record Type: Journal Article
• Authors: van Heemstra, Henriette E.; Scholte, W. F.; Haagen, J. F. G.; Boelen, P. A.
• Is Part Of: European journal of psychotraumatology. Volume 10:Issue 1(2019)
• Publication Date: 2019-12-31
• Subjects: Refugees -- Post-migratory Stressors -- Self-Efficacy -- Transdiagnostic Intervention -- General Mental Health; Refugiados -- Estresores Post-Migratorios -- Autoeficacia -- Intervención Transdiagnóstica -- Salud Mental General; 难民 -- 移民后应激源 -- 自我效能感 -- 跨诊断干预 -- 一般心理健康; Post-traumatic stress disorder -- Periodicals; Stress Disorders, Post-Traumatic; Post-traumatic stress disorder; Electronic journals; Periodicals; Periodicals; Fulltext; Internet Resources; Periodicals; 616.8521
• DOI: 10.1080/20008198.2019.1673062
• Languages: English
• ISSNs: 2000-8198

Abstract

ABSTRACT: Objective : Due to traumatic experiences and highly prevalent post-migration stressors, refugees are vulnerable for developing psychopathology. To date, research has mainly evaluated trauma-focused therapies, targeting post traumatic stresss symptoms. Treatments targeting post-migration stressors are relatively understudied. The present cohort study evaluated the potential effectiveness of 7ROSES, a transdiagnostic intervention that aims to increase self-efficacy among treatment-seeking refugees in dealing with post-migration stressors. Because it can be applied by non-specialist health care workers, it can be disseminated on a large scale, thereby increasing options for psychosocial support for refugees. Method : Forty-nine refugees (65% male, average age: 36.02 years, SD = 8.52) with psychopathology were included. Before and after participation in 7ROSES, self-efficacy was measured using the General Self-Efficacy Scale (GSES), and general psychopathology using the Brief Symptom Inventory (BSI). Results : Completers analysis yielded a significant increase in GSES scores (Z = −2.16, p = .03) and significant decrease in BSI scores (Z = −2.05, p = .04) with medium-small effects (both r = −.28). Intent-to-treat analysis, using predictive mean matching imputation, yielded significant results for the GSES ( p = .012) but not for the BSI ( p = .14) with small effects (GSES r = .14, BSI r = .12). Reliable change indices established negative change in 3%, no change in 70%, and positive change in 27% based on the GSES; percentages were 11.5%, 65.5%, and 23%, respectively, based on the BSI. Conclusion : Findings provide preliminary evidence that 7ROSES could improve self-efficacy and general mental health in refugees with psychopathology. HIGHLIGHTS: 7ROSES is a new low-intensity transdiagnostic treatment. 7ROSES aims to empower refugees with psychopathology in coping with post-migration problems. Around a quarter of 7ROSES participants reported an increased self-efficacy and mental health improvement.