European Journal of Psychotraumatology
Volume 10, Issue 1, 2019

7ROSES, a transdiagnostic intervention for promoting self-efficacy in traumatized refugees: a first quantitative evaluation [一个帮助遭受创伤的难民提高自我效能感的跨诊断干预(7ROSES)的首次定量评估] [7ROSES, una intervención transdiagnóstica para promover la autoeficacia en los refugiados traumatizados: una primera evaluación cuantitativa] (Article) (Open Access)

van Heemstra H.E.* , Scholte W.F. , Haagen J.F.G. , Boelen P.A.
  • a ARQ Centrum'45, Diemen, Diemen, Netherlands, ARQ National Psychotrauma Centre, Utrecht University, Diemen, Netherlands, department of Clinical Psychology, Utrecht University, Utrecht, Netherlands
  • b ARQ Centrum'45, Diemen, Diemen, Netherlands, ARQ National Psychotrauma Centre, Utrecht University, Diemen, Netherlands, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands
  • c ARQ National Psychotrauma Centre, Utrecht University, Diemen, Netherlands, Impact, Dutch Knowledge and Advice Center for Psychosocial Care and Safety Concerning Critical Incidents, Diemen, Netherlands
  • d ARQ National Psychotrauma Centre, Utrecht University, Diemen, Netherlands, department of Clinical Psychology, Utrecht University, Utrecht, Netherlands

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. © 2019, © 2019 Arq Psychotrauma Expert Group. Published by Informa UK Limited, trading as Taylor & Francis Group.

Author Keywords

Post-migratory Stressors General Mental Health Transdiagnostic Intervention Refugees self-efficacy

Index Keywords

[No Keywords available]

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85073589244&doi=10.1080%2f20008198.2019.1673062&partnerID=40&md5=a1c3acf467a536b99eb09d7e2aec99b3

DOI: 10.1080/20008198.2019.1673062
ISSN: 20008198
Original Language: English