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dc.contributor.authorTurrini, Gen_US
dc.contributor.authorPurgato, Men_US
dc.contributor.authorAcarturk, Cen_US
dc.contributor.authorAnttila, Men_US
dc.contributor.authorAu, Ten_US
dc.contributor.authorBallette, Fen_US
dc.contributor.authorBird, Men_US
dc.contributor.authorCarswell, Ken_US
dc.contributor.authorChurchill, Ren_US
dc.contributor.authorCuijpers, Pen_US
dc.contributor.authorHall, Jen_US
dc.contributor.authorHansen, LJen_US
dc.contributor.authorKösters, Men_US
dc.contributor.authorLantta, Ten_US
dc.contributor.authorNosè, Men_US
dc.contributor.authorOstuzzi, Gen_US
dc.contributor.authorSijbrandij, Men_US
dc.contributor.authorTedeschi, Fen_US
dc.contributor.authorValimaki, Men_US
dc.contributor.authorWancata, Jen_US
dc.contributor.authorWhite, Ren_US
dc.contributor.authorVan, Ommeren, Men_US
dc.contributor.authorBarbui, Cen_US
dc.identifier.citationEpidemiology and psychiatric sciences, 2019, v. 28, no. 4, p. 376-388en_US
dc.description.abstractAims: In the past few years, there has been an unprecedented increase in the number of forcibly displaced migrants worldwide, of which a substantial proportion is refugees and asylum seekers. Refugees and asylum seekers may experience high levels of psychological distress, and show high rates of mental health conditions. It is therefore timely and particularly relevant to assess whether current evidence supports the provision of psychosocial interventions for this population. We conducted a systematic review and meta-analysis of randomised controlled trials (RCTs) assessing the efficacy and acceptability of psychosocial interventions compared with control conditions (treatment as usual/no treatment, waiting list, psychological placebo) aimed at reducing mental health problems in distressed refugees and asylum seekers.en_US
dc.description.abstractMethods: We used Cochrane procedures for conducting a systematic review and meta-analysis of RCTs. We searched for published and unpublished RCTs assessing the efficacy and acceptability of psychosocial interventions in adults and children asylum seekers and refugees with psychological distress. Post-traumatic stress disorder (PTSD), depressive and anxiety symptoms at post-intervention were the primary outcomes. Secondary outcomes include: PTSD, depressive and anxiety symptoms at follow-up, functioning, quality of life and dropouts due to any reason.en_US
dc.description.abstractResults: We included 26 studies with 1959 participants. Meta-analysis of RCTs revealed that psychosocial interventions have a clinically significant beneficial effect on PTSD (standardised mean difference [SMD] = ?irc;'0.71; 95% confidence interval [CI] ?irc;'1.01 to ?irc;'0.41; I 2 = 83%; 95% CI 78-88; 20 studies, 1370 participants; moderate quality evidence), depression (SMD = ?irc;'1.02; 95% CI ?irc;'1.52 to ?irc;'0.51; I 2 = 89%; 95% CI 82-93; 12 studies, 844 participants; moderate quality evidence) and anxiety outcomes (SMD = ?irc;'1.05; 95% CI ?irc;'1.55 to ?irc;'0.56; I 2 = 87%; 95% CI 79-92; 11 studies, 815 participants; moderate quality evidence). This beneficial effect was maintained at 1 month or longer follow-up, which is extremely important for populations exposed to ongoing post-migration stressors. For the other secondary outcomes, we identified a non-significant trend in favour of psychosocial interventions. Most evidence supported interventions based on cognitive behavioural therapies with a trauma-focused component. Limitations of this review include the limited number of studies collected, with a relatively low total number of participants, and the limited available data for positive outcomes like functioning and quality of life.en_US
dc.description.abstractConclusions: Considering the epidemiological relevance of psychological distress and mental health conditions in refugees and asylum seekers, and in view of the existing data on the effectiveness of psychosocial interventions, these interventions should be routinely made available as part of the health care of distressed refugees and asylum seekers. Evidence-based guidelines and implementation packages should be developed accordingly.en_US
dc.description.sponsorshipSchool of Nursingen_US
dc.publisherCambridge University Pressen_US
dc.relation.ispartofEpidemiology and psychiatric sciencesen_US
dc.rights© Cambridge University Press 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (, which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.en_US
dc.rightsThe following publication Turrini G et al (2019). Efficacy and acceptability of psychosocial interventions in asylum seekers and refugees: systematic review and meta-analysis. Epidemiology and Psychiatric Sciences 28, 376–388, is available at
dc.subjectAsylum seekersen_US
dc.subjectMental healthen_US
dc.subjectPsychosocial interventionsen_US
dc.titleEfficacy and acceptability of psychosocial interventions in asylum seekers and refugees : systematic review and meta-analysisen_US
dc.typeJournal/Magazine Articleen_US
dc.description.validate201910 bcma-
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