Evidence map›Paper›PMID 36368748›Full record

ArticleBMJ open2022

Culturally adapted cognitive behavioural group therapy for mental disorders in refugees plus problem solving training (ReTreat): study protocol for a multicentre randomised controlled trial.

Schahryar Kananian, Ahlke Kip, Hannah Schumm, Julia Giesebrecht, Anica Nicolai, Carmen Schade-Brittinger, Jens-Peter Reese, Cornelia Weise, Ricarda Mewes, Nexhmedin Morina and 2 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Schahryar KananianDepartment of Psychology, Clinical Psychology and Psychotherapy, Goethe University Frankfurt, Frankfurt am Main, Germany kananian@psych.uni-frankfurt.de.ORCID 0000-0002-9783-3978
Ahlke KipDepartment of Psychology, Clinical Psychology and Psychotherapy, University of Münster, Munster, Germany.
Hannah SchummDepartment of Clinical Psychology and Psychotherapy, Ludwig-Maximilians-Universitat Munchen, Munchen, Germany.
Julia GiesebrechtClinical Psychology, Philipps-Universität Marburg, Marburg, Germany.
Anica NicolaiDepartment of Psychology, Clinical Psychology and Psychotherapy, Goethe University Frankfurt, Frankfurt am Main, Germany.
Carmen Schade-BrittingerDepartment for the Coordination of Clinical Studies, University of Marburg, Marburg, Germany.
Jens-Peter ReeseHealthcare Research and Public Health, Institute for Clinical Epidemiology and Biometry, Würzburg, Germany.
Cornelia WeiseClinical Psychology, Philipps-Universität Marburg, Marburg, Germany.
Ricarda MewesOutpatient Unit for Research, Teaching and Practice, Faculty of Psychology, University of Vienna, Vienna, Austria.
Nexhmedin MorinaPsychology, University of Münster, Münster, Germany.ORCID 0000-0002-2331-9140
Thomas EhringDepartment of Psychology, Ludwig Maximilians University Munich, Munchen, Germany.
Ulrich StangierDepartment of Psychology, University of Frankfurt, Frankfurt, Germany.
Goethe University Frankfurt · DEPhilipps University of Marburg · DELudwig-Maximilians-Universität München · DEUniversity of Münster · DEUniversity of Vienna · ATZimmer Biomet (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSince a high proportion of refugees in Germany suffer from mental disorders, culturally adapted treatments are needed that target a broad range of symptoms. There is much evidence for the efficacy of culturally adapted cognitive behavioural therapy (CA-CBT). Given the promising results of CA-CBT, the combination with problem solving training (CA-CBT+) represents a novel approach that potentially improves the refugees' ability to cope actively with psychosocial problems. This randomised controlled trial evaluates the efficacy of 12-session outpatient CA-CBT+ compared with to treatment as usual (TAU) in a sample of refugees suffering from at least one DSM-5 disorder. METHODS AND ANALYSIS: The present study will be carried out as two-group randomised trial with 1:1 individual allocation to either (1) culturally adapted cognitive behavioural therapy in a group setting (CA-CBT+) or (2) TAU. The study takes place at four sites in Germany, randomising in total 138 adult refugees with at least one primary DSM-5 diagnosis to the treatment conditions. In CA-CBT+ the patients receive 12 sessions of 120 min duration over the course of 12 weeks providing psychoeducation, meditation and other techniques of emotional regulation, stretching and problem solving training. The primary outcome is treatment response operationalised by a clinically significant change in General Health Questionnaire (GHQ-28) score. Follow-up visits will take place 3 and 9 months after the end of the intervention. Secondary outcomes include changes in psychopathological symptoms, somatic symptoms and quality of life. Intention-to-treat analysis will be performed. Adverse and serious adverse events will be analysed. Further, healthcare usage and economic outcomes will be assessed and analysed. Primary and secondary outcomes will be analysed using appropriate statistical methods. ETHICS AND DISSEMINATION: The study has been approved by the Ethics Commission of the German Psychological Society (ref: StangierUlrich2019-1018VA). Results will be disseminated via presentations, publication in international journals, and national outlets for clinicians. Furthermore, intervention materials will be available, and the existing network will be used to disseminate and implement the interventions into routine healthcare. TRIAL REGISTRATION NUMBER: DRKS00021536.

Indexed as

Cognitive Behavioral TherapyMental DisordersPsychotherapy, GroupRefugeesAdultCognitionCost-Benefit AnalysisHumansMulticenter Studies as TopicProblem SolvingQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeAnxiety disordersDepression & mood disordersMENTAL HEALTHPUBLIC HEALTH

Identifiers

PMID36368748
PMCPMC9660581
OpenAlexW4308797448

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.