Trial reportEpidemiology and psychiatric sciences2024
The effectiveness of Problem Management Plus at 1-year follow-up for Syrian refugees in a high-income setting.
Trial report in Epidemiology and psychiatric sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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The trial behind it
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Who cites it
6 citing papers in PubMed.
- Internet-Based Problem Management Plus Intervention for Antenatal Depression: Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- Advancing mental health equity: a community-based adaptation of problem management plus (PM+) on a mobile health clinic.Frontiers in public health · 2026Article
- Implementing scalable face-to-face and digital interventions among forcibly displaced persons from Ukraine in Europe: protocol of The U-RISE Project.European journal of psychotraumatology · 2025Article
- Changes to Refugee Mental Health During and After a Cross-Sector PTSD Intervention: A Qualitative Longitudinal Study About the Influence of Social Support, Life Events, and Agency.Culture, medicine and psychiatry · 2025Article
- Strengthening resilience in the aftermath of adversity: evaluation of the group-based intervention Mind-Spring, a naturalistic mixed-methods study among refugee groups in the Netherlands.Frontiers in psychology · 2025Article
- War exposure, daily stressors, and mental health 15 years on: implications of an ecological framework for addressing the mental health of conflict-affected populations.Epidemiology and psychiatric sciences · 2024Article
Corrections and comments
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Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsProblem Management Plus (PM+) has been effective in reducing mental health problems among refugees at three-month follow-up, but there is a lack of research on its long-term effectiveness. This study examined the effectiveness of PM+ in reducing symptoms of common mental disorders at 12-month follow-up among Syrian refugees in the Netherlands.
methodsThis single-blind, parallel, controlled trial randomised 206 adult Syrians who screened positive for psychological distress and impaired functioning to either PM+ in addition to care as usual (PM+/CAU) or CAU alone. Assessments were at baseline, 1 week and 3 months after the intervention and 12 months after baseline. Outcomes were psychological distress (Hopkins Symptom Checklist [HSCL-25]), depression (HSCL-25 subscale), anxiety (HSCL-25 subscale), posttraumatic stress disorder symptoms (PCL-5), functional impairment (WHODAS 2.0) and self-identified problems (PSYCHLOPS).
resultsIn March 2019-December 2022, 103 participants were assigned to PM+/CAU and 103 to CAU of which 169 (82.0%) were retained at 12 months. Intention-to-treat analyses showed greater reductions in psychological distress at 12 months for PM+/CAU compared to CAU (adjusted mean difference -0.17, 95% CI -0.310 to -0.027;
conclusionsPM+ is effective in reducing psychological distress and symptoms of anxiety over a period up to 1 year. Additional support such as booster sessions or additional (trauma-focused) modules may be required to prolong and consolidate benefits gained through PM+ on other mental health and psychosocial outcomes.
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