Evidence map›Paper›PMID 42160742›Full record

Trial reportJMIR mental health2026

Efficacy of a World Health Organization-Guided Self-Help Intervention for Reducing Psychological Distress in Afghan Refugees: Randomized Controlled Trial.

Angela Nickerson, Gulsah Kurt, Philippa Specker, Anna Camilleri, Dessy Susanty, Rizka Argadianti, David Keegan, Randy Nandyatama, Atika Yuanita, Angga Putra Reynady Hermawan and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in JMIR mental health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Angela NickersonSchool of Psychology, UNSW Sydney, Sydney, New South Wales, 2052, Australia, +61 2 9065 7755.ORCID http://orcid.org/0000-0001-9171-4209
Gulsah KurtSchool of Psychology, UNSW Sydney, Sydney, New South Wales, 2052, Australia, +61 2 9065 7755.ORCID http://orcid.org/0000-0001-7820-1230
Philippa SpeckerSchool of Psychology, UNSW Sydney, Sydney, New South Wales, 2052, Australia, +61 2 9065 7755.ORCID http://orcid.org/0000-0002-3969-2599
Anna CamilleriSchool of Psychology, UNSW Sydney, Sydney, New South Wales, 2052, Australia, +61 2 9065 7755.ORCID http://orcid.org/0009-0004-7550-3574
Dessy SusantySchool of Psychology, UNSW Sydney, Sydney, New South Wales, 2052, Australia, +61 2 9065 7755.ORCID http://orcid.org/0000-0002-7877-2516
Rizka ArgadiantiSchool of Psychology, UNSW Sydney, Sydney, New South Wales, 2052, Australia, +61 2 9065 7755.
David KeeganExcelsia College, Sydney, New South Wales, Australia.ORCID http://orcid.org/0009-0000-1903-2895
Randy NandyatamaUniversitas Gadjah Mada, Yogyakarta, Yogyakarta, Indonesia.ORCID http://orcid.org/0000-0002-9008-2737
Atika YuanitaSUAKA Indonesian Civil Society Association for Refugee Rights Protection, Jakarta, Indonesia.ORCID http://orcid.org/0009-0005-3020-6098
Angga Putra Reynady HermawanSUAKA Indonesian Civil Society Association for Refugee Rights Protection, Jakarta, Indonesia.
Richard A BryantSchool of Psychology, UNSW Sydney, Sydney, New South Wales, 2052, Australia, +61 2 9065 7755.ORCID http://orcid.org/0000-0002-9607-819X
Meaghan O'DonnellPhoenix Australia, Department of Psychiatry, The University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0003-4349-0022
Mahdi RafeiRefugee Learning Nest, Bogor, Indonesia.
Rahmatullah BayaniRefugee Learning Nest, Bogor, Indonesia.
Belinda J LiddellSchool of Psychology, UNSW Sydney, Sydney, New South Wales, 2052, Australia, +61 2 9065 7755.ORCID http://orcid.org/0000-0002-8036-5864

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Common mental health disorders are highly prevalent among refugees. There is an urgent need to address the mental health burden in this population. Objective: This study tested the efficacy of an individually supported self-help stress-management intervention developed by the World Health Organization-Doing What Matters in Times of Stress (DWM)-in reducing psychological distress and improving functioning among refugees in Indonesia, a major transit country in the Asia-Pacific region. Methods: A single-blind randomized controlled trial with 303 Farsi-speaking refugees was conducted between June 2024 and June 2025. Participants with moderate to high psychological distress (Kessler Psychological Distress Scale [K10] score≥20) were randomly allocated to the facilitator-guided individual DWM condition (n=202) or a repeated assessment control condition (n=101). The primary outcome was psychological distress (K10 score) at the posttreatment assessment. Secondary outcomes were posttraumatic stress disorder symptoms, functional impairment, social functioning, and personally identified problems. Results: Intent-to-treat analysis indicated that participants in the DWM condition showed greater reductions in K10 scores than those in the repeated assessment control condition (posttreatment: β=-.563, SE=0.124; P<.001; Cohen d=0.56; 1-month follow-up: β=-.447, SE=0.140; P=.002; Cohen d=0.45). Similarly, those participants in the DWM condition reported greater improvements in posttraumatic stress disorder symptoms, well-being, social functioning, functional impairment, and personally identified psychological problems. No serious adverse events were reported. Conclusions: The findings provide the first evidence for the effectiveness of DWM in reducing psychological distress and improving overall functioning among urban refugees living in a transit setting. Individually supported self-help interventions such as DWM mayoffer an effective, feasible, and scalable approach to improving mental health for refugees.

Indexed as

Psychological DistressRefugeesSelf CareStress, PsychologicalAdultAfghanistanFemaleHumansIndonesiaMaleMiddle AgedSingle-Blind MethodStress Disorders, Post-TraumaticWorld Health OrganizationYoung AdultDoing What Mattersfunctioningpsychological distressrefugeesWorld Health Organization

Identifiers

PMID42160742
PMCPMC13189532

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.