Nadeen Smaik , Leigh Ann Simmons , Bayan Abdulhaq , Latefa Ali Dardas
{"title":"叙事性暴露疗法治疗约旦叙利亚难民创伤后应激障碍的可行性及初步疗效","authors":"Nadeen Smaik , Leigh Ann Simmons , Bayan Abdulhaq , Latefa Ali Dardas","doi":"10.1016/j.ijnss.2023.09.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>Post-traumatic stress disorder (PTSD), anxiety, and depression are common mental health disorders among refugees, and all require immediate mental health support to prevent short- and long-term detrimental health outcomes. The purpose of this study was to evaluate the feasibility and preliminary efficacy of narrative exposure therapy (NET) in reducing symptoms of PTSD, depression, and anxiety among Syrian refugees residing in Jordan.</p></div><div><h3>Methods</h3><p>A two-arm randomized control trial was utilized. A total of 40 Syrian refugees aged 18 to 64 diagnosed with PTSD were randomly allocated to either the NET intervention group (<em>n</em> = 20) or the waitlist control group (<em>n</em> = 20) using a computer-generated allocation list with 1:1 allocation. PTSD symptoms were evaluated using the Arabic rendition of the Harvard Trauma Questionnaire, while depression and anxiety symptoms were appraised using the Arabic adaptation of the Hopkins Symptoms Checklist-25. Descriptive statistics were employed to characterize the sample and survey data. Independent <em>t</em>-tests were conducted to assess mean score differences in PTSD, anxiety, and depression between the intervention and control groups.</p></div><div><h3>Results</h3><p>Post NET intervention, significant reductions in PTSD (<em>t</em> = −10.00, <em>P</em> < 0.001), anxiety (<em>t</em> = −9.46, <em>P</em> < 0.001), and depression (<em>t</em> = −6.00, <em>P</em> < 0.001) scores were observed in the intervention group compared to the control group. Effect sizes were moderate for the trauma (Cohen’s d = 0.73) and depression (Cohen’s d = 0.79) symptoms and notably large for anxiety symptoms (Cohen’s d = 0.97). There were no adverse events related to study participation. The intervention achieved a 100% participant retention rate.</p></div><div><h3>Conclusions</h3><p>The results pertaining to retention rate, adherence to the study protocol, data completeness, cultural congruence, and participants’ satisfaction provided strong support for the future implementation of the full-scale RCT. NET may be a feasible and helpful approach for refugees and other patients with PTSD, anxiety, and depression.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The feasibility and preliminary efficacy of narrative exposure therapy on post-traumatic stress disorder among Syrian refugees in Jordan\",\"authors\":\"Nadeen Smaik , Leigh Ann Simmons , Bayan Abdulhaq , Latefa Ali Dardas\",\"doi\":\"10.1016/j.ijnss.2023.09.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>Post-traumatic stress disorder (PTSD), anxiety, and depression are common mental health disorders among refugees, and all require immediate mental health support to prevent short- and long-term detrimental health outcomes. The purpose of this study was to evaluate the feasibility and preliminary efficacy of narrative exposure therapy (NET) in reducing symptoms of PTSD, depression, and anxiety among Syrian refugees residing in Jordan.</p></div><div><h3>Methods</h3><p>A two-arm randomized control trial was utilized. A total of 40 Syrian refugees aged 18 to 64 diagnosed with PTSD were randomly allocated to either the NET intervention group (<em>n</em> = 20) or the waitlist control group (<em>n</em> = 20) using a computer-generated allocation list with 1:1 allocation. PTSD symptoms were evaluated using the Arabic rendition of the Harvard Trauma Questionnaire, while depression and anxiety symptoms were appraised using the Arabic adaptation of the Hopkins Symptoms Checklist-25. Descriptive statistics were employed to characterize the sample and survey data. Independent <em>t</em>-tests were conducted to assess mean score differences in PTSD, anxiety, and depression between the intervention and control groups.</p></div><div><h3>Results</h3><p>Post NET intervention, significant reductions in PTSD (<em>t</em> = −10.00, <em>P</em> < 0.001), anxiety (<em>t</em> = −9.46, <em>P</em> < 0.001), and depression (<em>t</em> = −6.00, <em>P</em> < 0.001) scores were observed in the intervention group compared to the control group. Effect sizes were moderate for the trauma (Cohen’s d = 0.73) and depression (Cohen’s d = 0.79) symptoms and notably large for anxiety symptoms (Cohen’s d = 0.97). There were no adverse events related to study participation. The intervention achieved a 100% participant retention rate.</p></div><div><h3>Conclusions</h3><p>The results pertaining to retention rate, adherence to the study protocol, data completeness, cultural congruence, and participants’ satisfaction provided strong support for the future implementation of the full-scale RCT. NET may be a feasible and helpful approach for refugees and other patients with PTSD, anxiety, and depression.</p></div>\",\"PeriodicalId\":37848,\"journal\":{\"name\":\"International Journal of Nursing Sciences\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2023-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Sciences\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S235201322300100X\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Sciences","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S235201322300100X","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
The feasibility and preliminary efficacy of narrative exposure therapy on post-traumatic stress disorder among Syrian refugees in Jordan
Objectives
Post-traumatic stress disorder (PTSD), anxiety, and depression are common mental health disorders among refugees, and all require immediate mental health support to prevent short- and long-term detrimental health outcomes. The purpose of this study was to evaluate the feasibility and preliminary efficacy of narrative exposure therapy (NET) in reducing symptoms of PTSD, depression, and anxiety among Syrian refugees residing in Jordan.
Methods
A two-arm randomized control trial was utilized. A total of 40 Syrian refugees aged 18 to 64 diagnosed with PTSD were randomly allocated to either the NET intervention group (n = 20) or the waitlist control group (n = 20) using a computer-generated allocation list with 1:1 allocation. PTSD symptoms were evaluated using the Arabic rendition of the Harvard Trauma Questionnaire, while depression and anxiety symptoms were appraised using the Arabic adaptation of the Hopkins Symptoms Checklist-25. Descriptive statistics were employed to characterize the sample and survey data. Independent t-tests were conducted to assess mean score differences in PTSD, anxiety, and depression between the intervention and control groups.
Results
Post NET intervention, significant reductions in PTSD (t = −10.00, P < 0.001), anxiety (t = −9.46, P < 0.001), and depression (t = −6.00, P < 0.001) scores were observed in the intervention group compared to the control group. Effect sizes were moderate for the trauma (Cohen’s d = 0.73) and depression (Cohen’s d = 0.79) symptoms and notably large for anxiety symptoms (Cohen’s d = 0.97). There were no adverse events related to study participation. The intervention achieved a 100% participant retention rate.
Conclusions
The results pertaining to retention rate, adherence to the study protocol, data completeness, cultural congruence, and participants’ satisfaction provided strong support for the future implementation of the full-scale RCT. NET may be a feasible and helpful approach for refugees and other patients with PTSD, anxiety, and depression.
期刊介绍：
This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.
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