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SummaryDer Einsatz von DolmetscherInnen in der Psychotherapieermöglicht effektive und kultursensible Interventionenbei PatientInnen mit Migrations- und Fluchterfahrung.Die Möglichkeit, das eigene Erleben in der Muttersprachezu artikulieren, befähigt die PatientInnen, sich imSinne eines Empowerment-Prinzips aktiv am therapeutischenProzess zu beteiligen. Die Gesprächssituation zudritt bringt jedoch auch Herausforderungen mit sich,weshalb eine klare Rollenverteilung notwendig ist.

Background. Against the background of missing culturally sensitive mental health care services for refugees, we developed a group intervention (Empowerment) for refugees at level 3 within the stratified Stepped and Collaborative Care Model of the project Mental Health in Refugees and Asylum Seekers (MEHIRA). We aim to evaluate the effectiveness of the Empowerment group intervention with its focus on psychoeducation, stress management, and emotion regulation strategies in a culturally sensitive context for refugees with affective disorders compared to treatment-as-usual (TAU). Method. At level 3 of the MEHIRA project, 149 refugees and asylum seekers with clinically relevant depressive symptoms were randomized to the Empowerment group intervention or TAU. Treatment comprised 16 therapy sessions conducted over 12 weeks. Effects were measured with the Patient Health Questionnaire-9 (PHQ-9) and the Montgomery-Åsberg Depression Rating Scale (MÅDRS). Further scales included assessed emotional distress, self-efficacy, resilience, and quality of life. Results. Intention-to-treat analyses show significant cross-level interactions on both self-rated depressive symptoms (PHQ-9; F (1,147) = 13.32, p < 0.001) and clinician-rated depressive symptoms (MÅDRS; F (1,147) = 6.91, p = 0.01), indicating an improvement in depressive symptoms from baseline to post-intervention in the treatment group compared to the control group. The effect sizes for both scales were moderate (d = 0.68, 95% CI 0.21-1.15 for PHQ-9 and d = 0.51, 95% CI 0.04-0.99 for MÅDRS). Conclusion. In the MEHIRA project comparing an SCCM approach versus TAU, the Empowerment group intervention at level 3 showed effectiveness for refugees with moderately severe depressive symptoms.

SummaryKultursensible Psychotherapie ist ein wichtiger Bestandteilin der Versorgung von PatientInnen mit Fluchterfahrungenund psychischen Erkrankungen. DolmetschergestützteGruppentherapie stellt im Speziellen ein effektivesund gut durchführbares Behandlungsangebot fürgeflüchtete PatientInnen dar. Der Artikel erläutert anhandvon zwei Fallbeispielen Inhalte, praktische Anwendungund Herausforderungen einer psychotherapeutischenIntervention (Empowerment) für Geflüchtete mitaffektiven Erkrankungen.