7ROSES, a transdiagnostic intervention for promoting self-efficacy in traumatized refugees: a first quantitative evaluation

Abstract

Objective: Due to traumatic experiences and highly prevalent post-migration stressors, refugees are vulnerable for developing psychopathology. To date, research has mainly evaluated trauma-focused therapies, targeting post traumatic stresss symptoms. Treatments targeting post-migration stressors are relatively understudied. The present cohort study evaluated the potential effectiveness of 7ROSES, a transdiagnostic intervention that aims to increase self-efficacy among treatment-seeking refugees in dealing with postmigration stressors. Because it can be applied by non-specialist health care workers, it can be disseminated on a large scale, thereby increasing options for psychosocial support for refugees. Method: Forty-nine refugees (65% male, average age: 36.02 years, SD = 8.52) with psychopathology were included. Before and after participation in 7ROSES, self-efficacy was measured using the General Self-Efficacy Scale (GSES), and general psychopathology using the Brief Symptom Inventory (BSI). Results: Completers analysis yielded a significant increase in GSES scores (Z = −2.16, p = .03) and significant decrease in BSI scores (Z = −2.05, p = .04) with medium-small effects (both r = −.28). Intent-to-treat analysis, using predictive mean matching imputation, yielded significant results for the GSES (p = .012) but not for the BSI (p = .14) with small effects (GSES r = .14, BSI r = .12). Reliable change indices established negative change in 3%, no change in 70%, and positive change in 27% based on the GSES; percentages were 11.5%, 65.5%, and 23%, respectively, based on the BSI. Conclusion: Findings provide preliminary evidence that 7ROSES could improve self-efficacy and general mental health in refugees with psychopathology. ARTICLE HISTORY

A brief transdiagnostic psychological intervention for Afghan asylum seekers and refugees in Austria: a randomized controlled trial

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“…However, refugees usually present with a multitude of post-migration stressors and a wide range of mental health complaints that go beyond or are comorbid to PTSD, such as anxiety, depression, or somatisation (Bogic et al, 2012 ; Henkelmann et al, 2020 ; Nesterko et al, 2020 ). These challenges may be better addressed by focusing on potential transdiagnostic mechanisms that maintain different forms of psychopathology among refugees (Van Heemstra et al, 2019 ). For instance, the Seven Recovery-Oriented Survivor Empowerment Strategies (7ROSES) intervention aims at increasing self-efficacy among refugees as a means of improving mental health (Van Heemstra et al, 2019 ).…”

“…These challenges may be better addressed by focusing on potential transdiagnostic mechanisms that maintain different forms of psychopathology among refugees (Van Heemstra et al, 2019 ). For instance, the Seven Recovery-Oriented Survivor Empowerment Strategies (7ROSES) intervention aims at increasing self-efficacy among refugees as a means of improving mental health (Van Heemstra et al, 2019 ). In this program, refugees learn practical tools to approach daily problems, and exercises to increase awareness of personal or cultural resources.…”