Psychosocial treatment of posttraumatic stress disorder in adult refugees: A systematic review of prospective treatment outcome studies and a critique

Palić, Sabina; Elklit, Ask

doi:10.1016/j.jad.2010.07.005

Cited by 123 publications

(95 citation statements)

References 43 publications

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“…Many are exposed to extreme stress and multiple traumatic events such as forced migration, torture, rape, injury, starvation and/or the witnessing of the death of friends and family members (Lambert & Alhassoon, 2015;Palic & Elklit, 2011). Further, refugees are also likely to experience an array of new stressors during travel and upon their arrival in new countries, including separation from family and friends, exposure to disease, refugee camps, problems assimilating in new cultures, difficulty obtaining asylum status, housing problems and social isolation (Lambert & Alhassoon, 2015;Shannon, Wieling, McCleary, & Becher, 2015).…”

Section: Review Of the Literaturementioning

confidence: 99%

“…According to a systematic review done by Palic and Elklit (2011), refugee-adapted NET and culturallysensitive CBT for Southeast Asians have the strongest evidence of effectiveness.…”

Section: Treatment and Challengesmentioning

confidence: 99%

“…Exposure may not be well tolerated by refugee populations and can be difficult to use because they are often aimed at only one traumatic experience when refugees often have complex, intersecting trauma histories (Hinton et al, 2012;Lester, Resick, Young-Xu, & Artz, 2010;Palic & Elklit, 2011). Further, Nickerson and colleagues (2011) argue using CBT to treat PTSD in the refugee population can also be challenging because it is based heavily on extinction learning, which assumes the treatment is occurring after the threat is over.…”

Section: Treatment and Challengesmentioning

confidence: 99%

See 2 more Smart Citations

“I Feel Like I Am Finding Peace”: Exploring the Use of a Combined Art Therapy and Adapted Seeking Safety Program with Refugee Support Groups

Ely

Koury²,

Bennett³

et al. 2017

ASW

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show abstract

Section: Review Of the Literaturementioning

confidence: 99%

“…According to a systematic review done by Palic and Elklit (2011), refugee-adapted NET and culturallysensitive CBT for Southeast Asians have the strongest evidence of effectiveness.…”

Section: Treatment and Challengesmentioning

confidence: 99%

Section: Treatment and Challengesmentioning

confidence: 99%

See 1 more Smart Citation

“I Feel Like I Am Finding Peace”: Exploring the Use of a Combined Art Therapy and Adapted Seeking Safety Program with Refugee Support Groups

Ely

Koury²,

Bennett³

et al. 2017

ASW

View full text Add to dashboard Cite

show abstract

“…Three reviews have examined the efficacy of rehabilitation programs and treatment outcomes (McFarlane & Kaplan, 2012;Palic & Elklit, 2011;Slobodin & de Jong, 2015). The reviews found modest reductions in psychopathological symptoms among refugees.…”

Section: S C I E N T I F I C a R T I C L Ementioning

confidence: 99%

Can disability predict treatment outcome among traumatized refugees?

Jørgensen¹,

Auning-Hansen²,

Elklit

2017

Torture

Self Cite

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The aim of the present study was to examine the influence of disability on changes in symptoms of PTSD, anxiety, and depression among treatment-seeking traumatized refugees. Eighty-one refugees participated in different rehabilitation programs. PTSD symptomatology was assessed by the HTQ-IV and symptoms of depression and anxiety were assessed by the HSCL-25. Disability was assessed by the WHODAS 2.0 before treatment. Following treatment, no statistically significant changes in PTSD, depression, and anxiety symptom scores were observed. Disability in the domain 'getting along' was a significant predictor of PTSD scores following treatment, when controlling for baseline scores. Neither total disability nor individual disability domains predicted any other symptom changes. Living with one's partner did, however, seem to be a consistent and significant predictor of treatment outcome. The results are discussed in terms of clinical implications and future research needs.

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“…17,19,[22][23][24][25][26][27] Three reviews suggested that interpersonal psychotherapy and narrative exposure therapy were potentially efficacious. 21,24,28 Differing opinions arise across research reviews concerning treatment options that lack a sufficient evidence base, as with some research on pharmacotherapy research and also with research on complementary and alternative methods. Few publications examined these latter methods; two reviews of acupuncture treatment for PTSD concluded that the evidence base is not strong enough to offer rigorous recommendations.…”

Section: The Clinical Evidence Basementioning

confidence: 99%

Consumer Information and Treatment Resources for Posttraumatic Stress Disorder

Bentkover

Clayton

Lerner³

et al. 2015

Harvard Review of Psychiatry

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In the context of multiple treatment options for posttraumatic stress disorder (PTSD) and a large, growing need for consumer information regarding accessible and effective treatments, this article identifies and reviews available information and treatment resources. Multiple search strategies identified a suite of information sources, including meta-analyses and systematic reviews of PTSD treatments, the program evaluation and implementation literature, the economics literature, Internet sites, and other resources for veteran and civilian consumers. Resources were evaluated with regard to their target audiences, depth and breadth of treatment options covered, nature of the information provided, and accessibility to consumers. A large body of research covers the various treatments and sets of treatment guidelines for PTSD. Despite the extensive scientific information targeted at providers and researchers, the quality, accessibility, and usability of the published research varies widely. The Veterans Health Administration provides the most extensive information on various treatment options and where to obtain treatment within that system. Publicly available websites provide information on multiple treatment options, but information to help nonveterans navigate treatment choices is limited. Published reports of PTSD program-evaluation and implementation studies are sparse. Information on PTSD treatment options available to consumers can be overwhelming and confusing, which places an unnecessary burden on an already vulnerable group of patients and their families. Exacerbating the situation is the shortage of program-evaluation and implementation research. The dearth of centralized and accessible information related to nonveteran PTSD patient groups needs to be addressed.

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Psychosocial treatment of posttraumatic stress disorder in adult refugees: A systematic review of prospective treatment outcome studies and a critique

Cited by 123 publications

References 43 publications

“I Feel Like I Am Finding Peace”: Exploring the Use of a Combined Art Therapy and Adapted Seeking Safety Program with Refugee Support Groups

“I Feel Like I Am Finding Peace”: Exploring the Use of a Combined Art Therapy and Adapted Seeking Safety Program with Refugee Support Groups

Can disability predict treatment outcome among traumatized refugees?

Consumer Information and Treatment Resources for Posttraumatic Stress Disorder

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