Dropout from psychological interventions for refugees and asylum seekers: A meta-analysis.

2021 ◽  
Vol 89 (9) ◽  
pp. 717-730
Author(s):  
Verena Semmlinger ◽  
Keisuke Takano ◽  
Hannah Schumm ◽  
Thomas Ehring
Keyword(s):  
Asylum Seekers ◽  
Meta Analysis ◽  
Psychological Interventions ◽  
Refugees And Asylum Seekers

scholarly journals Efficacy of Psychological Interventions on Depression Anxiety and Somatization in Migrants: A Meta-analysis

2020 ◽  
Vol 22 (6) ◽  
pp. 1320-1346
Author(s):  
Daniela Sambucini ◽  
Paola Aceto ◽  
Edvaldo Begotaraj ◽  
Carlo Lai
Keyword(s):  
Asylum Seekers ◽  
Behavioral Treatment ◽  
Meta Analysis ◽  
Post Treatment ◽  
Psychological Interventions ◽  
Cognitive Behavioral Treatment ◽  
Health Distress ◽  
The Status ◽  
Mental Health Distress ◽  
Refugees And Asylum Seekers

AbstractMany studies reveal the effectiveness of different psychological interventions on the adult refugees reporting mental health distress. Aim of this metanalysis was to test the efficacy of different psychological treatments on the depressive, anxiety and somatization symptoms on refugees and asylum seekers. Fifty-two studies, since 1997 to 2019, were included in the systematic review and 27 of those were included in the metanalysis. Studies providing a pre and post treatment methodological design were included. All treatments reported significant effects on the three outcomes. Qualitative observations showed a probability to have a significant pre-post treatment effects on trials with outcome of depression (56%), anxiety (44%), and somatization (42%). Cognitive behavioral treatment resulted the most effective treatment. The status of refugee compared to the status of asylum seeker seems to have a great effect on the effectiveness of the treatment.

scholarly journals A network meta-analysis of psychosocial interventions for refugees and asylum seekers with PTSD

2021 ◽  
Vol 6 (6) ◽  
pp. e005029
Author(s):  
Giulia Turrini ◽  
Federico Tedeschi ◽  
Pim Cuijpers ◽  
Cinzia Del Giovane ◽  
Ahlke Kip ◽  
...  
Keyword(s):  
Low Income ◽  
Asylum Seekers ◽  
Common Mental Disorders ◽  
Meta Analysis ◽  
Psychosocial Interventions ◽  
Risk Of Bias ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Treatment As Usual ◽  
Refugees And Asylum Seekers

IntroductionRefugees and asylum seekers are vulnerable to common mental disorders, including post-traumatic stress disorder (PTSD). Using a network meta-analysis (NMA) approach, the present systematic review compared and ranked psychosocial interventions for the treatment of PTSD in adult refugees and asylum seekers.MethodsRandomised studies of psychosocial interventions for adult refugees and asylum seekers with PTSD were systematically identified. PTSD symptoms at postintervention was the primary outcome. Standardised mean differences (SMDs) and ORs were pooled using pairwise and NMA. Study quality was assessed with the Cochrane Risk of Bias (RoB) tool, and certainty of evidence was assessed through the Confidence in Network Meta-Analysis application.ResultsA total of 23 studies with 2308 participants were included. Sixteen studies were conducted in high-income countries, and seven in low-income or middle-income countries. Most studies were at low risk of bias according to the Cochrane RoB tool. NMA on PTSD symptoms showed that cognitive behavioural therapy (CBT) (SMD=−1.41; 95% CI −2.43 to −0.38) and eye movement desensitisation and reprocessing (EMDR) (SMD=−1.30; 95% CI −2.40 to −0.20) were significantly more effective than waitlist (WL). CBT was also associated with a higher decrease in PTSD symptoms than treatment as usual (TAU) (SMD −1.51; 95% CI −2.67 to −0.36). For all other interventions, the difference with WL and TAU was not significant. CBT and EMDR ranked best according to the mean surface under the cumulative ranking. Regarding acceptability, no intervention had less dropouts than inactive interventions.ConclusionCBT and EMDR appeared to have the greatest effects in reducing PTSD symptoms in asylum seekers and refugees. This evidence should be considered in guidelines and implementation packages to facilitate dissemination and uptake in refugee settings.

scholarly journals Active and latent tuberculosis among refugees and asylum seekers: a systematic review and meta-analysis

2019 ◽  
Author(s):  
Raquel Proenca ◽  
Fernanda Mattos Souza ◽  
Mayara Lisboa Bastos ◽  
Rosangela Caetano ◽  
Jose Ueleres Braga ◽  
...  
Keyword(s):  
Systematic Review ◽  
Asylum Seekers ◽  
Latent Tuberculosis Infection ◽  
Meta Analysis ◽  
Country Of Origin ◽  
Forced Migration ◽  
Latent Tuberculosis ◽  
Tuberculosis Infection ◽  
Refugees And Asylum Seekers ◽  
Tuberculosis Prevalence

Abstract Background: In 2017, there were 68.5 million refugees, asylum seekers and persons displaced by wars and conflicts worldwide. Tuberculosis prevalence in the country of origin and adverse conditions endured during their journey may increase their risk for tuberculosis. Objective: We summarized the prevalence of active and latent tuberculosis infection among refugees and asylum seekers through a literature systematic review and meta-analysis by country of origin. Methods: Articles published in Medline, EMBASE, Web of Science and LILACS from 2000 to August 2017 were searched for, without language restriction. Two independent authors performed the study selection, data extraction and quality assessment. Random effect models were used to estimate pooled measures of active and latent tuberculosis prevalence. Sub-group analysis was performed according to country of origin and host continent. Results: Sixty-seven out of 767 identified papers were included, of which 16 entered the meta-analysis. Pooled prevalence of active and latent tuberculosis was 1% [95% confidence interval (CI)=1-2%] and 37% (95% CI=23-52%), respectively, both with high level of heterogeneity (I 2 =98.2% and 99.8%). Prevalence varied more according to countries of origin than host continent. Ninety-one per cent of studies reported routine screening of recently arrived immigrants in the host country; two-thirds confirmed tuberculosis bacteriologically. Many studies failed to provide relevant information. Conclusion: Tuberculosis is a major health problem among refugees and asylum seekers and should be given special attention in any host continent. To protect this vulnerable population, ensuring access to healthcare for early detection for prevention and treatment of the disease is essential. Key words: Forced migration. Mycobacterium Tuberculosis. Latent tuberculosis infection. Prevalence. Global health.

scholarly journals Prejudice-relevant Correlates of Attitudes towards Refugees: A Meta-analysis

2019 ◽  
Vol 32 (3) ◽  
pp. 502-524 ◽  
Author(s):  
Misha Mei Cowling ◽  
Joel R Anderson ◽  
Rose Ferguson
Keyword(s):  
Asylum Seekers ◽  
Meta Analysis ◽  
Right Wing ◽  
Negative Attitudes ◽  
Right Wing Authoritarianism ◽  
Body Of Knowledge ◽  
Positive Attitudes ◽  
Meta Analyses ◽  
Refugees And Asylum Seekers ◽  
Systematic Database

Abstract This article meta-analyses the available data on attitudes towards refugees and asylum seekers, with the aim of estimating effect sizes for the relationships between these attitudes and prejudice-relevant correlates. Seventy studies (Ntotal = 13,720) were located using systematic database searches and calls for unpublished data. In the case of demographic factors, being male, religious, nationally identified, politically conservative, and less educated were associated with negative attitudes (Fisher’s zs = 0.11, 0.17, 0.18, 0.21, and –0.16, respectively). For ideological factors, increases in right-wing authoritarianism and social-dominance orientations correlated with negative attitudes, while the endorsement of macro (but not micro) justice principles were associated with positive attitudes (Fisher’s zs = 0.50, 0.50, –0.29, and 0.00, respectively). Perceptions of refugees as symbolic and realistic threats were the strongest correlates of negative attitudes (Fisher’s zs = 0.98 and 1.11, respectively). These findings have contributed to the growing body of knowledge that endeavors to understand the antecedents of refugee-specific prejudice, and are discussed in light of the global refugee crisis.

scholarly journals The prevalence of mental illness in refugees and asylum seekers: A systematic review and meta-analysis

PLoS Medicine ◽  
2020 ◽  
Vol 17 (9) ◽  
pp. e1003337 ◽  
Author(s):  
Rebecca Blackmore ◽  
Jacqueline A. Boyle ◽  
Mina Fazel ◽  
Sanjeeva Ranasinha ◽  
Kylie M. Gray ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mental Illness ◽  
Asylum Seekers ◽  
Meta Analysis ◽  
Refugees And Asylum Seekers

scholarly journals Active and latent tuberculosis in refugees and asylum seekers: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Raquel Proenca ◽  
Fernanda Mattos Souza ◽  
Mayara Lisboa Bastos ◽  
Rosangela Caetano ◽  
Jose Ueleres Braga ◽  
...  
Keyword(s):  
Asylum Seekers ◽  
Data Extraction ◽  
Meta Analysis ◽  
Random Effect ◽  
Country Of Origin ◽  
Latent Tuberculosis ◽  
Relevant Information ◽  
Major Health Problem ◽  
Meta Analyses ◽  
Refugees And Asylum Seekers

Abstract Background: In 2018, there were 70.8 million refugees, asylum seekers and persons displaced by wars and conflicts worldwide. Many of these individuals face a high risk for tuberculosis in their country of origin, which may be accentuated by adverse conditions endured during their journey. We summarised the prevalence of active and latent tuberculosis infection in refugees and asylum seekers through a systematic literature review and meta-analyses by country of origin and host continent. Methods: Articles published in Medline, EMBASE, Web of Science and LILACS from January 2000 to August 2017 were searched for, without language restriction. Two independent authors performed the study selection, data extraction and quality assessment. Random effect models were used to estimate average measures of active and latent tuberculosis prevalence. Sub-group meta-analyses were performed according to country of origin and host continent.Results: Sixty-seven out of 767 identified articles were included, of which 16 entered the meta-analyses. Average prevalence of active and latent tuberculosis was 1331 per 100 thousand inhabitants [95% confidence interval (CI) = 542-2384] and 37% (95% CI = 23-52%), respectively, both with high level of heterogeneity (variation in estimative attributable to heterogeneity [I2] = 98.2% and 99.8%). Prevalence varied more according to countries of origin than host continent. Ninety-one per cent of studies reported routine screening of recently arrived immigrants in the host country; two-thirds confirmed tuberculosis bacteriologically. Many studies failed to provide relevant information.Conclusion: Tuberculosis is a major health problem among refugees and asylum seekers and should be given special attention in any host continent. To protect this vulnerable population, ensuring access to healthcare for early detection for prevention and treatment of the disease is essential.

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