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A critical review of psychological treatments of posttraumatic stress disorder in refugees
Abstract
Despite much research evidence that refugees suffer from elevated rates of posttraumatic stress disorder (PTSD), relatively few studies have examined the effectiveness of psychological treatments for PTSD in refugees. The field of refugee mental health intervention is dominated by two contrasting approaches, namely trauma-focused therapy and multimodal interventions. This article firstly defines these two approaches, then provides a critical review of 19 research studies that have been undertaken to investigate the efficacy of these treatments. Preliminary research evidence suggests that trauma-focused approaches may have some efficacy in treating PTSD in refugees, but limitations in the methodologies of studies caution against drawing definitive inferences. It is clear that research assessing the treatment of PTSD in refugees is lagging behind that available for other traumatized populations. The review examines important considerations in the treatment of refugees. A theoretical framework is offered that outlines contextual issues, maintaining factors, change mechanisms and the distinctive challenges to traditional trauma-focused treatments posed by the needs of refugees with PTSD.
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“The number of psychological treatments tested with refugee populations is low (Nickerson, Bryant, Silove, & Steel, 2011)”
From Intrusive memories of trauma: A target for research bridging cognitive science and its clinical application (2019) · cites this paper as Nickerson, Bryant, Silove, & Steel, 2011
In the citing paper
“The treatment evidence base for help-seeking refugees and asylum seekers is sparse and limited mainly to trauma-specific treatments [13–16]”
From A brief transdiagnostic psychological intervention for Afghan asylum seekers and refugees in Austria: A randomized controlled trial (2020) · cites this paper as [12]
In the citing paper
“yet they are seldom addressed in psychological therapies or empirical research investigations [12].”
From A brief transdiagnostic psychological intervention for Afghan asylum seekers and refugees in Austria: A randomized controlled trial (2020) · cites this paper as [12]
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Self-citation
Metadata
- Authors
- Nickerson, A., Bryant, R. A., Silove, D., & Steel, Z.
- Affiliations
- UNSW Sydney (AU)
- Corresponding author
- Bryant, Richard A.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2011-04
- Volume
- 31
- Issue
- 3
- Pages
- 399-417
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2005367970
- Semantic Scholar
- e70717af712017a067b9d0dca1583861d7e05f2c
- Cited by
- 457
- References
- 139
- Citations by year
- 2026: 17 · 2025: 10 · 2024: 20 · 2023: 22 · 2022: 27 · 2021: 24 · 2020: 105 · 2019: 25 · 2018: 39 · 2017: 34 · 2016: 42 · 2015: 29 · 2014: 24 · 2013: 16 · 2012: 13
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- post-traumatic stress disorder, refugees, psychological intervention, trauma-focused psychotherapy, multimodal intervention, refugee mental health, treatment efficacy, mechanisms of change
- MeSH terms
- Humans, Life Change Events, Mental Health, Psychotherapy, Refugees, Stress Disorders, Post-Traumatic, Stress, Psychological, Treatment Outcome
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