Cited by 53Migration, Health and TraumaPosttraumatic Stress Disorder ResearchPsychoanalysis and Psychopathology Research

Stress management versus cognitive restructuring in trauma-affected refugees—A pragmatic randomised study

Carlsson, Jessica, Sonne, Charlotte, Vindbjerg, Erik, Mortensen, Erik Lykke·2018·Psychiatry Research

Abstract

The aim of this randomised trial was to compare the effectiveness of stress management (SM) versus cognitive restructuring (CR) in trauma-affected refugees. The intention-to-treat sample comprised 126 refugees with PTSD (SM = 62, CR = 64). The treatment consisted of 16 sessions of psychotherapy with manualised SM or CR in addition to 10 sessions with a medical doctor (psychoeducation and pharmacological treatment). The primary outcome was PTSD symptom severity (Harvard Trauma Questionnaire). Secondary outcomes were symptoms of depression and anxiety (Hopkins Symptom Checklist-25, Hamilton Depression and Anxiety Ratings), quality of life (WHO-5), functioning (Global Assessment of Functioning, Sheehan Disability Scale), pain (Visual Analogue Scale) and somatisation (Symptom Checklist). There was no difference in the primary outcome between groups. A significant group difference was found on the Hamilton Anxiety Rating with the SM group improving more than the CR group (effect size 0.46) indicating that methods in SM could potentially be helpful in this population.

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Crossref · 10.1016/j.psychres.2018.05.015

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Authors
Carlsson, J., Sonne, C., Vindbjerg, E., & Mortensen, E. L.
Affiliations
  • University of Copenhagen (DK)
  • Mental Health Services (DK)
Corresponding author
Carlsson, Jessica
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2018-08
Volume
266
Pages
116-123
ISSN
0165-1781 (ISSN-L)
OpenAlex
W2804070267
Cited by
53
References
35
Citations by year
2026: 4 · 2025: 6 · 2024: 4 · 2023: 7 · 2022: 9 · 2021: 7 · 2020: 13 · 2019: 1 · 2018: 1
FWCI
6.45
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
Funders
TrygFonden
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
stress management, cognitive restructuring, post-traumatic stress disorder, refugees, trauma, psychotherapy, psychoeducation, pharmacotherapy, anxiety, depression, quality of life, functioning, pain, somatization
MeSH terms
Adult, Counseling, Denmark, Depression, Female, Humans, Male, Middle Aged, Psychotherapy, Quality of Life, Surveys and Questionnaires, Refugees, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy, Disease Management

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