A Systematic Review of Treatments for Post-Traumatic Stress Disorder Among Refugees and Asylum-Seekers
Abstract
Recent years have seen a consensus emerge on the treatment of post-traumatic stress disorder (PTSD) in the general population. No such consensus exists for refugees, although the rate of PTSD among refugees is 10 times that of the general population. We conducted a systematic review of randomized controlled trial of treatment of PTSD among refugees and asylum-seekers. We rated trials with a risk of bias table and drew conclusions about the evidence for individual therapies. Ten randomized, controlled trials (n = 528) met our search criteria. Trials were small, and allocation concealment and blinding were inadequate. No treatment was firmly supported, but there was evidence for narrative exposure therapy and cognitive-behavioral therapy. Future trials should evaluate interventions that are developed within refugees' cultures, based on a local understanding of trauma and psychological distress.
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Only few intervention studies have examined the pharmacological treatment of trauma-affected refugees.
“Despite a rapidly increasing amount of studies on the treatment of PTSD in general, only few intervention studies have examined the pharmacological treatment of trauma-affected refugees [2, 3].”
From Treatment of trauma-affected refugees with venlafaxine versus sertraline combined with psychotherapy - a randomised study (2016) · cites this paper as [2]
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- Authors
- Crumlish, N., & O'Rourke, K.
- Affiliations
- Trinity College Dublin (IE)
- Corresponding author
- Crumlish, Niall
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2010-04
- Volume
- 198
- Issue
- 4
- Pages
- 237-251
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2012213753
- Cited by
- 264
- References
- 92
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 12 · 2023: 8 · 2022: 13 · 2021: 24 · 2020: 17 · 2019: 20 · 2018: 25 · 2017: 22 · 2016: 19 · 2015: 28 · 2014: 15 · 2013: 12 · 2012: 16
- FWCI
- 2.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (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, asylum seekers, PTSD treatment, narrative exposure therapy, cognitive behavioral therapy, trauma-focused psychotherapy, culturally tailored interventions, risk of bias
- MeSH terms
- Follow-Up Studies, Humans, Psychotherapy, Refugees, Research, Stress Disorders, Post-Traumatic, Randomized Controlled Trials as Topic, Emigrants and Immigrants
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