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Brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: study protocol for a multi-center randomized-controlled trial患有创伤后应激障碍的难民中简短意向重构与常规护理和治疗建议的对比：一项多中心随机对照试验的研究方案Breve Reescritura de imágenes vs. Cuidado habitual y consejería de tratamiento en refugiados con trastorno de estrés postraumático: Protocolo de estudio para un ensayo multicéntrico controlado y aleatorizado

Steil R, Lechner-Meichsner F, Johow J, Krüger-Gottschalk A, Mewes R, Reese JP, Schumm H, Weise C, Morina N, Ehring T (2021)

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Publication Type: Journal article

Publication year: 2021

Journal

Book Volume: 12

Article Number: 1872967

Journal Issue: 1

DOI: 10.1080/20008198.2021.1872967

Abstract

Background: Many refugees have experienced multiple traumatic events in their country of origin and/or during flight. Trauma-related disorders such as posttraumatic stress disorder (PTSD) or complex PTSD (CPTSD) are prevalent in this population, which highlights the need for accessible and effective treatment. Imagery Rescripting (ImRs), an imagery-based treatment that does not use formal exposure and that has received growing interest as an innovative treatment for PTSD, appears to be a promising approach. Objective: This randomized-controlled trial aims to investigate the efficacy of ImRs for refugees compared to Usual Care and Treatment Advice (UC+TA) on (C)PTSD remission and reduction in other related symptoms. Method: Subjects are 90 refugees to Germany with a diagnosis of PTSD according to DSM-5. They will be randomly allocated to receive either UC+TA (n = 45) or 10 sessions of ImRs (n = 45). Assessments will be conducted at baseline, post-intervention, three-month follow-up, and 12-month follow-up. Primary outcome is the (C)PTSD remission rate. Secondary outcomes are severity of PTSD and CPTSD symptoms, psychiatric symptoms, dissociative symptoms, quality of sleep, and treatment satisfaction. Economic analyses will investigate health-related quality of life and costs. Additional measures will assess migration and stress-related factors, predictors of dropout, therapeutic alliance and session-by-session changes in trauma-related symptoms. Results and Conclusions: Emerging evidence suggests the suitability of ImRs in the treatment of refugees with PTSD. After positive evaluation, this short and culturally adaptable treatment can contribute to close the treatment gap for refugees in high-income countries such as Germany. Trial registration: German Clinical Trials Register under trial number DRKS00019876, registered prospectively on 28 April 2020.

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APA:

Steil, R., Lechner-Meichsner, F., Johow, J., Krüger-Gottschalk, A., Mewes, R., Reese, J.P.,... Ehring, T. (2021). Brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: study protocol for a multi-center randomized-controlled trial患有创伤后应激障碍的难民中简短意向重构与常规护理和治疗建议的对比：一项多中心随机对照试验的研究方案Breve Reescritura de imágenes vs. Cuidado habitual y consejería de tratamiento en refugiados con trastorno de estrés postraumático: Protocolo de estudio para un ensayo multicéntrico controlado y aleatorizado. European Journal of Psychotraumatology, 12(1). https://doi.org/10.1080/20008198.2021.1872967

MLA:

Steil, Regina, et al. "Brief imagery rescripting vs. usual care and treatment advice in refugees with posttraumatic stress disorder: study protocol for a multi-center randomized-controlled trial患有创伤后应激障碍的难民中简短意向重构与常规护理和治疗建议的对比：一项多中心随机对照试验的研究方案Breve Reescritura de imágenes vs. Cuidado habitual y consejería de tratamiento en refugiados con trastorno de estrés postraumático: Protocolo de estudio para un ensayo multicéntrico controlado y aleatorizado." European Journal of Psychotraumatology 12.1 (2021).

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