ABSTRACT Arabic-speaking immigrants and refugees constitute one of the largest immigrant groups in Sweden. Previous research on Arabic-speaking immigrants indicates elevated levels of psychological disorders, including depression and anxiety. The aim of the present pilot study was to examine the efficacy of an internet-delivered cognitive behavioural treatment (ICBT) in an Arabic-speaking immigrant population. The intervention was individually tailored based on self-described problems and consisted of nine modules targeting areas such as depression, anxiety and insomnia. In total, 59 individuals were included and randomized to either an 8-week treatment or wait-list control. Self-reported symptoms of depression on the PHQ-9 were used as primary outcome measure. Secondary outcome measures of anxiety, stress, insomnia, quality of life and post-traumatic stress were also used. In the intention-to-treat analysis, depressive symptoms were significantly reduced compared to the wait-list control group with a between-group effect at post-treatment of Cohen’s d = 0.85 [0.29, 1.41]. We also found significant between-group effects for symptoms of insomnia and stress, but not for anxiety, post-traumatic stress or quality of life measures. The results indicate that ICBT is a promising treatment approach for treating symptoms of depression, insomnia and stress, in an Arabic-speaking immigrant population. Further studies with larger samples are warranted.

中文翻译：

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瑞典阿拉伯语人群抑郁和焦虑的基于互联网的认知行为疗法：一项试点随机对照试验

摘要 讲阿拉伯语的移民和难民是瑞典最大的移民群体之一。先前对讲阿拉伯语的移民的研究表明，心理障碍水平升高，包括抑郁和焦虑。本试点研究的目的是检查互联网提供的认知行为治疗 (ICBT) 在讲阿拉伯语的移民人群中的疗效。该干预是根据自我描述的问题单独定制的，由针对抑郁、焦虑和失眠等领域的九个模块组成。总共有 59 个人被纳入并随机分配到 8 周治疗或等待名单控制。PHQ-9 上自我报告的抑郁症状被用作主要结果测量。焦虑、压力、失眠、生活质量和创伤后压力也被使用。在意向治疗分析中，与等待名单对照组相比，抑郁症状显着减少，Cohen 治疗后的组间效应 d = 0.85 [0.29, 1.41]。我们还发现失眠和压力症状有显着的组间效应，但对焦虑、创伤后压力或生活质量指标没有发现。结果表明，ICBT 是一种很有前景的治疗方法，可用于治疗讲阿拉伯语的移民人群中的抑郁、失眠和压力症状。需要更大样本的进一步研究。1.41]。我们还发现失眠和压力症状有显着的组间效应，但对焦虑、创伤后压力或生活质量指标没有发现。结果表明，ICBT 是一种很有前景的治疗方法，可用于治疗讲阿拉伯语的移民人群中的抑郁、失眠和压力症状。需要更大样本的进一步研究。1.41]。我们还发现失眠和压力症状有显着的组间效应，但对焦虑、创伤后压力或生活质量指标没有发现。结果表明，ICBT 是一种很有前景的治疗方法，可用于治疗讲阿拉伯语的移民人群中的抑郁、失眠和压力症状。需要更大样本的进一步研究。