Background: Refugees have an increased risk of developing mental health problems. There are insufficient psychosocial care structures to meet the resulting need for support. Stabilizing and guided imagery techniques have shown promising results in increasing traumatized refugees’ emotional stabilization. If delivered via audio files, the techniques can be practiced autonomously and independent of time, space, and human resources or stable treatment settings. Objective: This study aimed to evaluate the self-practice of stabilizing and guided imagery techniques via digital audio files for traumatized refugees living in a reception and registration center in Germany. Methods: From May 2018 to February 2019, 42 traumatized refugees participated in our study. At T1, patients received digital audio files in English, French, Arabic, Farsi, Turkish, or Serbian for self-practice. Nine days later, at T2, a face-to-face interview was conducted. Two months after T2, a follow-up interview took place via telephone. Results: At T2, about half of the patients reported the daily practice of stabilizing and guided imagery techniques. At follow-up, the average frequency of practice was once weekly or more for those experiencing worse symptoms. No technical difficulties were reported. According to T2 and follow-up statements, the techniques helped the patients dealing with arousal, concentration, sleep, mood, thoughts, empowerment, and tension. The guided imagery technique “The Inner Safe Place” was the most popular. Self-practice was impeded by postmigratory distress factors, like overcrowded accommodations. Conclusions: The results show that self-practice of stabilizing and guided imagery techniques via digital audio files was helpful to and well accepted by the assessed refugees. Even though postmigratory distress factors hampered self-practice, “The Inner Safe Place” technique was particularly well received. Overall, the self-practiced audio-based stabilizing and guided imagery techniques showed promising results among the highly vulnerable group of newly arrived traumatized refugees.

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中文翻译：

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通过数字音频文件对创伤难民进行稳定和制导图像技术的自我实践：定性研究。

背景：难民出现精神健康问题的风险增加。没有足够的心理社会护理结构来满足由此产生的支持需求。稳定化和指导性成像技术在增加受创伤难民的情绪稳定方面显示出可喜的成果。如果通过音频文件传送，则可以独立于时间，空间和人力资源或稳定的治疗设置来自主实施这些技术。目的：本研究旨在评估数字音频文件对生活在德国接待和登记中心的受难难民的稳定和引导图像技术的自我实践。方法：从2018年5月到2019年2月，有42名受创伤的难民参加了我们的研究。在T1，患者收到了英语，法语，阿拉伯语，波斯语，土耳其语，或塞尔维亚人的自我练习。9天后，在T2进行了面对面的采访。T2后两个月，通过电话进行了一次后续采访。结果：在T2时，大约一半的患者报告了稳定化和引导性成像技术的日常操作。随访时，症状较重者平均每周练习一次或以上。没有技术困难的报道。根据T2和后续陈述，该技术帮助患者应对唤醒，注意力，睡眠，情绪，思想，授权和紧张感。引导成像技术“内部安全场所”是最受欢迎的。移民后的困扰因素（例如住宿条件过于拥挤）阻碍了自我练习。结论：结果表明，通过数字音频文件进行稳定化和制导图像技术的自我实践对被评估的难民有所帮助并为他们所接受。即使移民后的困扰因素妨碍了自我实践，“内部安全场所”技术也受到了广泛欢迎。总体而言，自我实践的基于音频的稳定化和制导图像技术在高度脆弱的新近遭受创伤的难民群体中显示出可喜的成果。

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