Refugees and asylum seekers often suffer from trauma- and stress-related mental health problems. We thus developed mindfulness-based trauma recovery for refugees (MBTR-R)—a 9-week, mindfulness-based, trauma-sensitive, and socioculturally adapted group intervention for refugees and asylum seekers. We conducted a randomized waitlist-control study to test its efficacy and safety among a community sample of 158 Eritrean asylum seekers (46.2% female) with severe trauma history and chronic postmigration stress. Relative to the waitlist-control group, MBTR-R participants demonstrated significantly reduced rates and symptom severity of posttraumatic stress disorder, depression, anxiety, and multimorbidity at postintervention and 5-week follow-up. Therapeutic effects were not dependent on key demographics, trauma history severity, or postmigration living difficulties. Finally, there was no evidence of adverse effects or lasting clinically significant deterioration in monitored outcomes. The brief intervention format, group-based delivery, and limited attrition indicate that MBTR-R may be a feasible, acceptable, readily implemented, and scalable mental health intervention for refugees and asylum seekers.

难民和寻求庇护者经常遭受与创伤和压力有关的精神健康问题。因此，我们开发了针对难民的基于正念的创伤恢复方法（MBTR-R），这是针对难民和寻求庇护者的为期9周，基于正念的，对创伤敏感的，适应社会文化的团体干预措施。我们进行了一项随机的候补名单对照研究，以测试158位厄立特里亚寻求庇护者（有严重创伤史和慢性移徙后应激反应）的社区样本中的疗效和安全性（女性占46.2％）。相对于候补对照组，MBTR-R参与者在干预后和5周的随访中显示出创伤后应激障碍，抑郁，焦虑和多发病的比率和症状严重性降低。治疗效果不取决于主要人口统计资料，创伤史严重程度，或移民后生活困难。最后，没有证据表明监测结果有不良反应或持续的临床显着恶化。简短的干预形式，基于小组的分娩和有限的减员表明，MBTR-R对于难民和寻求庇护者而言可能是可行，可接受，易于实施且可扩展的精神卫生干预措施。