Background:Post-traumatic stress disorder (PTSD) is commonly experienced by asylum seekers and refugees (ASR). Evidence supports the use of cognitive behavioural therapy-based treatments, but not in group format for this population. However, group-based treatments are frequently used as a first-line intervention in the UK.Aims:This study investigated the feasibility of delivering a group-based, manualised stabilisation course specifically developed for ASR. The second aim was to evaluate the use of routine outcome measures (ROMs) to capture psychological change in this population.Method:Eighty-two participants from 22 countries attended the 8-session Moving On After Trauma (MOAT) group-based stabilisation treatment. PHQ-9, GAD-7, IES-R and idiosyncratic outcomes were administered pre- and post-intervention.Results:Seventy-one per cent of participants (n = 58) attended five or more of the treatment sessions. While completion rates of the ROMs were poor – measures were completed at pre- and post-intervention for 46% participants (n = 38) – a repeated-measures MANOVA indicated significant improvements in depression (p = .001, ηp2 = .262), anxiety (p = .000, ηp2 = .390), PTSD (p = .001, ηp2 = .393) and idiosyncratic measures (p = .000, ηp2 = .593) following the intervention.Conclusions:Preliminary evidence indicates that ASR who attended a low-intensity, group-based stabilisation group for PTSD experienced lower mental health scores post-group, although the lack of a comparison group means these results should be interpreted with caution. There are significant challenges in administering ROMs to individuals who speak many different languages, in a group setting. Nonetheless, groups have benefits including efficiency of treatment delivery which should also be considered.

中文翻译：

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对患有创伤后应激障碍的难民和寻求庇护者的群体稳定干预进行试点评估

背景：寻求庇护者和难民（ASR）通常会经历创伤后应激障碍（PTSD）。证据支持使用基于认知行为疗法的治疗，但不支持该人群的团体形式。然而，基于小组的治疗在英国经常被用作一线干预措施。目的：本研究调查了提供专门为 ASR 开发的基于小组的手动稳定课程的可行性。第二个目的是评估使用常规结果测量 (ROM) 来捕捉该人群的心理变化。方法：来自 22 个国家的 82 名参与者参加了为期 8 节的创伤后继续 (MOAT) 小组稳定治疗。PHQ-9、GAD-7、IES-R 和异质性结果在干预前和干预后进行管理。结果：n= 58) 参加了五个或更多的治疗课程。虽然 ROM 的完成率很低，但 46% 的参与者在干预前和干预后完成了测量（n= 38) – 重复测量 MANOVA 表明抑郁症有显着改善 (p= .001, ηp2= .262), 焦虑 (p= .000, ηp2= .390），创伤后应激障碍（p= .001, ηp2= .393) 和特殊措施 (p= .000, ηp2= .593）干预后。结论：初步证据表明，参加低强度、基于小组的 PTSD 稳定组的 ASR 在组后经历了较低的心理健康评分，尽管缺乏对照组意味着这些结果应该是谨慎解读。在小组环境中为讲多种不同语言的个人管理 ROM 存在重大挑战。尽管如此，团体也有好处，包括治疗提供的效率，这也应该被考虑在内。