Internet-based cognitive behavioural therapy for depression and anxiety among Arabic-speaking individuals in Sweden: a pilot randomized controlled trial

Autor: Tomas Lindegaard, Asala Halaj, Mikael Ludvigsson, Rim Barchini, Felicia Seaton, Fatima Kashoush, Ali Sarkohi, Gerhard Andersson, Matilda Berg
Rok vydání: 2020
Předmět:
Male
050103 clinical psychology
Immigration
Pilot Projects
Anxiety
law.invention
0302 clinical medicine
Randomized controlled trial
law
Internet based
Applied Psychology
Depression (differential diagnoses)
Language
media_common
Refugees
Depression
anxiety
internet-based cognitive behaviour therapy
transcultural
refugee
05 social sciences
Cognition
Middle Aged
Clinical Psychology
Treatment Outcome
language
population characteristics
Female
medicine.symptom
Psychology
Internet-Based Intervention
geographic locations
Clinical psychology
Adult
congenital
hereditary
and neonatal diseases and abnormalities
Arabic
Refugee
media_common.quotation_subject
Emigrants and Immigrants
Middle East
Young Adult
03 medical and health sciences
medicine
Humans
0501 psychology and cognitive sciences
Aged
Sweden
Cognitive Behavioral Therapy
social sciences
Tillämpad psykologi
eye diseases
language.human_language
030227 psychiatry
Zdroj: Cognitive Behaviour Therapy. 50:47-66
ISSN: 1651-2316
1650-6073
Popis: 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 Cohensd= 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. Funding Agencies|Sveriges Kommuner och Landsting; VetenskapsradetSwedish Research Council
Databáze: OpenAIRE
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