Culture-Sensitive and Resource Oriented Peer (CROP)-Groups as a Community Based Intervention for Trauma Survivors: A Randomized Controlled Pilot Study with Refugees and Asylum Seekers from Chechnya

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Abstract

Asylum seekers and refugees frequently suffer from post-traumatic stress and culturally sensitive methods towards reducing symptoms should be taken into account. The aim of the work reported was to examine the effectiveness of Culture-Sensitive and Resource Oriented Peer (CROP) Groups for Chechen asylum seekers and refugees towards reducing post-traumatic symptoms, anxiety, and depression. Some 94 participants were randomly assigned to 15 sessions of CROP or Cognitive Behavior Therapy (CBT) Groups, to 3 single sessions of Eye Movement Desensitization and Reprocessing (EMDR), or to a Wait-List (WL). The results indicated that CROP was significantly superior to WL, and was equally effective as CBT in reducing post-traumatic symptoms, anxiety, and depression. Improvements still were present at three and six month follow-up occasions. EMDR yielded negative results. According to this pilot study, CROP-Groups pose a promising, culturally sensitive alternative to psychotherapy with Chechen migrants.

Citation

Relevant Evidence Summaries

The evidence was reviewed and included in the following summaries: 

What is the impact of peer support groups on refugees’ mental health?

Peer support groups can be a valuable component of comprehensive refugee resettlement services. There is moderate evidence for positive impacts of peer support groups among some refugee communities. Such groups appear to provide a unique benefit to both participants and leaders in enhancing social connections, knowledge of community resources, improvements in mental health, acculturation, and […]

About this study

AGE: Multiple Age Groups

DIRECTION OF EVIDENCE: Positive impact

FULL TEXT AVAILABILITY: Free

GENDER: All

HOST COUNTRY: Austria

HOST COUNTRY INCOME: High Income

INTERVENTION DURATION: 15 weeks

INTERVENTION: Mental health and psychosocial support services

INTERVENTION: Peer support groups

OUTCOME AREA: General Distress Reduction

POPULATION: Asylees

REGION OF ORIGIN OF PARTICIPANT(S): Europe – East

STRENGTH OF EVIDENCE: Moderate

TYPE OF STUDY: Impact evaluation

YEAR PUBLISHED: 2011

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