Stress Disorders, Post-Traumatic Clinical Trial
Official title:
Mindfulness-Based Trauma Recovery for Refugees (MBTR-R): Efficacy, Safety and Mechanisms
Verified date | April 2020 |
Source | University of Haifa |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Worldwide, refugees and asylum seekers suffer at high rates from trauma- and stress-related mental health problems. The investigators thus developed Mindfulness-Based Trauma Recovery for Refugees (MBTR-R) - a 9-week, mindfulness- and compassion-based, trauma-sensitive and socio-culturally adapted, group intervention for refugees and asylum seekers. The overarching aims of the study were to, first, test whether MBTR-R is an efficacious and safe mental health intervention for traumatized refugees and asylum seekers with respect to stress- and trauma-related mental health outcomes; and, second, to test theorized mechanisms of action of MBTR-R. Accordingly, the investigators conducted a randomized waitlist-controlled trial among a community sample of female and male Eritrean asylum seekers in an urban post-displacement setting in the Middle East (Israel).
Status | Completed |
Enrollment | 158 |
Est. completion date | May 18, 2019 |
Est. primary completion date | May 18, 2019 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility |
Inclusion Criteria: - Eritrean refugee or asylum seeker living in Israel Exclusion Criteria: - active suicidality - current psychotic symptoms - current mental health treatment (e.g. psychotherapy, participation in psycho-social support group) |
Country | Name | City | State |
---|---|---|---|
Israel | Kuchinate | Tel Aviv | Merkaz |
Lead Sponsor | Collaborator |
---|---|
University of Haifa |
Israel,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Harvard Trauma Questionnaire (HTQ) | The Harvard Trauma Questionnaire (HTQ) is a 16-item self-report questionnaire to assess post-traumatic stress symptom severity (5-point Likert scale) with higher scores indicating greater post-traumatic stress severity (minimum scale score 1 and maximum scale score 5), HTQ mean cut-off score = 2 is commonly used to identify categorical (diagnostic) symptom status of post-traumatic stress disorder | Change from 1-week pre-intervention to 1-week post-intervention and change from 1-week pre-intervention to 5-weeks post-intervention | |
Primary | Brief Patient Health Questionnaire (PHQ-9) | The brief Patient Health Questionnaire (PHQ-9) is a 9-item self-report questionnaire to assess depression symptom severity (5-point Likert scale) with higher scores indicating greater depression symptom severity (minimum scale score 0 and maximum scale score 36), PHQ-9 mean cut-off score =10 is commonly used to identify categorical (diagnostic) symptom status of depression | Change from 1-week pre-intervention to 1-week post-intervention and change from 1-week pre-intervention to 5-weeks post-intervention | |
Primary | Beck's Anxiety Inventory (BAI) | The Beck's Anxiety Inventory (BAI) is a 21-item self-report questionnaire to assess anxiety symptom severity (4-point Likert scale) with higher scores indicating greater anxiety symptom severity (minimum scale score 0 and maximum scale score 63), BAI total cut-off score = 16 is commonly used to identify categorical (diagnostic) symptom status of anxiety disorder | Change from 1-week pre-intervention to 1-week post-intervention and change from 1-week pre-intervention to 5-weeks post-intervention | |
Secondary | Brief Inventory of Thriving (BIT) | One item of the 9-item self-report questionnaire Brief Inventory of Thriving (BIT) was used to assess subjective well-being (5-point Likert scale) with higher scores indicating greater subjective well-being (minimum score 1 and maximum score 5) | 1-week pre-intervention, 1-week post-intervention and 5-weeks post-intervention | |
Secondary | Post-Migration Living Difficulties Checklist (PMLD) | The Post-Migration-Living-Difficulties Checklist (PMLD) is a 9-item self-report questionnaire to assess post-migration stress (5-point Likert scale) with higher scores indicating greater post-migration stress (minimum scale score 1 and maximum scale score 5) | 1-week pre-intervention | |
Secondary | The State Shame and Guilt Scale (SSGS) | The State Shame and Guilt Scale (SSGS) is a 15-item self-report questionnaire to assess state shame and guilt (5-point Likert scale) with higher scores indicating greater levels of state shame, guilt and pride (minimum scale score 15 and maximum scale score 75) | 1-week pre-intervention, 1-week post-intervention and 5-weeks post-intervention | |
Secondary | The Short Self Compassion Scale (SSCS) | The Short Self-Compassion Scale SSCS is a 12-item self-report questionnaire to assess different facets of self-compassion (5-point Likert scale) with higher scores indicating greater levels of self-compassion (minimum scale score 1 and maximum scale score 5) | 1-week pre-intervention, 1-week post-intervention and 5-weeks post-intervention | |
Secondary | The Five Facets Mindfulness Questionnaire (FFMQ) | The Five Facets of Mindfulness Questionnaire (FFMQ) is a self-report questionnaire to assess different facets of trait mindfulness (5-point Likert scale) with higher scores indicating greater levels of trait mindfulness (minimum scale score 1 and maximum scale score 5) | 1-week pre-intervention, 1-week post-intervention and 5-weeks post-intervention | |
Secondary | Moral Injury Event Scale | The Moral Injury Event Scale is a self-report questionnaire to assess moral injury (6-point Likert scale) with higher scores indicating greater levels of moral injury (minimum scale score 1 and maximum scale score 6) | 1-week pre-intervention, 1-week post-intervention and 5-weeks post-intervention | |
Secondary | Trauma Cue Exposure Task | The Trauma Cue Exposure Task measures behavioral avoidance in response to trauma cues | 1-week pre-intervention, 1-week post-intervention | |
Secondary | Autobiographical Memory Recall Task | The Autobiographical Memory Recall Task measures avoidance in response to recalling a traumatic autobiographical memory | 1-week pre-intervention, 1-week post-intervention | |
Secondary | Adapted Sternberg Working Memory Task | The Adapted Sternberg Working Memory Task measures working memory processing of trauma- and stress-related words versus positive words | 1-week pre-intervention, 1-week post-intervention | |
Secondary | Self-Referential Encoding Task (SRET) of Self-Compassion and Self-Criticism | The SRET measures self-referential processing of self-criticism and self-compassion | 1-week pre-intervention, 1-week post-intervention | |
Secondary | Single Experience and Self-Implicit Association Task (SES-IAT) | The SES-IAT measures self-referential processing of fear | 1-week pre-intervention, 1-week post-intervention | |
Secondary | Experience Sampling of State Mindfulness | 3-item experience sample (5-point Likert scale) of state mindfulness (minimum score 3 maximum score 15), higher scores indicate greater levels of state mindfulness | 15-minutes pre-intervention session and 15-minutes post-intervention session | |
Secondary | Experience Sampling of Cognitive Avoidance | 1-item experience sample (5-point Likert scale) of cognitive avoidance (minimum score 1 maximum score 5), higher scores indicate greater levels of cognitive avoidance | 15-minutes pre-intervention session | |
Secondary | Experience Sampling of Negative Repetitive Thinking | 1-item experience sample (5-point Likert scale) of negative repetitive thinking (minimum score 1 maximum score 5), higher scores indicate greater levels of negative repetitive thinking | 15-minutes pre-intervention session | |
Secondary | Experience Sampling of Emotion | 4-item experience sample (5-point Likert scale) of the emotions happy, calm, sad and nervous/tense (minimum score 4 maximum score 20), higher scores indicate greater levels of the emotions happy, calm, sad and nervous/tense | 15-minutes pre-intervention session and 15-minutes post-intervention session | |
Secondary | Experience Sampling of Formal and Informal Mindfulness Practice | 2-item experience sample number of formal and informal mindfulness practice during the past week, higher scores indicate greater number of mindfulness practices during the past week | 15-minutes pre-intervention session | |
Secondary | Experience Sampling of Self-Compassion | 1-item experience sample (5-point Likert scale) of negative self-compassion (minimum score 1 maximum score 5), higher scores indicate greater levels of self-compassion | 15-minutes pre-intervention session | |
Secondary | Experience Sampling of Depression | 1-item experience sample (5-point Likert scale) of depression (minimum score 1 maximum score 5), higher scores indicate greater levels of depression | 15-minutes pre-intervention session | |
Secondary | Experience Sampling of Anxiety | 1-item experience sample (5-point Likert scale) of anxiety (minimum score 1 maximum score 5), higher scores indicate greater levels of anxiety | 15-minutes pre-intervention session |
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