Psychological, social, and welfare interventions for torture survivors: A systematic review and meta-analysis of randomized controlled trials
PLoS Medicine Oct 04, 2019
Hamid A, et al. - Published data from 15 randomized controlled trials—all of the psychological interventions, including 1,373 individuals across 10 countries—were systematically critiqued and analyzed in order to measure the impacts of psychological, social, and welfare interventions on the mental health, functioning, and quality of life of torture survivors. In comparison with control conditions, psychological interventions markedly decreased symptoms of posttraumatic stress disorder (PTSD) and enhanced functioning at the end of treatment, although not at follow-up. Depression symptoms or quality of life was not significantly augmented by psychological interventions. Psychological interventions did not significantly decrease the incidence of PTSD diagnosis, and one study, with 28 individuals, exhibited an elevation of PTSD diagnosis at follow-up in comparison with control conditions. Therefore, at the end of treatment, psychological interventions ameliorate PTSD symptoms and functioning, however, it is not known whether this is sustained at follow-up, with a probable worsening of PTSD caseness at follow-up from one study. Additional interventions in this population should approach broader psychological requirements beyond PTSD while taking into consideration the impact of various daily stressors. Extra studies, comprising social and welfare interventions, would enhance the precision of estimates of impact, especially over the longer term.
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