A randomized-controlled trial of community-based transdiagnostic psychotherapy for veterans and internally displaced persons in Ukraine
Abstract Background There is limited research on community-based mental health interventions in former Soviet countries despite different contextual factors from where most research has been conducted. Ongoing military conflict has resulted in many displaced persons and veterans and their families w...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-01-01
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| Series: | Cambridge Prisms: Global Mental Health |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2054425121000273/type/journal_article |
| _version_ | 1811156109578207232 |
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| author | Sergiy Bogdanov Jura Augustinavicius Judith K. Bass Kristie Metz Stephanie Skavenski Namrita S. Singh Quincy Moore Emily E. Haroz Jeremy Kane Ben Doty Laura Murray Paul Bolton |
| author_facet | Sergiy Bogdanov Jura Augustinavicius Judith K. Bass Kristie Metz Stephanie Skavenski Namrita S. Singh Quincy Moore Emily E. Haroz Jeremy Kane Ben Doty Laura Murray Paul Bolton |
| author_sort | Sergiy Bogdanov |
| collection | DOAJ |
| description | Abstract
Background
There is limited research on community-based mental health interventions in former Soviet countries despite different contextual factors from where most research has been conducted. Ongoing military conflict has resulted in many displaced persons and veterans and their families with high burdens of mental health problems. Lack of community-based services and poor uptake of existing psychiatric services led to the current trial to determine the effectiveness of the common elements treatment approach (CETA) on anxiety, depression, and posttraumatic stress symptoms (PTS) among conflict affected adults in Ukraine.
Methods
We conducted a three-armed randomized-controlled trial of CETA delivered in its standard form (8–12 sessions), a brief form (five-sessions), and a wait-control condition. Eligible participants were displaced adults, army veterans and their adult family members with elevated depression and/or PTS and impaired functioning. Treatment was delivered by community-based providers trained in both standard and brief CETA. Outcome data were collected monthly.
Results
There were 302 trial participants (n = 117 brief CETA, n = 129 standard CETA, n = 56 wait-controls). Compared with wait-controls, participants in standard and brief CETA experienced clinically and statistically significant reductions in depression, anxiety, and PTS and dysfunction (effect sizes d = 0.46–1.0–6). Comparing those who received standard CETA with brief CETA, the former reported fewer symptoms and less dysfunction with small-to-medium effect sized (d = 0.20–0.55).
Conclusions
Standard CETA is more effective than brief CETA, but brief CETA also had significant effects compared with wait-controls. Given demonstrated effectiveness, CETA could be scaled up as an effective community-based approach.
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| first_indexed | 2024-04-10T04:44:56Z |
| format | Article |
| id | doaj.art-5dfd0d5f9b544772b2f8f90a5023b4e2 |
| institution | Directory Open Access Journal |
| issn | 2054-4251 |
| language | English |
| last_indexed | 2024-04-10T04:44:56Z |
| publishDate | 2021-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Cambridge Prisms: Global Mental Health |
| spelling | doaj.art-5dfd0d5f9b544772b2f8f90a5023b4e22023-03-09T12:35:44ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512021-01-01810.1017/gmh.2021.27A randomized-controlled trial of community-based transdiagnostic psychotherapy for veterans and internally displaced persons in UkraineSergiy Bogdanov0https://orcid.org/0000-0001-8811-3453Jura Augustinavicius1https://orcid.org/0000-0001-6763-2027Judith K. Bass2Kristie Metz3Stephanie Skavenski4Namrita S. Singh5Quincy Moore6Emily E. Haroz7https://orcid.org/0000-0003-1833-4925Jeremy Kane8https://orcid.org/0000-0002-6598-3840Ben Doty9Laura Murray10Paul Bolton11Center for Mental Health and Psychosocial Support, National University of Kyiv-Mohyla Academy, Kyiv, UkraineDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USADepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USADepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USADepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USADepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USAAbstract Background There is limited research on community-based mental health interventions in former Soviet countries despite different contextual factors from where most research has been conducted. Ongoing military conflict has resulted in many displaced persons and veterans and their families with high burdens of mental health problems. Lack of community-based services and poor uptake of existing psychiatric services led to the current trial to determine the effectiveness of the common elements treatment approach (CETA) on anxiety, depression, and posttraumatic stress symptoms (PTS) among conflict affected adults in Ukraine. Methods We conducted a three-armed randomized-controlled trial of CETA delivered in its standard form (8–12 sessions), a brief form (five-sessions), and a wait-control condition. Eligible participants were displaced adults, army veterans and their adult family members with elevated depression and/or PTS and impaired functioning. Treatment was delivered by community-based providers trained in both standard and brief CETA. Outcome data were collected monthly. Results There were 302 trial participants (n = 117 brief CETA, n = 129 standard CETA, n = 56 wait-controls). Compared with wait-controls, participants in standard and brief CETA experienced clinically and statistically significant reductions in depression, anxiety, and PTS and dysfunction (effect sizes d = 0.46–1.0–6). Comparing those who received standard CETA with brief CETA, the former reported fewer symptoms and less dysfunction with small-to-medium effect sized (d = 0.20–0.55). Conclusions Standard CETA is more effective than brief CETA, but brief CETA also had significant effects compared with wait-controls. Given demonstrated effectiveness, CETA could be scaled up as an effective community-based approach. https://www.cambridge.org/core/product/identifier/S2054425121000273/type/journal_articleCETABrief CETAcommunity-basedtrialmental healthmilitary conflictpsychotherapy |
| spellingShingle | Sergiy Bogdanov Jura Augustinavicius Judith K. Bass Kristie Metz Stephanie Skavenski Namrita S. Singh Quincy Moore Emily E. Haroz Jeremy Kane Ben Doty Laura Murray Paul Bolton A randomized-controlled trial of community-based transdiagnostic psychotherapy for veterans and internally displaced persons in Ukraine Cambridge Prisms: Global Mental Health CETA Brief CETA community-based trial mental health military conflict psychotherapy |
| title | A randomized-controlled trial of community-based transdiagnostic psychotherapy for veterans and internally displaced persons in Ukraine |
| title_full | A randomized-controlled trial of community-based transdiagnostic psychotherapy for veterans and internally displaced persons in Ukraine |
| title_fullStr | A randomized-controlled trial of community-based transdiagnostic psychotherapy for veterans and internally displaced persons in Ukraine |
| title_full_unstemmed | A randomized-controlled trial of community-based transdiagnostic psychotherapy for veterans and internally displaced persons in Ukraine |
| title_short | A randomized-controlled trial of community-based transdiagnostic psychotherapy for veterans and internally displaced persons in Ukraine |
| title_sort | randomized controlled trial of community based transdiagnostic psychotherapy for veterans and internally displaced persons in ukraine |
| topic | CETA Brief CETA community-based trial mental health military conflict psychotherapy |
| url | https://www.cambridge.org/core/product/identifier/S2054425121000273/type/journal_article |
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