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Open AccessArticle

Recruitment and Baseline Characteristics of Participants in the “Sanadak” Trial: A Self-Help App for Syrian Refugees with Post-traumatic Stress

1
Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, 04103 Leipzig, Germany
2
Global Brain Health Institute (GBHI), Trinity College Dublin, D02 PN40 Dublin, Ireland
3
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Leipzig, 04103 Leipzig, Germany
4
Department of Health Economics and Health Services Research, Hamburg Center for Health Economics, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany
*
Author to whom correspondence should be addressed.
These two authors contributed equally.
Int. J. Environ. Res. Public Health 2020, 17(20), 7578; https://doi.org/10.3390/ijerph17207578
Received: 9 September 2020 / Revised: 12 October 2020 / Accepted: 14 October 2020 / Published: 18 October 2020
(This article belongs to the Section Mental Health)
Many Syrian refugees residing in Germany have been exposed to traumatizing events, while treatment options are scarce. Therefore, the self-help app “Sanadak” was developed to target post-traumatic stress in Syrian refugees. We aimed to inspect the recruitment and baseline characteristics of the participants in the trial, which is conducted to evaluate the app. Analyses were based on the recruitment sample (n = 170) and the trial sample (n = 133). Data were collected during structured face-to-face interviews in the Arabic language. Targeted outcomes included post-traumatic stress (primary; Post-traumatic Diagnostic Scale for DSM-5/PDS-5) and depressive symptoms, anxiety, resilience, among others (secondary). Recruited individuals were M = 32.8 (SD = 11.2, range = 18–65) years old; 38.8% were women. The average PDS-5 score was 23.6 (SD = 13.2) regarding trauma exposure, which was most frequently related to experiencing military- or combat-related events (32.9%). Moreover, 46.5% had major depression and 51.8% showed low resilience. Anxiety was present in 40.6% of the trial participants. Psychological distress was high in Syrian refugees residing in Germany, enrolled in a trial targeting post-traumatic stress. This underlines the need for intervention. Our results provide important figures on the mental health of a not well-studied population group in Germany. View Full-Text
Keywords: Syrian refugees; posttraumatic stress; eHealth; mHealth; app; smartphone; trial; randomized-controlled trial; intervention; baseline; mental health Syrian refugees; posttraumatic stress; eHealth; mHealth; app; smartphone; trial; randomized-controlled trial; intervention; baseline; mental health
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Röhr, S.; Jung, F.U.; Renner, A.; Plexnies, A.; Hoffmann, R.; Dams, J.; Grochtdreis, T.; König, H.-H.; Kersting, A.; Riedel-Heller, S.G. Recruitment and Baseline Characteristics of Participants in the “Sanadak” Trial: A Self-Help App for Syrian Refugees with Post-traumatic Stress. Int. J. Environ. Res. Public Health 2020, 17, 7578.

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