{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T06:44:11Z","timestamp":1792046651690,"version":"4.4.0"},"reference-count":43,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec id=\"S205647242612122X_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Refugee youth are at elevated risk for post-traumatic stress disorder (PTSD) and other mental health disorders, yet systemic and cultural barriers limit access to care. Scalable, transdiagnostic interventions such as Problem Management Plus (PM+) are promising, but their impact on trauma symptoms is modest. Incorporating brief trauma-focused components may enhance effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242612122X_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the feasibility and acceptability of PM+ with an emotional processing module (PM+EP) for refugee youth aged 16\u201325 years in the Netherlands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242612122X_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Refugee youth with elevated psychological distress (K10 &gt; 15) and impaired functioning (World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) &gt; 16) were randomised into PM+EP, PM+ with supportive counselling (PM+SC), or care as usual (CAU). Feasibility and acceptability were assessed via recruitment, adherence, fidelity and qualitative interviews. Psychological distress, PTSD symptoms, functioning and self-identified problems were measured at baseline, post-intervention and follow-up. Registered in Overview of Medical Research in the Netherlands (OMON; Trial ID: NL-OMON56254).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242612122X_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty-two participants were randomised (PM+EP:\n                      <jats:italic>n<\/jats:italic>\n                      = 17; PM+SC:\n                      <jats:italic>n<\/jats:italic>\n                      = 19; CAU:\n                      <jats:italic>n<\/jats:italic>\n                      = 16). Attendance and fidelity were high, and PM+ interventions were rated as acceptable and culturally appropriate. No significant between-group differences were observed in the primary analyses. Exploratory analyses suggested greater short-term symptom reduction for probable depression in PM+EP versus CAU (\n                      <jats:italic>b<\/jats:italic>\n                      = \u20130.79, s.e. = 0.38,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.04). Effect size estimates ranged from small to large across outcomes (Hedges\u2019\n                      <jats:italic>g<\/jats:italic>\n                      = \u20130.98 to 0.19).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242612122X_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PM+ is feasible, acceptable and safe for refugee youth aged 16 years and older. The potential added value of the EP module remains unclear and warrants further investigation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S205647242612122X_as6\">\n                    <jats:title>Trial Registration Number<\/jats:title>\n                    <jats:p>\n                      The trial was registered in the Dutch clinical trial registration: Overview of Medical Research in the Netherlands (OMON) (Trial ID: NL-OMON56254;\n                      <jats:uri xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/onderzoekmetmensen.nl\/en\/trial\/56254\">https:\/\/onderzoekmetmensen.nl\/en\/trial\/56254<\/jats:uri>\n                      ).\n                    <\/jats:p>\n                  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Oekra\u00efners in Nederland \u2013 Asiel en integratie 2025 [Ukrainians in the Netherlands \u2013 Asylum and Integration 2025]. 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