
TREAT aims to determine factors that are associated with access to evidence-based mental health treatment for refugees living in Germany. TREAT will determine key figures of the provision of psychotherapy to refugee patients and analyses barriers in the access to treatment. The examination of barriers focuses on structural barriers within the health care system (e.g., lack of culture-sensitive resources) as well as attitudes and behavior of treatment providers. Prevailing assumptions about mental health care with refugee patients will be explored and tested.
Projectteam
Contact person for any questions
Lars Dumke
lars.dumke@uni-bielefeld.de
Cooperating Partners
TREAT is a subproject of the research group "Refugee migration to Germany: a magnifying glass for broader public health challenges" (PH-LENS) funded by the German Research Foundation (DFG).
Dumke, L. & Neuner, F. (2023) Othering refugees: Psychotherapists’ attitudes toward patients with and without a refugee background, Psychotherapy Research, 33:5, 654-668, DOI: 10.1080/10503307.2022.2150097
Dumke, L., Wilker, S., Kotterba, A., & Neuner, F. (2023). The role of psychotherapists' perceived barriers in providing psychotherapy to refugee patients. Clinical Psychology & Psychotherapy, 1– 12. https://doi.org/10.1002/cpp.2859
Training of cognitive functions in depression: Mindfulness versus neuropsychological training
Depressive disorders are usually accompanied by cognitive impairments, such as attention problems. At the brain level, associated abnormalities in basic activity are evident. Since these impairments have negative effects on the treatment and the participation of the patients in occupational and social activities, there are some attempts to treat them with established neuropsychological therapy methods. Although mindfulness-based practices are known to have a positive impact on cognitive functioning, in addition to positively affecting other depressive symptoms, mindfulness-based practices have not yet been tested against established neuropsychological treatments in depressed patients. Given the broad effects of mindfulness-based therapy, it would already be a success if the effects of this therapy were not inferior to an established neuropsychological training program. Therefore, with this pilot study, we address the question of whether mindfulness-based training is at least not significantly inferior to an established training program. In order to exclude age-correlated pathological brain processes, we focus on young patients between 16 and 21 years with a depressive episode. They will be randomized to two treatment arms: They will receive either "Rehacom®", a proven PC-based cognitive training program, or a modified version of "Mindfulness-Based Cognitive Therapy (MBCT)", a mindfulness-based therapeutic procedure for depressive patients. In both cases, the patients are examined neurophysiologically (BRAIN), neuropsychologically and with regard to further depressive symptoms (IMPAIRMENT) and everyday functionality (PARTICIPATION) before randomization and after implementation of the four-week intervention.
Funded in the Start-up Fund Medical Research of the Medical School EWL
https://www.uni-bielefeld.de/fakultaeten/medizin/forschung/foerderung/anschubfonds/projekte/
Projectteam
Contact person for any questions
Benjamin Iffland
benjamin.iffland@uni-bielefeld.de
Telefon: +49 521 106 4491
Cooperating Partners