The study analyzed language switching in bilingual psychotherapy and its impact on therapeutic alliance. 134 psychotherapy clients in the Netherlands participated in an online survey which included...Show moreThe study analyzed language switching in bilingual psychotherapy and its impact on therapeutic alliance. 134 psychotherapy clients in the Netherlands participated in an online survey which included the California Psychotherapy Alliance Scales - Patient Version and language-related questions. Analyses of Variances and Multiple Regression Analyses were conducted to investigate the effects. The findings indicate no significant correlation between language switching by the client and therapeutic alliance, but language switching by the therapist was associated with lower scores on the Patient Working Capacity (PWC) subscale. Discussing language switching was also negatively associated with the PWC and the Therapists' Understanding and Involvement (TUI) subscales. Language switching due to language barriers (dominant to non-dominant) and to distance oneself (non-dominant to dominant) were associated with lower alliance scores. Excluding Dutch-dominant psychotherapy clients, only the associated negative contribution of language switching to distance oneself remained significant. The findings highlight the complexity and universality of language switching and the importance of linguistic awareness among practitioners, particularly regarding the challenges of language barriers and their adverse effect on therapeutic alliance. Aiming to contribute to the evolving field of bilingual and multicultural psychotherapy, this study’s findings and limitations inspire future research on a linguistic technique yet not fully understood.Show less
Abstract Background At this moment, there are more refugees than ever before. Refugees have more chance of developing psychopathology, which can be explained from the (biosocial) ecological models....Show moreAbstract Background At this moment, there are more refugees than ever before. Refugees have more chance of developing psychopathology, which can be explained from the (biosocial) ecological models. Individual and environmental traits influence the development, course and treatment of psychopathology. An unstable environment might cause more stress and mental health issues. The aim of this meta-analysis is to research how effective psychotherapy is for treating PTSD in refugees, and if age as individual factor and language/ cultural adaptation as environmental factor influence the treatment efficacy. Methodology A systematic review with different meta-analyses. Results Systematic researches provided 132 effect sizes within 80 suitable studies. The overall effect size of treating PTSD was significant (Cohen’s d = -0.941, p < 0.001). There were no significant differences between the mean effect sizes of treating PTSD between children, adolescents and adults. There was no difference in treatment efficacy as a function of the level of language or cultural adaptation found. Discussion and conclusion These results show that psychotherapy significantly lowers PTSD symptoms in refugees. However, our results do not find evidence for the proposed (biosocial) ecological models since age and adaptation are not associated with treatment efficacy. Moreover, there is a large difference in treatment efficacy between refugees and non-refugees, this might be caused by the different structural designs between the studies included in this meta-analysis. Future research should consider these different structural designs and should research more environmental factors that can increase treatment efficacy.Show less
More than a third of students worldwide suffer from psychological problems - a concerning number that could rise in upcoming years. Caring Universities (CU) is an initiative of nine Dutch...Show moreMore than a third of students worldwide suffer from psychological problems - a concerning number that could rise in upcoming years. Caring Universities (CU) is an initiative of nine Dutch institutions to combat these issues. With eight evidence-based online programmes, CU strives to improve student wellbeing. The programmes include self-help, psychoeducation, and the weekly tracking of an e-coach. However, there is a large number of dropouts across programmes. Using a mixed-method design, potential reasons for dropout were investigated qualitatively, while medication and additional psychotherapy were researched quantitatively as predictors of dropout. Participants completed a demographic and dropout questionnaire on the CU platform. Results of the qualitative analysis (N = 40) showed that time pressure and a lack of motivation were the most prevalent reasons for dropping out. Experiencing stress and the lack of feedback were recurring themes of the narrative accounts. In the quantitative investigation (N = 4331), neither medication nor psychotherapy significantly affected dropout, meaning that future CU programmes will not have to correct or account for them. Limitations include the measurements based on self-report and the way dropout was defined. Future research should take into account more reasons for and predictors of dropout from eHealth programmes for students, like language.Show less
Refugees form a population with a high prevalence of psychological disorders relative to non-refugee populations (WHO, 2021). It has been suggested that cultural adaptation of psychological...Show moreRefugees form a population with a high prevalence of psychological disorders relative to non-refugee populations (WHO, 2021). It has been suggested that cultural adaptation of psychological treatments can help to optimise the effectiveness of treatments for refugees, but there is a lack of clear research on this topic. The current work addresses this by investigating the following research question: Are culturally adapted psychological treatments more effective than non-adapted treatments in reducing symptoms of PTSD, depression and anxiety in refugees? It is hypothesized that culturally adapted treatments are more effective than non-adapted treatments. The research question is explored by performing a meta-analysis of treatment effects from a selection of studies. Results from the meta-analysis show significant treatment effects of culturally adapted treatments and non-adapted treatments for PTSD, depression and anxiety. However, no significant differences in treatment effects were found between culturally adapted treatments and non-adapted treatments. Therefore, the conclusion is that culturally adapted treatments for PTSD, depression and anxiety are not more effective for refugees than non-adapted treatments. The main implication of this is that it might not be necessary for clinicians and researchers to invest in cultural adaptation of psychological treatments.Show less
