Aysazci-Cakar, Fatma
(2024)
Investigation of the effectiveness of Narrative Exposure Therapy in the Syrian refugee population and the potential role of it in Self-Concept Clarity.
PhD thesis, University of Nottingham.
Abstract
Since the outbreak of the civil war in Syria, millions of Syrians have sought refuge in neighbouring countries, with Turkiye hosting the largest number of displaced Syrians globally. Among the challenges faced by this population, the prevalence of mental health disorders, particularly PTSD, depression, and anxiety, has become a pressing issue. Therefore, a systematic review was conducted fundamentally to examine the prevalence and correlates of these mental health conditions among externally displaced Syrians. Seventeen studies meeting eligibility criteria were analysed, revealing significantly elevated rates of PTSD (23.26-42.63%), depression (30.29-50.53%), and anxiety (17.66-48.93%) compared to the general population.
Despite the effectiveness of various psychological interventions, accessibility to mental health treatments remains limited, especially in post-conflict areas. Narrative Exposure Therapy (NET) has demonstrated success in treating PTSD among refugee populations, yet its application and effectiveness specifically for displaced Syrians remain unexplored. Against the backdrop of a vast number of Syrian refugee population in Turkiye and the dearth of structured mental health interventions, this study aimed to explore the feasibility and effectiveness of implementing NET within the Turkish context. In this vein, a preliminary focus group was conducted to assess potential barriers and contextual challenges to delivering NET in the Turkish setting before the main intervention of NET study. Content analysis of the focus group discussions drew a roadmap for the recruitment and delivery process of the NET intervention. Following the findings of the focus group that suggest inclusion criteria for the recruitment of NET participants, a Single Case AB design study was undertaken, involving three participants, to track changes in PTSD, anxiety, stress, and self- Concept Clarity (SCC) in NET intervention over time. The findings indicate a promising
potential of NET in reducing symptoms of PTSD, anxiety, and stress, with notable improvements in SCC observed during the intervention.
This pioneering study represents a significant step in addressing the mental health crisis among Syrian refugees in Turkiye. Its findings underscore the urgent need for evidence-based, accessible, and practical psychological interventions to cater to the specific needs of this vulnerable population. Moreover, the study emphasises the critical role of NET outlining context-specific research in informing effective mental health policies and interventions for displaced populations.
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