Pilot Study of Testing Group Psychological Help for Syrian Refugees in Jordan

INTERVENTION: There are two arms to this pilot trial. Arm 1: Problem Management Plus. Arm 2: Enhanced Treatment as Usual. Therapy is group‐administered once‐weekly for 90 minutes over 5 weeks for adults. Problem Management Plus includes skills in psychoeducation, problem solving, arousal management, behavioural activation, and accessing social support. The duration of the study for any participant will conclude after a post‐intervention assessment, resulting in participation duration of 7 weeks. Therapy is provided by trained local health workers. Treatment adherence will be measured by independent assessors observing random sessions, as well as facilitators completing treatment component checklist. CONDITION: Mental Health ‐ Anxiety Mental Health ‐ Depression Mental Health ‐ Other mental health disorders Psychological distress;Depression;Posttraumatic stress disorder; ; Psychological distress ; Depression ; Posttraumatic stress disorder PRIMARY OUTCOME: Anxiety as measured by the Hopkins Symptom Checklist[Pretreatment (week 1), and posttreatment (week 7) ] Depression as measured by the Hopkins Symptom Checklist[Pretreatment (week 1), and posttreatment (week 7) ] SECONDARY OUTCOME: Participant's child's psychological distress as measured by the Pediatric Symptom Checklist[Pretreatment (week 1), and posttreatment (week 7) ] Posttraumatic stress as measured by the Posttraumatic Stress Disorder Checklist[Pretreatment (week 1), and posttreatment (week 7) ] INCLUSION CRITERIA: Inclusion criteria are (a) Syrian refugee residing in Azraq Refugee Camp, (b) aged > 18 years, (c) scores on Kessler‐10 > 15.9 and WHODAS > 16, (c) can understand instructions, (d) Arabic speaking, and (e) has a child between 10‐16 years.