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This randomized controlled trial assessed the efficacy of an 8-session, culturally adapted Brief Cognitive Behavioral Therapy (Brief CBT) compared to Treatment as Usual (TAU) in reducing suicidal ideation among economically distressed migrant workers in the United Arab Emirates. Participants (N=120) were randomized to receive Brief CBT or TAU. Outcomes were assessed at baseline, 4-weeks, 8-weeks, and 3-month follow-up.
Economically distressed migrant workers face high psychosocial stress, resulting in increased suicidal ideation. This study examined the effectiveness of culturally adapted Brief CBT in addressing suicidal ideation, depression, anxiety, stress, and financial distress compared to standard treatment resources provided as usual.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Brief CBT | Experimental | Participants assigned to this arm received an 8-session culturally adapted Brief Cognitive Behavioral Therapy (Brief CBT). Sessions addressed crisis stabilization, cognitive restructuring, problem-solving related to financial stressors, behavioral activation, emotion regulation skills, relapse prevention, and linkage to community resources. Sessions were delivered weekly, either individually (60 minutes) or in groups (90 minutes), based on participant preference. |
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| Treatment as Usual (TAU) | No Intervention | Participants assigned to this arm received standard community resources and information without structured therapeutic intervention. They were provided with a comprehensive multilingual list of available mental health services, crisis support hotlines, and financial counseling resources accessible in the UAE. Participants were free to access these services independently, without active facilitation or structured guidance by the research team. This arm represents the standard of care typically available to economically distressed migrant workers experiencing mental health difficulties in the region. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brief Cognitive Behavioral Therapy | Behavioral | Participants received an 8-session culturally adapted Brief Cognitive Behavioral Therapy intervention targeting suicidal ideation, psychological distress, and financial stress. Therapy included crisis stabilization, cognitive restructuring of maladaptive thoughts related to economic hardship, behavioral activation, problem-solving skills for financial and psychosocial stressors, and emotion-regulation training. It concluded with relapse prevention planning and connection to supportive community resources. Sessions were delivered weekly, either individually (60 minutes) or in groups (90 minutes), based on participant preference. |
| Measure | Description | Time Frame |
|---|---|---|
| Reduction in Suicidal Ideation Severity (Beck Scale for Suicide Ideation; BSS) | Change in the severity of suicidal ideation as measured by the Beck Scale for Suicide Ideation (BSS), a 19-item clinician-rated scale that assesses suicidal thoughts, plans, and wishes during the past week. Scores range from 0 to 38, with higher scores indicating greater suicidal ideation severity. | Baseline, 4 weeks (mid-treatment), 8 weeks (post-treatment), and 3-month follow-up |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bath Spa University Academic Centre RAK | Dubai | Dubai | 00000 | United Arab Emirates |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 11556941 | Background | Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x. | |
| Result | Bryan CJ, Rudd MD. Brief Cognitive-Behavioral Therapy for Suicide Prevention. New York: The Guilford Press; 2018. | ||
| Result | Prawitz AD, Garman ET, Sorhaindo B, O'Neill B, Kim J, Drentea P. InCharge Financial Distress/Financial Well-Being Scale: Development, administration, and score interpretation. Journal of Financial Counseling and Planning. 2006;17(1):34-50. | ||
| Result | Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2nd ed. Sydney: Psychology Foundation; 1995. |
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| ID | Term |
|---|---|
| D059020 | Suicidal Ideation |
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| D000086522 | Financial Stress |
| ID | Term |
|---|---|
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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Participants were randomly assigned (1:1) to either Brief CBT or Treatment as Usual (TAU).
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Outcomes assessors were blinded to group assignments.
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| 3170753 | Result | Beck AT, Steer RA, Ranieri WF. Scale for Suicide Ideation: psychometric properties of a self-report version. J Clin Psychol. 1988 Jul;44(4):499-505. doi: 10.1002/1097-4679(198807)44:43.0.co;2-6. |
| D001523 |
| Mental Disorders |
| D013315 | Stress, Psychological |