Subjective perception of PM+
After the training, participants reported a positive experience with the aPM + training and that they noticed positive changes in several psychological domains (mental, knowledge, interpersonal, behavioral). For instance, they perceived increased positive feelings and improved attitudes (mental domain), and increased expertise regarding self-regulation (knowledge domain). Interpersonal contact became easier and participants felt more competent in structuring their daily life. These findings correspond to previous research, which likewise reported positive perceptions of the intervention and its strategies [
Participants perceived 
Interestingly, participants rarely reported somatic symptoms. Research on somatic symptoms in refugee populations has yielded heterogeneous findings [Furthermore, participants perceived the therapeutic relationship as helpful. This is in line with previous research that found a positive therapeutic relationship to be a reliable predictor of positive treatment outcomes [Participants reported that they recommended the training to family and friends because they were able to feel positive effects of the training. Therefore, it is important to note that peers could also serve as facilitators of mental health service use, and future mental health interventions should consider this within their treatment designs [