Discussion
torture, depressive symptoms
We examined the effectiveness of a cultural-sensitive group intervention for refugees and asylum seekers with moderate depressive symptoms within the multicenter MEHIRA project that compares an SCCM approach versus TAU [In our study, group participants reported fewer difficulties in interpersonal relationships (SDQ) after the end of therapy, suggesting group participation to promote prosocial behavior and social skills. It may also be the group context itself that is particularly well suited for refugee patients, the majority of which have had experiences with dictatorial systems, betrayal, or torture. Throughout the course of the intervention, trusting relationships a sense of belonging, and strong cohesion in the groups often developed. Participating in the Empowerment group therapy increased patients’ resilience compared to the control group. Group participation had no effect on the participant’s quality of life. A possible explanation could be that the WHOQoL-BREF assesses areas of life that remain unaffected by the intervention but have a major impact on the life quality of people who have fled their homes (e.g., monetary needs, living conditions).