Problem Management Plus (PM+) intervention in the context of refugee psychosocial support: Research data and applications


Published: Dec 16, 2024
Keywords:
PM intervention, psychosocial support, refugees, task-shifting
Chrysovalantis Papathanasiou
https://orcid.org/0000-0002-6173-9939
Stella Pantelidou
https://orcid.org/0000-0003-3709-1068
Pepi Belekou
https://orcid.org/0000-0001-8612-7982
Angeliki Menediatou
https://orcid.org/0000-0002-4488-9986
Anastasia Mantzari
https://orcid.org/0000-0002-0634-351X
Stelios Stylianidis
https://orcid.org/0000-0002-8334-1817
Abstract

The Problem Management Plus (PM+) intervention was developed by the World Health Organization to bridge the gap between mental health needs and access to quality services, as part of the WHO Mental Health Gap Action Programme (mhGAP). It is an intervention for the psychosocial support of adults who suffer from common mental health problems and face adversities in their daily lives. There is strong evidence for the intervention’s effectiveness in reducing psychological symptoms in adults exposed to adversities. Within the context of the “Community Psychosocial Workforce” program, implemented by EPAPSY (Association for Regional Development and Mental Health) in collaboration with UNHCR, the UN Refugee Agency, members of refugee communities are trained and supervised by mental health professionals to provide psychosocial support through the PM+ intervention to refugees facing emotional difficulties. The basic strategies of the intervention are based on problem-solving techniques and behavioral therapy and include anxiety management, behavioral activation, and the enhancement of social support. Additionally, symptoms of depression, anxiety, suicidality, and self-reported mental health problems are assessed using questionnaires before and after the intervention. The current article provides a detailed presentation of the intervention based on recent empirical and clinical data, as well as a presentation of its application by specially trained refugees.

Article Details
  • Section
  • RESEARCH PAPERS
Downloads
Download data is not yet available.
References
Abrahamsson, A., Andersson, J., & Springett, J. (2009). Building bridges or negotiating tensions? Experiences from a project aimed at enabling migrant access to health and social care in Sweden. Diversity and Equality in Health and Care, 6(2), 85-95.
Ager, A., Akesson, B., Stark, L., Flouri, E., Okot, B., McCollister, F., & Boothby, N. (2011). The impact of the school‐based Psychosocial Structured Activities (PSSA) program on conflict‐affected children in northern Uganda. Journal of Child Psychology and Psychiatry, 52(11), 1124-1133. https://doi.org/10.1111/j.1469-7610.2011.02407.x
Arveiller, J. P., & Tizon, P. (2016). Démocratie sanitaire, qu’est-ce à dire? Pratiques en santé mentale, 62(2), 2-2. Asfaw, B. B., Beiersmann, C., Keck, V., Nikendei, C., Benson-Martin, J., Schütt, I., & Lohmann, J. (2020). Experiences of psychotherapists working with refugees in Germany: A qualitative study. BMC Psychiatry, 20(1), 1-8. https://doi.org/10.1186/s12888-020-02996-0
Aten, J. D. & Hwang, J. (2021). Refugee Mental Health. American Psychological Association. https://doi.org/10.1037/0000226-000
Barnett, M. L., Gonzalez, A., Miranda, J., Chavira, D. A., & Lau, A. S. (2018). Mobilizing community health workers to address mental health disparities for underserved populations: A systematic review. Administration and Policy in Mental Health and Mental Health Services Research, 45(2), 195-211. https://doi.org/10.1007/s10488-017-0815-0
Barnett, M. L., Lau, A. S., & Miranda, J. (2018). Lay health worker involvement in evidence-based treatment delivery: A conceptual model to address disparities in care. Annual Review of Clinical Psychology, 14, 185-208. https://doi.org/10.1146/annurev-clinpsy-050817-084825
Beck, U. (1992). Risk Society: Towards a New Modernity. Sage Publications. https://doi.org/10.1177/072551369403700115
Beiser, M., Wiwa, O., & Adebajo, S. (2010). Human-initiated disaster, social disorganization and post-traumatic stress disorder above Nigeria’s oil basins. Social Science & Medicine, 71(2), 221-227. https://doi.org/10.1016/j.socscimed.2010.03.039
Beiser, M., Zilber, N., Simich, L., Youngmann, R., Zohar, A. H., Taa, B., & Hou, F. (2011). Regional effects on the mental health of immigrant children: Results from the New Canadian Children and Youth Study (NCCYS). Health & Place, 17(3), 822-829. https://doi.org/10.1016/j.healthplace.2011.03.005
Bhui, K., Craig, T., Mohamud, S., Warfa, N., Stansfeld, S. A., Thornicroft, G., Curtis, S., & McCrone, P. (2006). Mental disorders among Somali refugees. Social Psychiatry and Psychiatric Epidemiology, 41(5), 400-408. https://doi.org/10.1007/s00127-006-0043-5
Blackmore, R., Boyle, J. A., Fazel, M., Ranasinha, S., Gray, K. M., Fitzgerald, G., Misso, M., & Gibson-Helm, M. (2020). The prevalence of mental illness in refugees and asylum seekers: A systematic review and meta- analysis. PLoS Medicine, 17(9), e1003337. https://doi.org/10.1371/journal.pmed.1003337
Bogic, M., Njoku, A., & Priebe, S. (2015). Long-term mental health of war-refugees: A systematic literature review. BMC International Health and Human Rights, 15(1), 1-41. https://doi.org/10.1186/s12914-015-0064-9
Bowes, A., & Wilkinson, H. (2003). ‘We didn’t know it would get that bad’: South Asian experiences of dementia and the service response. Health & Social Care in the Community, 11(5), 387-396. https://doi.org/10.1046/j.1365-2524.2003.00440.x
Bryant, R. A., Schafer, A., Dawson, K. S., Anjuri, D., Mulili, C., Ndogoni, L., Koyiet, P., Sijbrandij, M., Ulate, J., Shehadeh, M. H., Hadzi-Pavlovic, D., & Van Ommeren, M. (2017). Effectiveness of a brief behavioural intervention on psychological distress among women with a history of gender-based violence in urban Kenya: A randomised clinical trial. PLoS Medicine, 14(8), e1002371. https://doi.org/10.1371/journal.pmed.1002371
Bullis, J. R., Fortune, M. R., Farchione, T. J., & Barlow, D. H. (2014). A preliminary investigation of the long-term outcome of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders. Comprehensive Psychiatry, 55(8), 1920-1927. https://doi.org/10.1016/j.comppsych.2014.07.016
Cho, S., Bernstein, K. S., Roh, S., & Chen, D. C. (2013). Logo-autobiography and its effectiveness on depressed Korean immigrant women. Journal of Transcultural Nursing, 24(1), 33-42. https://doi.org/10.1177/1043659612452005
Chung, R. C. Y., Bemak, F., Ortiz, D. P., & Sandoval‐Perez, P. A. (2008). Promoting the mental health of immigrants: A multicultural/social justice perspective. Journal of Counseling & Development, 86(3), 310-317. https://doi.org/10.1002/j.1556-6678.2008.tb00514.x
Close, C., Kouvonen, A., Bosqui, T., Patel, K., O’Reilly, D., & Donnelly, M. (2016). The mental health and wellbeing of first generation migrants: A systematic-narrative review of reviews. Globalization and Health, 12(1), 1-13. https://doi.org/10.1186/s12992-016-0187-3
Cohen, F., & Yaeger, L. (2021). Task-shifting for refugee mental health and psychosocial support: A scoping review of services in humanitarian settings through the lens of RE-AIM. Implementation Research and Practice, 2, 2633489521998790. https://doi.org/10.1177/2633489521998790
Collins, P. Y., Patel, V., Joestl, S. S., March, D., Insel, T. R., Daar, A. S., Bordin, I. A., Costello, E. J., Durkin, M., Fairburn, C., Glass, R. I., Hall, W., Huang, Y., Hyman, S. E., Jamison, K., Kaaya, S., Kapur, S., Kleinman, A., Ogunniyi, A., … & Walport, M. (2011). Grand challenges in global mental health. Nature, 475, 27-30. https://doi.org/10.1038/475027a
Davidson, L., Chinman, M., Sells, D. & Rowe, M. (2006). Peer support among adults with serious mental illness: A report from the field. Schizophrenia Bulletin, 32, 443-450. https://doi.org/10.1093/schbul/sbj043
Dawson, K. S., Bryant, R. A., Harper, M., Tay, A. K., Rahman, A., Schafer, A., & Van Ommeren, M. (2015). Problem Management Plus (PM+): A WHO transdiagnostic psychological intervention for common mental health problems. World Psychiatry, 14(3), 354. https://doi.org/10.1002/wps.20255
de Graaff, A. M., Cuijpers, P., McDaid, D., Park, A., Woodward, A., Bryant, R. A., Fuhr, D. C., Kieft, B., Minkenberg E., & Sijbrandij, M. (2020). Peer-provided Problem Management Plus (PM+) for adult Syrian refugees: A pilot randomised controlled trial on effectiveness and cost-effectiveness. Epidemiology and Psychiatric Sciences, 29, E162. https://doi.org/10.1017/S2045796020000724
de Graaff, A. M., Cuijpers, P., Twisk, J. W., Kieft, B., Hunaidy, S., Elsawy, M., Gorgis, N., Bouman, T. K., Lommen, M. J. J., Acarturk, C., Bryant, R., Burchert, S., Dawson, K. S., Fuhr, D. C., Hansen, P., Jordans, M., Knaevelsrud, C., McDaid, D., Morina N., & Sijbrandij, M. (2023). Peer-provided psychological intervention for Syrian refugees: results of a randomised controlled trial on the effectiveness of Problem Management Plus. BMJ Ment Health, 26(1). https://doi.org/10.1017/10.1136/bmjment-2022-300637
Din-Dzietham, R., Nembhard, W. N., Collins, R., & Davis, S. K. (2004). Perceived stress following race-based discrimination at work is associated with hypertension in African–Americans. The metro Atlanta heart disease study, 1999–2001. Social Science & Medicine, 58(3), 449-461. https://doi.org/10.1016/S0277-9536(03)00211-9
Ellis, B. H., Abdi, S. M., & Winer, J. P. (2020). Mental health practice with immigrant and refugee youth: A socioecological framework. American Psychological Association. https://doi.org/10.1037/0000163-000
Fabry, D. D. S., Sheikh, A., & Selman, M. (2007). Logotherapy can enrich cognitive behavioral therapy practice. International Forum for Logotherapy, 30(2), 100-106.
Fazel, M., Wheeler, J., & Danesh, J. (2005). Prevalence of serious mental disorder in 7000 refugees resettled in western countries: A systematic review. The Lancet, 365(9467), 1309-1314. https://doi.org/10.1016/S0140-6736(05)61027-6
Fuhr, D., Bogdanov, S., Tol, W., Nadkarni, A., & Roberts, B. (2021). Problem Management Plus and Alcohol (PM+ A): A new intervention to address alcohol misuse and psychological distress among conflict-affected populations. Intervention, 19(1), 141-143. https://doi.org/10.4103/INTV.INTV_27_20
Galvin, M., & Byansi, W. (2020). A systematic review of task shifting for mental health in sub-Saharan Africa. International Journal of Mental Health, 49(4), 336-360. https://doi.org/10.1080/00207411.2020.1798720
Glassman, U., & Skolnik, L. (1984). The role of social group work in refugee resettlement. Social Work with Groups, 7(1), 45-62. https://doi.org/10.1300/J009v07n01_05
Hamdani, S. U., Rahman, A., Wang, D., Chen, T., van Ommeren, M., Chisholm, D., & Farooq, S. (2020). Cost- effectiveness of WHO Problem Management Plus for adults with mood and anxiety disorders in a post- conflict area of Pakistan: Randomised controlled trial. The British Journal of Psychiatry, 217(5), 623-629. https://doi.org/10.1192/bjp.2020.138
Jaranson, J. M., Butcher, J., Halcon, L., Johnson, D. R., Robertson, C., Savik, K., Spring, M., & Westermeyer, J. (2004). Somali and Oromo refugees: Correlates of torture and trauma history. American Journal of Public Health, 94(4), 591-598. https://doi.org/10.2105/AJPH.94.4.591
Jordans, M. J., Kohrt, B. A., Sangraula, M., Turner, E. L., Wang, X., Shrestha, P., Ghimire, R., Van’t Hof, E., Bryant, R. A., Dawson, K. S., Marahatta, K., Luitel, N. P., & Van Ommeren, M. (2021). Effectiveness of Group Problem Management Plus, a brief psychological intervention for adults affected by humanitarian disasters in Nepal: A cluster randomized controlled trial. PLoS Medicine, 18(6), e1003621. https://doi.org/10.1371/journal.pmed.1003621
Kaslow, F. W. (2014). Intervening with immigrant families: An integrative systems perspective. Journal of Family Psychotherapy, 25(2), 177-191. https://doi.org/10.1080/08975353.2014.910031
Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Langlois, E. V., Haines, A., Tomson, G., & Ghaffar, A. (2016). Refugees: Towards better access to health-care services. The Lancet, 387(10016), 319-321. https://doi.org/10.1016/S0140-6736(16)00101-X
Lawrence, J., & Kearns, R. (2005). Exploring the ‘fit’ between people and providers: Refugee health needs and health care services in Mt Roskill, Auckland, New Zealand. Health & Social Care in the Community, 13(5), 451-461. https://doi.org/10.1111/j.1365-2524.2005.00572.x
Lindert, J., Von Ehrenstein, O. S., Priebe, S., Mielck, A., & Brähler, E. (2009). Depression and anxiety in labor migrants and refugees – A systematic review and meta-analysis. Social Science & Medicine, 69(2), 246-257. https://doi.org/10.1016/j.socscimed.2009.04.032
McEvoy, P. M., Nathan, P., & Norton, P. J. (2009). Efficacy of transdiagnostic treatments: A review of published outcome studies and future research directions. Journal of Cognitive Psychotherapy, 23(1), 20-33. https://doi.org/10.1891/0889-8391.23.1.20
McMichael, C., & Manderson, L. (2004). Somali women and well-being: Social networks and social capital among immigrant women in Australia. Human Organization, 63(1), 88-99. https://doi.org/10.17730/humo.63.1.nwlpjdj4d4l9756l
Miller, K. E., & Rasmussen, A. (2017). The mental health of civilians displaced by armed conflict: An ecological model of refugee distress. Epidemiology and Psychiatric Sciences, 26(2), 129-138. https://doi.org/10.1017/S2045796016000172
Murray, L. K., Dorsey, S., Haroz, E., Lee, C., Alsiary, M. M., Haydary, A., Weiss, W. M., & Bolton, P. (2014). A common elements treatment approach for adult mental health problems in low-and middle-income countries. Cognitive and Behavioral Practice, 21(2), 111-123. https://doi.org/10.1016/j.cbpra.2013.06.005
Mutamba, B. B., Van Ginneken, N., Paintain, L. S., Wandiembe, S., & Schellenberg, D. (2013). Roles and effectiveness of lay community health workers in the prevention of mental, neurological and substance use disorders in low and middle income countries: A systematic review. BMC Health Services Research, 13(1), 1-11. https://doi.org/10.1186/1472-6963-13-412
Nassif, C., Schulenberg, S. E., Hutzell, R. R., & Rogina, J. M. (2010). Clinical supervision and logotherapy: Discovering meaning in the supervisory relationship. Journal of Contemporary Psychotherapy, 40(1), 21-29. https://doi.org/10.1007/s10879-009-9111-y
Nemiro, A., Van’t Hof, E., & Constant, S. (2021). After the randomised controlled trial: Implementing Problem Management Plus through humanitarian agencies: Three case studies from Ethiopia, Syria and Honduras. Intervention, 19(1), 84. https://doi.org/10.4103/INTV.INTV_34_20
Owens, A., & Randhawa, G. (2004). ‘It's different from my culture; they’re very different’: Providing community‐based, ‘culturally competent’ palliative care for South Asian people in the UK. Health & Social Care in the Community, 12(5), 414-421. https://doi.org/10.1111/j.1365-2524.2004.00511.x
Patel, K., Buffin, J., Underwood, S., Khurana, J., Mcquade, C., Brako, M., & Fountain, J. (2004). Young refugees and asylum seekers in Greater London: Vulnerability to problematic drug use. Centre for Ethnicity and Health, University of Central Lancashire.
Patel, V., Chowdhary, N., Rahman, A., & Verdeli, H. (2011). Improving access to psychological treatments: Lessons from developing countries. Behaviour Research and Therapy, 49(9), 523-528. https://doi.org/10.1016/j.brat.2011.06.012
Peconga, E. K., & Høgh Thøgersen, M. (2020). Post-traumatic stress disorder, depression, and anxiety in adult Syrian refugees: What do we know? Scandinavian Journal of Public Health, 48(7), 677-687. https://doi.org/10.1177/1403494819882137
Priebe, S., Giacco, D. & El-Naib, R. (2016). Public health aspects of mental health among migrants and refugees: A review of the evidence on mental health care for refugees, asylum seekers and irregular migrants in the WHO European Region. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/326308/9789289051651-eng.pdf?sequence=1&isAllowed=y
Rahgozar, S., & Giménez-Llort, L. (2020). Foundations and applications of logotherapy to improve mental health of immigrant populations in the third millennium. Frontiers in Psychiatry, 11, 451. https://doi.org/10.3389/fpsyt.2020.00451
Rahman, A., Khan, M. N., Hamdani, S. U., Chiumento, A., Akhtar, P., Nazir, H., Nisar, A., Masood, A., Ud Din, I., Ali Khan, Bryant, R. A., Dawson, K. S., Sijbrandij, M., Wang, D., & Van Ommeren, M. (2019). Effectiveness of a brief group psychological intervention for women in a post-conflict setting in Pakistan: A single-blind, cluster, randomised controlled trial. The Lancet, 393(10182), 1733-1744. https://doi.org/10.1016/S0140- 6736(18)32343-2
Rahman, A., Riaz, N., Dawson, K. S., Hamdani, S. U., Chiumento, A., Sijbrandij, M., Minhas, F., Bryant, R. A., Saeed, K., Van Ommeren, M., & Farooq, S. (2016). Problem Management Plus (PM+): Pilot trial of a WHO transdiagnostic psychological intervention in conflict‐affected Pakistan. World Psychiatry, 15(2), 182. https://doi.org/10.1002/wps.20312
Rawlinson, R., Aslam, R. H. W., Burnside, G., Chiumento, A., Eriksson-Lee, M., Humphreys, A., ... & Dowrick, C. (2020). Lay-therapist-delivered, low-intensity, psychosocial intervention for refugees and asylum seekers (PROSPER): protocol for a pilot randomised controlled trial. Trials, 21, 1-14. https://doi.org//10.1186/s13063-020-04310-5
Risal A. (2011). Common mental disorders. Kathmandu University Medical Journal, 9(35), 213–217. https://doi.org/10.3126/kumj.v9i3.6308
Sangraula, M., Turner, E. L., Luitel, N. P., Van‘t Hof, E., Shrestha, P., Ghimire, R., Bryant, R., Marahatta, K., Van Ommeren, M., Kohrt, B. A., & Jordans, M. J. D. (2020). Feasibility of Group Problem Management Plus (PM+) to improve mental health and functioning of adults in earthquake-affected communities in Nepal. Epidemiology and Psychiatric Sciences, 29, e130. https://doi.org/10.1017/S2045796020000414
Sever, C. A., Cuijpers, P., Mittendorfer-Rutz, E., Bryant, R. A., Dawson, K. S., Holmes, E. A., Mooren, T., Norredam, M. L., & Sijbrandij, M. (2021). Feasibility and acceptability of Problem Management Plus with Emotional Processing (PM+EP) for refugee youth living in the Netherlands: Study protocol. European Journal of Psychotraumatology, 12(1), 1947003. https://doi.org/10.1080/20008198.2021.1947003
Shafran, R., Myles-Hooton, P., Bennett, S., & Öst, L. (2021). The concept and definition of low intensity cognitive behaviour therapy. Behaviour Research and Therapy, 138, 103803. https://doi.org/10.1016/j.brat.2021.103803
Shaw, S. A. (2014). Bridge builders: A qualitative study exploring the experiences of former refugees working as caseworkers in the United States. Journal of Social Service Research, 40(3), 284-296. https://doi.org/10.1080/01488376.2014.901276
Singla, D. R., Kohrt, B. A., Murray, L. K., Anand, A., Chorpita, B. F., & Patel, V. (2017). Psychological treatments for the world: Lessons from low-and middle-income countries. Annual Review of Clinical Psychology, 13, 149-181. https://doi.org/10.1146/annurev-clinpsy-032816-045217
Slewa-Younan, S., Uribe Guajardo, M. G., Heriseanu, A., & Hasan, T. (2015). A systematic review of post- traumatic stress disorder and depression amongst Iraqi refugees located in western countries. Journal of Immigrant and Minority Health, 17(4), 1231-1239. https://doi.org/10.1007/s10903-014-0046-3
Smith, R. S. (2008). The case of a city where 1 in 6 residents is a refugee: Ecological factors and host community adaptation in successful resettlement. American Journal of Community Psychology, 42, 328-242. https://doi.org/10.1007/s10464-008-9208-6
Spaaij, J., Kiselev, N., Berger, C., Bryant, R. A., Cuijpers, P., de Graaff, A. M., Fuhr, D. C., Hemmo, M., McDaid, D., Moergeli, H., Park, A., Pfaltz, M. C., Schick, M., Schnyder, U., Wenger, A., Sijbrandij, M., & Morina, N. (2022). Feasibility and acceptability of Problem Management Plus (PM+) among Syrian refugees and asylum seekers in Switzerland: A mixed-method pilot randomized controlled trial. European Journal of Psychotraumatology, 13(1), 2002027. https://doi.org/10.1001/10.1080/20008198.2021.2002027
Spitzer, R. L., Kroenke, K., Williams, J. B., & Lö, B. (2006). A brief measure for assessing generalized anxiety disorder: The GAD-7. Archives of International Medicine, 166(10), 1092-7. https://doi.org/10.1001/archinte.166.10.1092
Steel, Z., Silove, D., Phan, T., & Bauman, A. (2002). Long-term effect of psychological trauma on the mental health of Vietnamese refugees resettled in Australia: A population-based study. The Lancet, 360(9339), 1056- 1062. https://doi.org/10.1016/S0140-6736(02)11142-1
Stewart, M., Anderson, J., Beiser, M., Mwakarimba, E., Neufeld, A., Simich, L., & Spitzer, D. (2008). Multicultural meanings of social support among immigrants and refugees. International Migration, 46(3), 123-159. https://doi.org/10.1111/j.1468-2435.2008.00464.x
Stewart, M., Simich, L., Shizha, E., Makumbe, K., & Makwarimba, E. (2012). Supporting African refugees in Canada: Insights from a support intervention. Health & Social Care in the Community, 20(5), 516-527. https://doi.org/10.1111/j.1365-2524.2012.01069.x
United Nations High Commissioner for Refugees. (2020). The United Nations Refugee Agency. https://www.unhcr.org/
United Nations High Commissioner for Refugees. (2022). The United Nations Refugee Agency. https://reporting.unhcr.org/greece
Üstün, T. B., Kostanjsek, N., Chatterji, S., & Rehm, J. (Eds.)(2010). Measuring health and disability: Manual for WHO Disability Assessment Schedule WHODAS 2.0. World Health Organization. https://www.who.int/classifications/icf/whodasii/en/
Warner, F. R. (2007). Social support and distress among Q'eqchi refugee women in Maya Tecún, Mexico. Medical Anthropology Quarterly, 21(2), 193-217. https://doi.org/10.1525/maq.2007.21.2.193
World Health Organization. (2016). Problem Management Plus (PM+): Individual psychological help for adults impaired by distress in communities exposed to adversity, WHO generic field-trial version 1.0. World Health Organization. https://apps.who.int/iris/handle/10665/206417
World Health Organization (2019). Participation as a driver of health equity. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/324909/9789289054126-eng.pdf?sequence=1&isAllowed=y
World Health Organization. (2020). Group Problem Management Plus (Group PM+): Group psychological help for adults impaired by distress in communities exposed to adversity, Generic field-trial version 1.0. World Health Organization. https://apps.who.int/iris/handle/10665/334055
Young, M. Y. (2001). Moderators of stress in Salvadoran refugees: The role of social and personal resources. International Migration Review, 35(3), 840-869. https://doi.org/10.1111/j.1747-7379.2001.tb00043.x
Zhang, H., Zhang, D., Lin, H., & Huang, L. (2020). Problem Management Plus in the treatment of mental disorders in patients with multiple myeloma. Supportive Care in Cancer, 28(10), 4721-4727. https://doi.org/10.1007/s00520-019-05289-9
Zotova, N. (2018). Religion and mental health among Central Asian Muslim immigrants in Chicago Metropolitan Area. Migration Letters, 15(3), 361-376. https://doi.org/10.33182/ml.v15i3.358