The Effectiveness of Somatic Experience Based Stabilization Program for Refugee Women’s Post-Traumatic Stress, Mindfulness And Social Support Level



Somatic experience, trauma, refugees, mindfulness, social support


This quasi-experimental study examines the effects of the Somatic Experience Stabilization Program (SESP) on post-traumatic stress, mindfulness, and social support levels among refugee women. This study was conducted with 22 women who applied to a non-governmental organization for social and psychological support. Impact of Event Scale-Revised (IES-R), Mindfulness Attention Awareness Scale (MAAS) and Multidimensional Scale of Perceived Social Support (MSPSS) were utilized for pre-test, post-test, and follow-up tests. While the experimental group received a six-session SESP intervention developed by the researcher, the control group received no intervention. SESP for refugee women was found to be significantly effective in decreasing post-traumatic stress and increasing mindfulness and social support levels. The effects of the program persisted during the follow-up test.


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Author Biography

Neslihan Arıcı Özcan

Assistant Professor
Social Work
İstanbul Medeniyet University
ORCID: 0000-0002-6169-1445


Acarturk, Ceren et al. “The efficacy of eye movement desensitization and reprocessing for post- traumatic stress disorder and depression among Syrian refugees: Results of a randomized controlled trial”. Cambridge University Press 46(12) (2016): 2583-2593.

Ament-Lenke, Amanda. Healing the Mind and Body: Practitioner Perspectives on Integrating Cognitive and Somatic Approaches in Psychotherapy with Refugees, Asylees, and Asylum Seekers. Unpublished Master Thesis. University of Stomas, Minnesota St. Catherine University, US (2018).

Andersen, Tonny, E. et al. “A randomized controlled trial of brief Somatic Experiencing for chronic low back pain and comorbid post-traumatic stress disorder symptoms”. European Journal of Psychotraumatology 8(1) (2017): 1-9.

Arroyo, Jessica Lee. Creating Safety: Dance/Movement Therapy with Refugees. Sarah Lawrence College. Unpublished Master Thesis. US (2018).

Bass, Judy et al. Implementing Trauma Focused Cognitive Behavioral Therapy (TF-CBT) among Formerly Trafficked-Sexually Exploited and Sexually Abused Girls in Cambodia: A Feasibility Study. Johns Hopkins Bloomberg School of Public Health (2011).

Bishop, Scott, R. et al. “Mindfulness: A proposed operational definition”. Clinical Psychology: Science and Practice 11 (2004): 230–241.

Block, Azadeh Masalehdan et al. “Peer support groups: Evaluating a culturally grounded, strengths-based approach for work with refugees”. Advances in Social Work 18(3) (2018): 930-948.

Bradshaw, Sarah and Fordham, Maureen. Double disaster: Disaster through a gender lens. In Hazards, Risks and Disasters in Society. Edited by Andrew E Collins, Samantha Jones, Bernard Manyena and Janaka Jayawickrama. Elsevier, pp. 233–251 (2015).

Briggs, Paul, C., Hayes, Sage, and Changaris, Michael. “Somatic Experiencing Informed Therapeutic Group for the Care and Treatment of Biopsychosocial Effects upon a Gender Diverse Identity”. Frontiers in Psychiatry 9 (2018): 53.

Brom, Danny et al. “Somatic Experiencing for posttraumatic stress disorder: A randomized controlled outcome study”. Journal of Traumatic Stress 30(3) (2017): 304–312.

Brown, Kirk Warren and Ryan, Richard M. “The benefits of being present: Mindfulness and its role in psychological well-being”. Journal of Personality and Social Psychology 84(4) (2003): 822–848.

Buhmann, Caecilie Böck. “Traumatized refugees: Morbidity, treatment and predictors of outcome”. Danish Medical Journal 61(8) (2014): B4871.

Courtois, Christine, A. “Complex trauma, complex reactions: assessment and treatment”. Psychological Trauma: Theory, Research, Practice, and Policy 41(4) 2008): 86-100.

Cryder, Cheryl et al. “An exploratory study of posttraumatic growth in children following a natural disaster”. American Journal of Orthopsychiatry 76 (2006): 65–69.

Corapcioglu, Aytül et al. “Validity and reliability of Turkish version of Impact of Event Scale-Revised (IESR)”. In New Symposium (Vol. 44, No. 1, pp. 14-22) (2006).

Directorate General of Migration Management. Temporary Protection. (2020).

Drozdek, Boris and Bolwerk, Nina. “Evaluation of group therapy with traumatized asylum seekers and refugeesthe Den Bosch model”. Traumatology 16(4) (2010): 117-127.

Eker, Doğan, Arkar, Haluk, and Yaldız, Hülya. “Factorial structure, validity, and reliability of revised form of the multidimensional scale of perceived social support”. Turkish Journal of Psychiatry 12(1) (2001): 17-25.

Fazel, Mina, Wheeler, Jeremy, and Danesh, John. “Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review”. Lancet 365 (2005): 1309-1314.

Figley, Charles, R. and Kiser, Laurel, J. Helping Traumatized Families. Routledge (2013).

Fuchs, Thomas. The memory of the body. (2004). Retrieved from: 7/7/6/8/77686656/fuchs_2_.pdf

Gray, Amber Elizabeth L. “War's Betrayal”. Somatic Psychotherapy Today 1(2) (2011): 36-37.

Heeren, Martina et al. “Mental health of asylum seekers: a cross-sectional study of psychiatric disorders”. BMC Psychiatry 12 (2012): 114.

Hinton Devon, E. et al. “Somatic-Focused Therapy for Traumatized Refugees: Treating Posttraumatic Stress Disorder and Comorbid Neck-Focused Panic Attacks among Cambodian Refugees”. Psychotherapy Theory Research Practice Training 43(4) (2006): 491–505.

Horowitz, Mardi, Wilner, Nancy, and Alvarez, William. “Impact of Event Scale: A measure of subjective stress”. Psychosomatic Medicine 41(3) (1979): 209-218.

Ibrahim, Hawkar and Hassan, Chiya, Q. “Post-traumatic stress disorder symptoms resulting from torture and other traumatic events among Syrian Kurdish refugees in Kurdistan Region, Iraq”. Frontiers in Psychology 8 (2017): 241.

Im, Hyojin and Rosenberg, Rachel. “Building social capital through a peer-led community health workshop: A pilot with the Bhutanese refugee community”. Journal of Community Health 41(3) (2016): 509-517.

Kabat‐Zinn, Jon. “Mindfulness‐based interventions in context: past, present, and future”. Clinical Psychology: Science and Practice 10(2) (2003): 144-156.

Kalmanowitz, Debra. Inhabited studio: Art therapy and mindfulness with survivors of political violence (Unpublished Doctoral Thesis). University of Hong Kong, Hong Kong (2016).

Kalmanowitz, Debra and Ho, Rainbow, T. H. “Out of our mind. Art therapy and mindfulness with refugees, political violence and trauma”. The Arts in Psychotherapy 49 (2016): 57-65.

Kandel, Eric, R. In search for memory. The emergence of a new science of mind. Norton (2006).

Kap, Derya. “Syrian refugees: Turkey's prospective citizens”. Academic Perspective (2014): 30-34.

Kaya, Edip et al. “Posttraumatic stress and depression among Syrian refugees living in Turkey: findings from an urban sample” Journal of Nervous and Mental Disease 207(12) (2019): 995–1000.

Kattenstroth, Maren. The Relation Between Body-Self-Unity and Mindfulness: A Comparison of Currently Depressed Patients and Exercisers (Bachelor thesis). Department of Psychology, University of Twente (2009).

Koch, Sabine C. and Weidinger-von der Recke, Beatrix. “Traumatised refugees: An integrated dance and verbal therapy approach”. The Arts in Psychotherapy 36(5) (2009): 289-296.

Leitch, Laurie and Miller-Karas, Elaine. “A case for using biologically based mental health intervention in postearthquake China: evaluation of training in the trauma resiliency model”. International Journal of Emergency Mental Health and Human Resilience 11 (2009): 221– 233.

Levine, Peter, A., and Frederick, Ann. Waking the Tiger: Healing Trauma: The Innate Capacity to Transform Overwhelming Experiences. North Atlantic Books (1997).

Levine, Peter, A. In an Unspoken Voice: How the Body Releases Trauma and Restores Goodness. North Atlantic Books (2010).

Levine, Peter, A. Trauma and memory: Brain and body in a search for the living past—A practical guide for understanding and working with traumatic memory. North Atlantic (2015).

McGrath, Michael et al. “Somatic distress among Syrian refugees in Istanbul, Turkey: A cross-sectional study”. Journal of Psychosomatic Research 132 (2020): 1-7. [109993].

Mehling, Wolf, E. “Differentiating attention styles and regulatory aspects of self-reported interoceptive sensibility. Phil Trans R Soc B 371 (2016): 20160013.

Mondal, Sanaul, H. “Women’s vulnerabilities due to the impact of climate change: Case from Satkhira region of Bangladesh”. Global Journal of Human Social Science 14 (2014), 46–52.

Nordbrandt, Maja, S. et al. “Trauma-affected refugees treated with basic body awareness therapy or mixed physical activity as augmentation to treatment as usual—A pragmatic randomized controlled trial”. PloS One 15(3) (2020): e0230300.

Ozyesil, Zumra et al. “Adaptation of the Mindful Attention Awareness Scale into Turkish”. Education and Science 36 (2011): 224–235.

Palic, Sabina and Elklit, Ask. “Psychosocial treatment of posttraumatic stress disorder in adult refugees: A systematic review of prospective treatment outcome studies and a critique”. Journal of Affective Disorders 131(1-3) (2011): 8-23.

Parker, Catherine, Doctor, Ronald, M., and Selvam, Raja. “Somatic therapy treatment effects with tsunami survivors”. Traumatology 14(3) (2008): 103-109.

Payne, Peter, Levine, Peter, A., and Crone-Godreau, Mardi, A. (2015). “Somatic Experiencing: Using Interoception and Proprioception as Core Elements of Trauma Therapy”. Front Psychology 6 (2015): 93.

Pumariega, Andrés, J., Rothe, Eugenio, and Pumariega, Joanne, B. “Mental Health of Immigrants and Refugees”. Community Mental Health Journal 41(5) (2005): 10597-10605.

Reebs, Anna, et al. “Mindfulness-Based Trauma recovery for Refugees (MBTR-R): Randomized Waitlist-Control Evidence of Efficacy and Safety”. (Unpublished Manuscript) (2020).

Rometsch, Caroline, et al. “Pain, somatic complaints, and subjective concepts of illness in traumatized female refugees who experienced extreme violence by the “Islamic State” (IS)”. Journal of Psychosomatic Research 130 (2020): 109931.

Rothschild, Babette. The body remembers: The psychophysiology of trauma and trauma treatment. Norton (2000).

Sani, Fabio and Todman, John, B. Experimental Design and Statistics for Psychology: A First Course. Wiley (2006).

Stewart, Miriam, et al. “Social support and health: immigrants’ and refugees’ perspectives”. Diversity in Health and Care 7(2) (2010): 91-103.

Taylor, Peter, J., and Saint-Laurent, Roger. “Group psychotherapy informed by the principles of somatic experiencing: moving beyond trauma to embodied relationship”. International Journal of Group Psychotherapy 67(sup1) (2017): 171-181.

Tedeschi, Richard, G., and Calhoun, Lawrence, G. “Target Article: ‘Posttraumatic growth: Conceptual foundations and empirical evidence’”. Psychological Inquiry 15(1) (2004): 1-18.

Tihanyi, Benedek, T., et al. “Body Awareness, Mindfulness and Affect: Does the Kind of Physical Activity Make a Difference?”. European Journal of Mental Health 11(1- 2) (2016): 97.

UNHCR (2019). Global Trends: Forced Displacement in 2018.

Van der Kolk, Bessel. The body keeps the score: Brain, mind, and body in the healing of trauma. Penguin Books (2015).

Verreault, Katia. “Dance/Movement therapy and resilience building with female asylum seekers and refugees”. Intervention 15(2) (2017): 120-135.

Weiss, Daniel, S., and Marmar, Charles, R. The Impact of Event Scale-Revised. In Assessing Psychological Trauma and PTSD (eds. J. P. Wilson and T. M. Keane), pp. 399-411. Guilford Press (1997).

Winblad, Neal, E., Changaris, Michael, and Stein, Phyllis K. “Effect of Somatic Experiencing Resiliency-Based Trauma Treatment Training on Quality of Life and Psychological Health as Potential Markers of Resilience in Treating Professionals”. Frontiers in Neuroscience, 12 (2018).

Zehetmair, Catharina, et al. “Psychotherapeutic Group Intervention for Traumatized Male Refugees Using Imaginative Stabilization Techniques”. Frontiers in Psychiatry 9 (2018): 533.

Zimet, Gregory, D., et al. “The multidimensional scale of perceived social support”. Journal of Personality Assessment 52(1) (1988): 30-41.

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How to Cite

Arıcı Özcan, N. (2021). The Effectiveness of Somatic Experience Based Stabilization Program for Refugee Women’s Post-Traumatic Stress, Mindfulness And Social Support Level. Psycho-Educational Research Reviews, 10(1), 46–60. Retrieved from