Fox Patricia G, Rossetti Jeanette, Burns Kenneth R, Popovich Judith
Northern Illinois University, School of Nursing, 1240 Normal Road, DeKalb, IL 60115, USA.
Int J Psychiatr Nurs Res. 2005 Sep;11(1):1227-36.
One particular focus of refugee studies in the United States has been the violence experience of Southeast Asian (S.E.A.) refugee children and its impact on mental health and school adaptation. Although virtually all researchers have found that the children have high rates of depression and/or post-traumatic stress disorder, findings concerning successful school adaptation have been inconclusive. Even so, concern has been generated on how to best meet the children's mental health needs. The purpose of our study was to provide an eight-week school-based program that was designed to reduce depression symptoms of S.E.A. refugee children. Specifically, this collaborative program addressed refugee adaptation issues, children's culture and the development of coping skills. All of the children were screened for depression using the Children's Depression Inventory (CDI). Analysis of CDI data revealed that children's depression scores had a significant decrease between screening times 1 (approximately one month before the intervention) and 2 (fourth week of the intervention), 1 and 3 (eighth week of the intervention) and 1 and 4 (one month following the intervention). Globally, culturally sensitive mental health school-based programs may be an appropriate intervention to assist immigrant and refugee children in making a successful adaptation to host countries.
美国难民研究的一个特别关注点是东南亚难民儿童的暴力经历及其对心理健康和学校适应的影响。尽管几乎所有研究人员都发现这些儿童患有抑郁症和/或创伤后应激障碍的比例很高，但关于他们成功适应学校的研究结果尚无定论。即便如此，人们还是对如何最好地满足这些儿童的心理健康需求产生了担忧。我们研究的目的是提供一个为期八周的校内项目，该项目旨在减轻东南亚难民儿童的抑郁症状。具体而言，这个合作项目解决了难民适应问题、儿童文化以及应对技能的培养。所有儿童都使用儿童抑郁量表（CDI）进行了抑郁筛查。对CDI数据的分析显示，在筛查时间1（干预前约一个月）和时间2（干预第四周）、1和3（干预第八周）以及1和4（干预后一个月）之间，儿童的抑郁得分有显著下降。总体而言，基于学校的、具有文化敏感性的心理健康项目可能是帮助移民和难民儿童成功适应东道国的一种合适干预措施。
