Antoniades Josefine, Mazza Danielle, Brijnath Bianca
Department of General Practice, Monash University, Building 1, 270 Ferntree Gully Rd, Notting Hill, VIC 3168, Australia.
BMC Psychiatry. 2014 Jun 16;14:176. doi: 10.1186/1471-244X-14-176.
The unprecedented rates of global migration present unique challenges to mental health services in migrant receiving countries to provide efficacious and culturally salient treatment for mental health conditions including depression. This review aimed to identify and evaluate the effectiveness of depression interventions specifically directed towards first-generation immigrant populations.
We conducted a systematic review of original research published between 2000 and 2013 that investigated depression interventions in first generation immigrants.
Fifteen studies were included; the majority focused on Latino immigrants living in the United States (US). Twelve studies investigated the use of psychotherapies; the remainder examined collaborative care models and physical exercise-based interventions. Cognitive Behavioral Therapy and Behavioral Activation tended to improve depressive symptoms, especially when culturally adapted to suit clients while Problem Solving Therapy improved depressive symptomology with and without adaptations. Collaborative care and exercise did not significantly improve depressive symptoms.
Depression may be effectively treated by means of psychotherapies, especially when treatments are culturally adapted. However the reviewed studies were limited due to methodological weaknesses and were predominantly undertaken in the US with Latino patients. To improve generalizability, future research should be undertaken in non-US settings, amongst diverse ethnic groups and utilize larger sample sizes in either randomized clinical trials or observational cohort studies.
全球前所未有的移民率给移民接收国的心理健康服务带来了独特挑战，这些国家需要为包括抑郁症在内的心理健康状况提供有效且具有文化针对性的治疗。本综述旨在识别和评估专门针对第一代移民群体的抑郁症干预措施的有效性。
我们对2000年至2013年间发表的关于第一代移民抑郁症干预措施的原创研究进行了系统综述。
纳入了15项研究；大多数研究聚焦于居住在美国的拉丁裔移民。12项研究调查了心理治疗的使用情况；其余研究考察了协作护理模式和基于体育锻炼的干预措施。认知行为疗法和行为激活疗法往往能改善抑郁症状，尤其是在进行文化调适以适应患者时，而问题解决疗法无论是否调适都能改善抑郁症状。协作护理和锻炼并未显著改善抑郁症状。
抑郁症可以通过心理治疗有效治疗，尤其是当治疗进行文化调适时。然而，所综述的研究由于方法学上的缺陷而受到限制，并且主要是在美国针对拉丁裔患者进行的。为了提高普遍性，未来的研究应该在非美国的环境中、不同种族群体中进行，并在随机临床试验或观察性队列研究中使用更大的样本量。
