Villanueva O'Driscoll Julia, Serneels Geertrui, Imeraj Lindita
Solentra vzw, Child and Adolescent Department (PAika), Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090, Jette, Belgium.
Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Pleinlaan 2, 1050, Elsene, Belgium.
Eur Child Adolesc Psychiatry. 2017 Nov;26(11):1331-1341. doi: 10.1007/s00787-017-0981-3. Epub 2017 Apr 7.
The past years have been characterized by a large refugee crisis across the globe. The exposure to preflight, flight, and resettlement stressors puts refugee children and their families at risk of developing emotional and behavioral disorders. A unique Western-based approach of mental health problems seems to be insufficient to address the complexity of interactions between individual vulnerabilities and more ecological surrounding systems. We looked into (1) the reasons for referral; and (2) the process diagnostic outcomes after ethnopsychiatric and psychological assessment. We conducted a thematic content analysis on 93 files of refugee children. The findings suggest that mental health care professionals need to hold into account the multiplicity and intertwining of ongoing challenges to the well-being of refugee children. The integration of a Western-based psychiatric assessment with a more ecologically based view can lead to a more culturally sensitive approach in refugee children and their families. This way, both under- and overdiagnosis of psychiatric disorders could be avoided to further optimalise mental health care in this population.
过去几年，全球面临着大规模的难民危机。难民儿童及其家庭在飞行前、飞行途中以及重新安置过程中面临各种压力源，这使他们有患情绪和行为障碍的风险。一种独特的基于西方的心理健康问题处理方法似乎不足以应对个体脆弱性与更广泛生态环境系统之间复杂的相互作用。我们研究了：（1）转诊原因；（2）经过民族精神病学和心理学评估后的诊断结果。我们对93份难民儿童档案进行了主题内容分析。研究结果表明，心理健康护理专业人员需要考虑到难民儿童福祉面临的诸多持续挑战及其相互交织的情况。将基于西方的精神病学评估与更具生态视角的评估相结合，可以为难民儿童及其家庭提供更具文化敏感性的方法。这样，就可以避免对精神障碍的诊断不足和过度诊断，从而进一步优化这一人群的心理健康护理。
