Department of Medicine, Centre for Psychiatry, Imperial College London, London, UK.
Westminster Child and Adolescent Mental Health Service, Central and North West London NHS Foundation Trust, London, UK.
Evid Based Ment Health. 2019 May;22(2):72-76. doi: 10.1136/ebmental-2018-300065. Epub 2019 Apr 3.
The increase in refugees globally since 2010 and the arrival of many into Europe since 2015, around 50% of whom are under 18 years, have been the stimulus to greater investigation and publications regarding their mental health. This clinical review summarises selected themes in the field as described in the published literature since 2016. The themes include refugee statistics, premigration and postmigration experiences, psychopathology focusing on parent-child relationships, unaccompanied refugee minors and associations between resettlement, acculturation and mental health. Some important reviews and studies are discussed that address service and treatment provision. While there has been a recent increase in research in this field, more is needed into the course of psychopathology, protective factors and the promotion of integration into resettlement countries, as well as models of service delivery and treatment effectiveness.
自 2010 年以来,全球难民数量不断增加,自 2015 年以来,大量难民涌入欧洲,其中约有 50%的难民年龄在 18 岁以下,这促使人们对他们的心理健康进行了更多的研究和发表。本临床综述总结了自 2016 年以来发表的文献中该领域的一些选定主题。这些主题包括难民统计数据、移居前和移居后的经历、以亲子关系为重点的精神病理学、无人陪伴的未成年难民以及重新安置、文化适应与心理健康之间的关联。讨论了一些重要的评论和研究,这些评论和研究涉及服务和治疗的提供。尽管该领域的研究最近有所增加,但仍需要更多地了解精神病理学的过程、保护因素以及促进融入重新安置国家,以及服务提供和治疗效果的模式。