Department of Global Health & Social Medicine, King's College London, Bush House NE Wing, 30 Aldwych, London, WC2B 4BG, UK.
Global Public Health, Migration & Ethics Research Group, Faculty of Medical Science, Anglia Ruskin University, Chelmsford, UK.
Syst Rev. 2019 Jul 25;8(1):184. doi: 10.1186/s13643-019-1103-8.
The global refugee crisis has become central to health and policy debates. There is a growing need to investigate how acculturation impacts mental health among asylum seekers and refugees. Many forced migrants have an increased risk of experiencing negative mental health outcomes, but this review will only assess the current literature on acculturation and mental health among adults. Research questions include the following: (1) How is acculturation conceptualised? (2) What are the most salient mental health outcomes? (3) How are acculturation and mental health measured and related? and (4) How do macrostructural factors affect the relationship between mental health and acculturation?
We will use a meta-narrative approach to synthesise the breadth of acculturation and mental health literature from various research traditions. This review will include empirical studies measuring variations of acculturation and mental health among adult forced migrants from low- and middle-income countries residing in high-income countries. Studies will be retrieved from the following academic databases: MEDLINE, Embase, PsycINFO, Global Health, ProQuest Social Science and Web of Science. Additional studies will be collected from King's College London's online library databases and e-resources, and reference lists of eligible studies. Studies from database inception and written in English will be included. All full-text papers will undergo quality appraisal using the Mixed Methods Appraisal Tool (MMAT). Extracted data will be analysed using a conceptual framework analysis to construct overarching narratives and a framework that will describe the relationship between acculturation and mental health.
A meta-narrative systematic review provides a flexible and systematic approach to synthesising the heterogeneous literature on acculturation and mental health. This review will guide the development of a conceptual framework to aid future research on acculturation among adult forced migrants. As high-income countries seek to integrate forced migrants into society and improve their access to vital resources, this review has the potential to transform policies and practices that influence migrant mental health.
PROSPERO CRD42018089148.
全球难民危机已成为卫生和政策辩论的核心议题。越来越有必要研究文化适应如何影响寻求庇护者和难民的心理健康。许多被迫移民面临着心理健康恶化的高风险，但本综述仅评估文化适应与成年人心理健康相关的现有文献。研究问题包括以下几个方面：（1）文化适应是如何被概念化的？（2）最显著的心理健康结果是什么？（3）文化适应和心理健康是如何测量和相关的？以及（4）宏观结构因素如何影响心理健康与文化适应之间的关系？
我们将使用元叙述方法综合来自不同研究传统的文化适应和心理健康文献。本综述将包括实证研究，这些研究测量了来自中低收入国家的成年被迫移民在高收入国家中文化适应和心理健康的变化。研究将从以下学术数据库中检索：MEDLINE、Embase、PsycINFO、全球健康、ProQuest 社会科学和 Web of Science。还将从伦敦国王学院的在线图书馆数据库和电子资源以及符合条件的研究的参考文献列表中收集额外的研究。将包括从数据库成立之初起用英文撰写的所有全文论文。所有全文论文都将使用混合方法评估工具（MMAT）进行质量评估。使用概念框架分析提取数据，以构建总体叙述和描述文化适应与心理健康之间关系的框架。
元叙述系统综述为综合文化适应和心理健康异质文献提供了一种灵活而系统的方法。本综述将指导文化适应成年被迫移民概念框架的发展，以帮助未来的研究。随着高收入国家寻求将被迫移民融入社会并改善他们获得重要资源的机会，本综述有可能改变影响移民心理健康的政策和实践。
PROSPERO CRD42018089148。
