肯尼亚城市地区针对索马里难民青年的创伤知情心理教育：对创伤后应激障碍和心理社会结果的影响。
Trauma-Informed Psychoeducation for Somali Refugee Youth in Urban Kenya: Effects on PTSD and Psychosocial Outcomes.
作者信息
Im Hyojin, Jettner Jennifer F, Warsame Abdilkadir H, Isse Maimuna M, Khoury Dalia, Ross Avina I
机构信息
1School of Social Work, Virginia Commonwealth University, 1000 Floyd Ave., Richmond, VA 23804 USA.
Tawakal Medical Centre, Nairobi, Kenya.
出版信息
J Child Adolesc Trauma. 2018 Jan 2;11(4):431-441. doi: 10.1007/s40653-017-0200-x. eCollection 2018 Dec.
Abstract
The current study developed and implemented a trauma-informed psychoeducation (TIPE) intervention that is culturally relevant to urban Somali refugees in Nairobi, Kenya. A total of 141 Somali refugee youth completed 12 sessions of peer-led TIPE intervention. A series of pre- and post-tests revealed that TIPE made positive impacts on PTSD symptoms and psychosocial factors, with a differential effect observed according to baseline PTSD symptom report. Participants with high baseline PTSD scores (i.e. above clinical threshold) reported a significant decrease in PTSD symptoms and increase in perceived social support. In the meantime, those with no to mild baseline PTSD symptoms showed an increase in self-awareness of trauma responses and thus PTSD symptom report within the range of normalcy. This research supports the effect of a culturally relevant psychoeducation intervention in addressing the high mental health and psychosocial needs of the marginalized urban Somali refugee community in low resource settings.
摘要
当前的研究开发并实施了一种创伤知情心理教育（TIPE）干预措施，该措施与肯尼亚内罗毕的城市索马里难民的文化相关。共有141名索马里难民青年完成了12节由同伴主导的TIPE干预课程。一系列的前后测试表明，TIPE对创伤后应激障碍（PTSD）症状和心理社会因素产生了积极影响，根据基线PTSD症状报告观察到了差异效应。基线PTSD分数高（即高于临床阈值）的参与者报告PTSD症状显著减少，感知到的社会支持增加。与此同时，那些基线PTSD症状为无至轻度的参与者在创伤反应的自我意识方面有所增加，因此PTSD症状报告处于正常范围内。这项研究支持了一种与文化相关的心理教育干预措施在满足资源匮乏环境中边缘化的城市索马里难民社区的高心理健康和心理社会需求方面的效果。
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