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“Sanadak”试验参与者的招募和基线特征:一款针对有创伤后应激的叙利亚难民的自助应用程序。

Recruitment and Baseline Characteristics of Participants in the "Sanadak" Trial: A Self-Help App for Syrian Refugees with Post-traumatic Stress.

机构信息

Institute of Social Medicine, Occupational Health and Public Health (ISAP), Medical Faculty, University of Leipzig, 04103 Leipzig, Germany.

Global Brain Health Institute (GBHI), Trinity College Dublin, D02 PN40 Dublin, Ireland.

出版信息

Int J Environ Res Public Health. 2020 Oct 18;17(20):7578. doi: 10.3390/ijerph17207578.

Abstract

Many Syrian refugees residing in Germany have been exposed to traumatizing events, while treatment options are scarce. Therefore, the self-help app "Sanadak" was developed to target post-traumatic stress in Syrian refugees. We aimed to inspect the recruitment and baseline characteristics of the participants in the trial, which is conducted to evaluate the app. Analyses were based on the recruitment sample ( = 170) and the trial sample ( = 133). Data were collected during structured face-to-face interviews in the Arabic language. Targeted outcomes included post-traumatic stress (primary; Post-traumatic Diagnostic Scale for DSM-5/PDS-5) and depressive symptoms, anxiety, resilience, among others (secondary). Recruited individuals were = 32.8 (SD = 11.2, range = 18-65) years old; 38.8% were women. The average PDS-5 score was 23.6 (SD = 13.2) regarding trauma exposure, which was most frequently related to experiencing military- or combat-related events (32.9%). Moreover, 46.5% had major depression and 51.8% showed low resilience. Anxiety was present in 40.6% of the trial participants. Psychological distress was high in Syrian refugees residing in Germany, enrolled in a trial targeting post-traumatic stress. This underlines the need for intervention. Our results provide important figures on the mental health of a not well-studied population group in Germany.

摘要

许多居住在德国的叙利亚难民经历了创伤性事件,而治疗选择却很少。因此,开发了自助应用程序“Sanadak”来针对叙利亚难民的创伤后应激。我们旨在检查该应用程序评估试验的参与者招募和基线特征。分析基于招募样本(= 170)和试验样本(= 133)。数据是通过阿拉伯语的结构化面对面访谈收集的。目标结果包括创伤后应激(主要;DSM-5/PDS-5 创伤后诊断量表)和抑郁症状、焦虑、韧性等(次要)。招募的个体年龄为 = 32.8(SD = 11.2,范围= 18-65);38.8%是女性。创伤暴露的平均 PDS-5 得分为 23.6(SD = 13.2),最常见的与经历军事或战斗相关事件有关(32.9%)。此外,46.5%患有重度抑郁症,51.8%表现出低韧性。40.6%的试验参与者存在焦虑。居住在德国的叙利亚难民心理困扰程度较高,他们参加了针对创伤后应激的试验。这突显了干预的必要性。我们的研究结果为德国一个研究不足的人群群体的心理健康提供了重要数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8be7/7589335/44b65527aacc/ijerph-17-07578-g001.jpg

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