College of Nursing, University of Massachusetts Amherst, 651 North Pleasant St, Amherst, MA, 01003-9299, USA.
Bhutanese Christian Society of Western Massachusetts, Westfield, MA, 01085, USA.
Community Ment Health J. 2021 Oct;57(7):1318-1327. doi: 10.1007/s10597-020-00754-w. Epub 2021 Jan 2.
Preventative behavioral interventions aimed at reducing mental problems among refugees are limited. We assessed the effect of a Social and Emotional Wellbeing (SEW) intervention on health-promoting behaviors (coping, social-networking, and conflict-resolution) and health-outcomes (stress, anxiety, and depression) among resettled Bhutanese adults in Western Massachusetts. The study was a community-based SEW intervention with pre-posttest evaluation among 44 Bhutanese adults in Western Massachusetts. The SEW is a culturally tailored 5-week, once-weekly health-education, problem solving, and mind-body exercise program to promote stress management skills. We used validated scales to measure outcomes. Mean scores of mental problems decreased by 5.9 for depression, 9.0 for anxiety, and 5.0 for stress post-intervention (p < 0.01). Mean scores increased by 27.3 for coping, 10.6 for social support, and 20.4 for conflict-resolution. Mean social-network scores increased by 4.6 for family, 4.7 for friends, and 1.8 for community networks (p < 0.01). Our Bhutanese participants reported improvement in their mental health after attending SEW intervention.
预防行为干预旨在减少难民中的心理问题，但目前此类干预措施有限。我们评估了社会和情绪健康（SEW）干预对马萨诸塞州西部重新安置的不丹成年人的健康促进行为（应对、社交网络和冲突解决）和健康结果（压力、焦虑和抑郁）的影响。该研究是一项基于社区的 SEW 干预，在马萨诸塞州西部的 44 名不丹成年人中进行了前后测试评估。SEW 是一种文化适应的 5 周、每周一次的健康教育、解决问题和身心锻炼计划，旨在促进压力管理技能。我们使用经过验证的量表来衡量结果。干预后，抑郁的平均得分降低了 5.9，焦虑的平均得分降低了 9.0，压力的平均得分降低了 5.0（p<0.01）。应对能力的平均得分增加了 27.3，社会支持的平均得分增加了 10.6，冲突解决的平均得分增加了 20.4。家庭的社交网络平均得分增加了 4.6，朋友的社交网络平均得分增加了 4.7，社区网络的社交网络平均得分增加了 1.8（p<0.01）。我们的不丹参与者报告说，参加 SEW 干预后，他们的心理健康状况有所改善。
