University of Nottingham, UK.
Nottnghamshire Healthcare NHS Foundation Trust, UK.
Int J Soc Psychiatry. 2022 May;68(3):484-499. doi: 10.1177/00207640211057727. Epub 2021 Nov 25.
Unaccompanied refugee minors (URM) are at significantly higher risk of trauma exposure and mental illness. Research examining the most effective treatments for this population is limited.
To study the available research evidence on outcomes from various group interventions in this population. The objective is to investigate if these can be used clinically in future interventions.
Systematic review was carried out for patient outcomes where group therapy was used as treatment in URM. Studies with ARM (Accompanied refugee minors) were included because of similarities between these groups and because many studies were mixed population.
Seventeen papers met eligibility criteria with a total of = 1,119 participants. About 80% studies with a quantitative component reported improvements, and 69% of the studies that carried out statistical analyses reported statistically significant improvements in mental health symptoms. Every qualitative measure reported positive outcome for the participants. Studies with URM tended to show improved outcomes more often than studies exclusively with ARM.
The evidence demonstrates the efficacy of group therapy in improving mental health outcomes, although the number of studies with robust methodology is small. Group intervention has potential to improve engagement and outcomes of URM with mental illness. Future direction for research is discussed.
无人陪伴的未成年难民（URM）遭受创伤和精神疾病的风险显著更高。针对该人群的最有效治疗方法的研究有限。
研究该人群中各种团体干预的结果的现有研究证据。目的是研究这些证据是否可以在未来的干预措施中实际应用。
对使用团体治疗作为 URM 治疗的患者结果进行系统评价。纳入 ARM（陪伴未成年难民）的研究是因为这些群体之间存在相似性，并且许多研究都是混合人群。
有 17 篇论文符合入选标准，共有 1119 名参与者。大约 80%具有定量组成部分的研究报告有改善，69%进行了统计分析的研究报告心理健康症状有统计学显著改善。每个定性测量都报告了参与者的积极结果。URM 的研究往往比仅 ARM 的研究显示出更多的改善结果。
证据表明团体治疗在改善心理健康结果方面是有效的，尽管具有稳健方法学的研究数量较少。团体干预有可能改善有精神疾病的 URM 的参与度和结果。讨论了未来的研究方向。
