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基于社会资本的难民心理健康干预措施:系统评价。

Social-capital-based mental health interventions for refugees: A systematic review.

机构信息

Pharmaceutical Health Services Research Department, University of Maryland School of Pharmacy, Baltimore, MD, USA.

Foundation Centrum '45, Arq Psychotrauma Expert Group, Amsterdam, the Netherlands.

出版信息

Soc Sci Med. 2022 May;301:114787. doi: 10.1016/j.socscimed.2022.114787. Epub 2022 Feb 19.

Abstract

With over 80 million people forcibly displaced worldwide, providing safe, healthy, and supportive places for refugees has become an imperative for national governments, aid organizations, and host communities. While much has been written about the needs of these displaced people, organizations and practitioners tend to focus on essential material needs, medical care, and food and water provisioning. Yet a growing body of evidence points to the potential role of social capital - the bonding, bridging, and linking social ties that connect us to one another - as a critical resource for these refugees. We have little data about social capital interventions at individual and community levels to assist with mental health for this vulnerable population, and even less methodical evidence about such interventions' impact. This systematic review analyzes nearly 400 articles to find patterns in the literature on how social-capital-based interventions can improve the mental health of refugees. Within the studies of interventions that met our filtering criteria, the reinforcement or creation of social capital, especially bridging and linking types, serves as a crucial resource to help this vulnerable group. Specifically, our review showed that community and multilevel social capital interventions are key to curbing mental health symptoms among refugees. Given this scanty evidence base among a group so vulnerable to mental health problems, this review serves as an explicit invitation for researchers to further examine social capital interventions among refugees.

摘要

全世界有超过 8000 万人被迫流离失所,为难民提供安全、健康和支持的场所已成为各国政府、援助组织和收容社区的当务之急。尽管已经有很多关于这些流离失所者需求的文章,但组织和从业者往往侧重于满足他们的基本物质需求、医疗保健以及提供食物和水。然而,越来越多的证据表明,社会资本——将我们彼此联系起来的联系、桥梁和联系纽带——作为这些难民的关键资源具有潜在作用。我们几乎没有关于个人和社区层面的社会资本干预措施来帮助这一弱势群体改善心理健康的数据,关于这些干预措施影响的方法性证据就更少了。这项系统评价分析了近 400 篇文章,以发现基于社会资本的干预措施如何改善难民心理健康的文献中的模式。在符合我们过滤标准的干预措施研究中,社会资本的强化或创造,特别是桥梁和联系类型,是帮助这一弱势群体的关键资源。具体来说,我们的综述表明,社区和多层次的社会资本干预措施是遏制难民心理健康症状的关键。鉴于这一群人如此容易受到心理健康问题的影响,而证据基础如此匮乏,因此,这项综述明确邀请研究人员进一步研究难民中的社会资本干预措施。

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