Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany.
Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Eur J Psychotraumatol. 2022 May 20;13(1):2066458. doi: 10.1080/20008198.2022.2066458. eCollection 2022.
Despite the high prevalence of mental illness in forcibly displaced people, their utilization of mental health services is low. Major barriers to seeking mental health services include mental health self-stigma. To address this issue, the psychoeducational short film 'Coping with Flight and Trauma' was developed as a brief online intervention.
The present study aims to evaluate the feasibility and acceptance of the newly developed 10 min film, and to assess changes in self-stigma and help seeking.
The evaluation of the film was conducted using a mixed-methods design with an online survey including the Self-Stigma of Mental Illness Scale, help seeking, and mental health variables at baseline, postintervention, and 3 month follow-up, in addition to telephone interviews postintervention with a randomly selected volunteer subsample.
A total of 134 participants with a forced displacement history within the past 8 years took part in the study, of whom 66% scored as having probable post-traumatic stress disorder (PTSD), depression, and/or anxiety. The results revealed emotional, cognitive, and behavioural changes postintervention. Directly after watching the film, participants reported reduced self-stigma and increased openness towards accessing mental health services. At follow-up, precisely 3.8 months later, these changes were no longer significant, yet 11% of participants reported having started psychotherapy since watching the film. Probable PTSD was associated with higher self-stigma at all three time-points. The majority (90%) would recommend watching the film to other forcibly displaced people.
Self-stigma was shown to be a robust and persistent issue, which tends to be underestimated by individuals not affected by mental illness. Low-threshold psychoeducational online interventions may be a promising tool to reduce barriers to accessing mental health services for forcibly displaced people, e.g. by being implemented in stepped-care models.
Mental health self-stigma was shown to be a persistent and underestimated burden in forcibly displaced people.Psychoeducational online interventions are promising for addressing the burden of self-stigma and reducing barriers to seeking mental health services.
尽管被迫流离失所者中心理疾病的发病率很高，但他们对心理健康服务的利用率很低。寻求心理健康服务的主要障碍包括心理健康自我污名化。为了解决这个问题，开发了一部名为“应对飞行和创伤”的心理教育短片，作为一种简短的在线干预措施。
本研究旨在评估新开发的 10 分钟电影的可行性和可接受性，并评估自我污名化和寻求帮助的变化。
使用混合方法设计评估电影，在基线、干预后和 3 个月随访时通过在线调查包括精神疾病自我污名量表、寻求帮助以及心理健康变量进行评估，并对随机选择的志愿者亚样本进行干预后的电话访谈。
共有 134 名过去 8 年内有被迫流离失所经历的参与者参加了研究，其中 66%的参与者患有创伤后应激障碍（PTSD）、抑郁和/或焦虑。结果显示干预后存在情绪、认知和行为变化。直接观看电影后，参与者报告自我污名感减轻，对获取心理健康服务的开放度增加。在随访时，即 3.8 个月后，这些变化不再显著，但有 11%的参与者报告自观看电影后开始接受心理治疗。在所有三个时间点，PTSD 均与较高的自我污名相关。大多数（90%）人会向其他被迫流离失所者推荐观看这部电影。
自我污名化被证明是一个持久且持久的问题，这往往被未受精神疾病影响的个体低估。低门槛的心理教育在线干预措施可能是减少被迫流离失所者获取心理健康服务障碍的有前途的工具，例如通过实施阶梯式护理模式。
在被迫流离失所者中，心理健康自我污名化被证明是一个持久且被低估的负担。心理教育在线干预措施对于解决自我污名化负担和减少寻求心理健康服务的障碍具有很大的潜力。
