Department of Human Development and Family Science, College of Family and Consumer Science, University of Georgia, Athens, GA 30602, USA.
Int J Environ Res Public Health. 2022 Jul 30;19(15):9361. doi: 10.3390/ijerph19159361.
Family connections are crucial for trauma-affected refugees from collectivistic cultures. Evidence-based family interventions are consistently promoted to support a host of mental and relational health needs of families exposed to traumatic stressors; however, there is still limited research focused on cultural adaptation and the testing of the effectiveness of these interventions on some of the most disenfranchised populations in the aftermath of forced displacement. This systematic review was conducted to examine the reach of existing evidence-based family interventions implemented with newly resettled refugees globally. Studies included in this review include those testing the effectiveness of a systemic treatment with pre and post intervention evaluation, studies with or without control groups, and studies that include at least one family member in addition to the target participants. Twelve studies met the inclusion criteria. Barriers to conducting randomized control trials with displaced refugee populations are discussed. Recommendations are made for future studies to include a focus on scientifically rigorous multi-method designs, specific cultural adaptation frameworks, and the integration of relational aspects rather than focusing only on individual adjustment. Global displacement continues to rise; therefore, it is imperative that the mental health and wellbeing of displaced populations be treated with a comprehensive, multi-level framework.
家庭关系对于集体主义文化背景下受创伤影响的难民至关重要。循证家庭干预措施被一致提倡，以支持暴露于创伤性应激源的家庭的一系列心理和关系健康需求；然而，仍然有限的研究侧重于文化适应以及这些干预措施在一些被迫流离失所后的最弱势群体中的有效性测试。进行这项系统审查是为了检查在全球范围内与新重新安置的难民实施的现有循证家庭干预措施的覆盖面。本审查中包括的研究包括那些测试系统治疗的有效性，包括前后干预评估的研究、有或没有对照组的研究，以及除目标参与者外还包括至少一名家庭成员的研究。有 12 项研究符合纳入标准。讨论了在流离失所的难民群体中进行随机对照试验的障碍。建议未来的研究侧重于科学严谨的多方法设计、特定的文化适应框架，以及关系方面的整合，而不仅仅是关注个体调整。全球流离失所人数持续上升；因此，必须采用全面的、多层次的框架来对待流离失所人群的心理健康和福祉。
