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为难民提供可扩展的干预措施。

Scalable interventions for refugees.

作者信息

Bryant Richard A

机构信息

School of Psychology, University of New South Wales, Sydney, NSW, Australia.

出版信息

Glob Ment Health (Camb). 2023 Feb 7;10:e8. doi: 10.1017/gmh.2022.59. eCollection 2023.


DOI:10.1017/gmh.2022.59
PMID:36843882
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9947626/
Abstract

Refugees experience a greater rate of common mental disorders relative to most other populations, and there remains a need to address these needs. However, most refugees are hosted in low-and-middle-income countries, where there is a lack of resources and mental health providers who can deliver mainstream mental health services. This situation has led to the emergence of scalable mental health interventions that can deliver evidence-based programs to refugees in need. Many countries hosting refugees have implemented programs that train local lay providers in interventions that can be delivered at scale. This review provides a narrative overview of these scalable interventions and critiques the evidence for their efficacy. It is noted that there are limitations to currently available scalable interventions, and there is a need for greater attention to determining the longer-term benefits of interventions, addressing the mental health needs of refugees who do not respond to these interventions, assisting refugees with more severe psychological disorders, and understanding the specific mechanisms that underpin observed benefits of these interventions.

摘要

与大多数其他人群相比,难民患常见精神障碍的比例更高,因此仍有必要满足他们的这些需求。然而,大多数难民居住在低收入和中等收入国家,这些国家缺乏资源,也没有能够提供主流心理健康服务的心理健康服务提供者。这种情况导致了可扩展的心理健康干预措施的出现,这些措施可以为有需要的难民提供循证项目。许多接收难民的国家都实施了相关项目,培训当地的非专业服务提供者开展可大规模实施的干预措施。本综述对这些可扩展的干预措施进行了叙述性概述,并对其有效性的证据进行了批判。需要指出的是,目前可用的可扩展干预措施存在局限性,需要更加关注确定干预措施的长期效益、满足对这些干预措施无反应的难民的心理健康需求、帮助患有更严重心理障碍的难民,以及了解这些干预措施所带来的明显效益背后的具体机制。

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[1]
Scalable interventions for refugees.

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[2]
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[5]
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[6]
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Int J Environ Res Public Health. 2025-5-30

[2]
Context, implementation and mechanisms of impact of a stepped-care WHO psychological intervention for migrants with psychological distress.

Glob Ment Health (Camb). 2025-6-9

[3]
Efficacy of a peer-delivered group psychological intervention to reduce psychological distress among university students in India: a randomised controlled trial using an active control condition.

Eur J Psychotraumatol. 2025-12

[4]
Facilitators and barriers to participation and scale-up of a non-specialist delivered psychological intervention for adolescents in low-resourced settings: a process evaluation.

BMC Public Health. 2025-2-21

[5]
Does Trauma Change the Way Individuals with Post-Traumatic Stress Disorder (PTSD) Deal with Positive Stimuli?

Behav Sci (Basel). 2024-12-13

[6]
"It was really helpful for me, and at the same time it was really tough": a qualitative study among Afghan peer refugee helpers in Greece.

BMC Psychiatry. 2024-11-16

[7]
Network analytical investigation of relationships between symptoms of common mental disorders among refugees and asylum seekers in Türkiye.

Epidemiol Psychiatr Sci. 2024-11-5

[8]
Addressing challenges faced by young refugees in the Netherlands: Adapting problem management plus (PM+) with an emotional processing module.

Glob Ment Health (Camb). 2024-10-22

[9]
Effectiveness of group problem management plus in distressed Syrian refugees in Türkiye: a randomized controlled trial.

Epidemiol Psychiatr Sci. 2024-9-30

本文引用的文献

[1]
Prevalence of mental disorders in refugees and asylum seekers: a systematic review and meta-analysis.

Glob Ment Health (Camb). 2022-6-14

[2]
Twelve-month follow-up of a randomised clinical trial of a brief group psychological intervention for common mental disorders in Syrian refugees in Jordan.

Epidemiol Psychiatr Sci. 2022-11-15

[3]
Effectiveness of a brief group behavioural intervention on psychological distress in young adolescent Syrian refugees: A randomised controlled trial.

PLoS Med. 2022-8

[4]
Effectiveness and cost-effectiveness of universal school-based mindfulness training compared with normal school provision in reducing risk of mental health problems and promoting well-being in adolescence: the MYRIAD cluster randomised controlled trial.

Evid Based Ment Health. 2022-7-12

[5]
Universal prevention of depression at schools: dead end or challenging crossroad?

Evid Based Ment Health. 2022-7-12

[6]
Guided digital health intervention for depression in Lebanon: randomised trial.

Evid Based Ment Health. 2022-12

[7]
Cost-effectiveness of the Self-Help Plus Intervention for Adult Syrian Refugees Hosted in Turkey.

JAMA Netw Open. 2022-5-2

[8]
Effectiveness of a brief group behavioral intervention for common mental disorders in Syrian refugees in Jordan: A randomized controlled trial.

PLoS Med. 2022-3

[9]
The global gap in treatment coverage for major depressive disorder in 84 countries from 2000-2019: A systematic review and Bayesian meta-regression analysis.

PLoS Med. 2022-2-15

[10]
Feasibility and acceptability of Problem Management Plus (PM+) among Syrian refugees and asylum seekers in Switzerland: a mixed-method pilot randomized controlled trial.

Eur J Psychotraumatol. 2022

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