Demetry Youstina, Wasteson Elisabet, Lindegaard Tomas, Abuleil Amjad, Geranmayeh Anahita, Andersson Gerhard, Shahnavaz Shervin
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Department of Psychology and Social Work, Mid Sweden University, Östersund, Sweden.
JMIR Form Res. 2023 Nov 24;7:e46253. doi: 10.2196/46253.
Most forcibly displaced refugees in Sweden originate from the Arab Republic of Syria and Iraq. Approximately half of all refugees are aged between 15 and 26 years. This particular group of youths is at a higher risk for developing various mental disorders. However, low use of mental health services across Europe has been reported. Previous research indicates that culturally adapted psychological interventions may be suitable for refugee youths. However, little is known about the feasibility, acceptability, and efficacy of such psychological interventions.
This study aimed to explore the feasibility, acceptability, and preliminary efficacy of an individually tailored and culturally adapted internet-based cognitive behavioral therapy for Arabic-speaking refugees and immigrant youths in Sweden.
A total of 17 participants were included to participate in an open trial study of an individually tailored and culturally adapted internet-based cognitive behavioral therapy targeting common mental health problems. To assess the intervention outcome, the Hopkins Symptom Checklist was used. To explore the acceptability of the intervention, in-depth interviews were conducted with 12 participants using thematic analysis. Feasibility was assessed by measuring treatment adherence and by calculating recruitment and retention rates.
The intervention had a high dropout rate and low feasibility. Quantitative analyses of the treatment efficacy were not possible because of the high dropout rate. The qualitative analysis resulted in 3 overarching categories: experiences with SahaUng (the treatment), attitudes toward psychological interventions, and personal factors important for adherence.
The findings from this study indicate that the feasibility and acceptability of the current intervention were low and, based on the qualitative analysis, could be increased by a refinement of recruitment strategies, further simplification of the treatment content, and modifications to the cultural adaptation.
瑞典大多数被迫流离失所的难民来自阿拉伯叙利亚共和国和伊拉克。所有难民中约有一半年龄在15至26岁之间。这一特定青年群体患各种精神障碍的风险较高。然而，据报道，欧洲各地心理健康服务的使用率较低。先前的研究表明，文化适应的心理干预可能适用于难民青年。然而，对于此类心理干预的可行性、可接受性和有效性知之甚少。
本研究旨在探讨一种为瑞典讲阿拉伯语的难民和移民青年量身定制且文化适应的基于互联网的认知行为疗法的可行性、可接受性和初步疗效。
共有17名参与者纳入一项开放试验研究，该研究针对常见心理健康问题开展一种量身定制且文化适应的基于互联网的认知行为疗法。为评估干预结果，使用了霍普金斯症状清单。为探究干预的可接受性，对12名参与者进行了深入访谈并采用主题分析。通过测量治疗依从性以及计算招募和留存率来评估可行性。
该干预的退出率高且可行性低。由于退出率高，无法对治疗效果进行定量分析。定性分析得出3个总体类别：对SahaUng（治疗）的体验、对心理干预的态度以及对依从性重要的个人因素。
本研究结果表明，当前干预的可行性和可接受性较低，基于定性分析，可通过改进招募策略、进一步简化治疗内容以及对文化适应进行调整来提高可行性和可接受性。
