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培养文化适应力:评估加沙一项本地参与并调整的心理健康干预措施的成效。

Fostering cultural resilience: assessing the success of a locally engaged and adapted mental health intervention in Gaza.

作者信息

Rockowitz Sarah, Bayoumi Rasha, Parr Nora, Awad Abdullah, Altawil Mohamed, Elmusharaf Khalifa

机构信息

School of Psychology, University of Birmingham, Birmingham, United Kingdom.

School of Psychology, University of Birmingham Dubai, Dubai, United Arab Emirates.

出版信息

Front Public Health. 2024 Jul 16;12:1390211. doi: 10.3389/fpubh.2024.1390211. eCollection 2024.

DOI:10.3389/fpubh.2024.1390211
PMID:39086812
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11289393/
Abstract

In ongoing-conflict-affected regions like Gaza, the prevalence of complex and intersecting post-traumatic stress disorders (PTSDs) necessitates innovative interventions. Our study explores a mental health care approach that has been culturally adapted for 15 years to address the complex landscape of PTSD in the Gaza Strip. Tarkiz was initially developed as 'Focusing', a metacognitive approach founded by Eugene Gendlin in 1950s Chicago. Tarkiz has been iteratively adapted and implemented for over a decade in Gaza by a team of local practitioners. The program's unique emphasis lies in its engagement approach, which relies on community participation and partnership building. The aim of this study was to qualitatively explore the perceived success of the program from the perspectives of the practitioners who adapted and delivered the program and the clients who participated in it. Data collection was driven by a multicultural research team, and prioritized capacity-building opportunities for Palestinian practitioners who lead on the development of research questions defining success. This exemplifies a successful science diplomacy model, emphasizing a collaborative approach, cultural sensitivity, and adaptable partnerships essential in global public health.

摘要

在加沙等受持续冲突影响的地区,复杂且相互交织的创伤后应激障碍(PTSD)的流行需要创新干预措施。我们的研究探索了一种经过15年文化调适的心理健康护理方法,以应对加沙地带创伤后应激障碍的复杂情况。塔尔基兹最初是作为“聚焦法”开发的,这是一种由尤金·根丁林于20世纪50年代在芝加哥创立的元认知方法。塔尔基兹已经由当地一组从业者在加沙反复调适和实施了十多年。该项目的独特重点在于其参与方式,这种方式依赖社区参与和伙伴关系建设。本研究的目的是从调适并实施该项目的从业者以及参与项目的客户的角度,定性探索该项目的感知成功之处。数据收集由一个多元文化研究团队推动,并优先为主导界定成功的研究问题制定的巴勒斯坦从业者提供能力建设机会。这体现了一种成功的科学外交模式,强调协作方法、文化敏感性以及全球公共卫生中必不可少的适应性伙伴关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c9/11289393/5e079556e88c/fpubh-12-1390211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c9/11289393/5e079556e88c/fpubh-12-1390211-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7c9/11289393/5e079556e88c/fpubh-12-1390211-g001.jpg

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本文引用的文献

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J Child Adolesc Trauma. 2022 May 28;16(2):339-350. doi: 10.1007/s40653-022-00460-7. eCollection 2023 Jun.
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Stress, PTSD, and COVID-19: the Utility of Disaster Mental Health Interventions During the COVID-19 Pandemic.压力、创伤后应激障碍与2019冠状病毒病:2019冠状病毒病大流行期间灾难心理健康干预措施的效用
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Psychosocial concerns in a context of prolonged political oppression: Gaza mental health providers' perceptions.
长期政治压迫背景下的社会心理问题:加沙心理健康服务提供者的看法
Transcult Psychiatry. 2023 Jun;60(3):577-590. doi: 10.1177/13634615211062968. Epub 2022 Jan 5.
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Beyond the Diagnoses: A Cross-Cultural Approach to Assessing Trauma Reactions.超越诊断:一种评估创伤反应的跨文化方法。
Focus (Am Psychiatr Publ). 2021 Jun;19(2):197-203. doi: 10.1176/appi.focus.20200049. Epub 2021 Jun 17.
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Personal recovery and socio-structural disadvantage: A critical conceptual review.个人康复与社会结构劣势:批判性概念回顾。
Health (London). 2023 Mar;27(2):201-225. doi: 10.1177/13634593211014250. Epub 2021 May 7.
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J Child Adolesc Trauma. 2018 May 22;11(4):473-486. doi: 10.1007/s40653-018-0213-0. eCollection 2018 Dec.
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Treating posttraumatic stress disorder across cultures: A systematic review of cultural adaptations of trauma-focused cognitive behavioral therapies.跨文化创伤后应激障碍治疗:创伤聚焦认知行为疗法的文化适应性系统评价。
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