一项社会心理攀岩干预改善了黎巴嫩年轻难民和当地社区青少年的幸福感：一项实用对照试验的结果。
A psychosocial bouldering intervention improves the well-being of young refugees and adolescents from the host community in Lebanon: results from a pragmatic controlled trial.
作者信息
Luttenberger Katharina, Baggenstos Beat, Najem Charbel, Sifri Charles, Lewczuk Piotr, Radegast Anne, Rosenbaum Simon
机构信息
Department Medical Psychology and Medical Sociology, Faculty of Medicine, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
ClimbAID, Zurich, Switzerland.
出版信息
Confl Health. 2024 Sep 14;18(1):56. doi: 10.1186/s13031-024-00615-3.
BACKGROUND
Mental health and psychosocial support (MHPSS) is increasingly considered vital for addressing the needs of displaced communities. The mental health of young people in Lebanon, including members of the host community and refugees, has been severely affected by multiple crises. Physical activity (PA) is an effective means for enhancing mental health, but evidence of PA's impact on mental health among forcibly displaced populations is still emerging and often varies widely across studies.
METHOD
In this waitlist-controlled study, we examined the effectiveness of an 8-week psychosocial bouldering group intervention offered by the nonprofit organization ClimbAID on psychological well-being, distress, self-efficacy, and social cohesion in a group of mostly Syrian refugee adolescents residing in the Bekaa Valley, Lebanon. The intervention consisted of 8 sessions and took place once a week for 2 h in a group of up to 12 adolescents with 2 trained facilitators and up to 2 volunteers, supervised by a climbing instructor and a social worker. Multilevel analyses were performed for all outcomes.
RESULTS
233 people were included in the study. The dropout rate was approximately 33%. The IG improved significantly more than the waitlist group in terms of overall mental well-being and psychological distress. Group allocation was a significant predictor of improvements in mental well-being and psychological distress and showed a trend toward predicting self-efficacy. There was no positive impact of the intervention on social cohesion.
CONCLUSIONS
Even in complex humanitarian settings of forced displacement, a psychosocial bouldering intervention reduces psychological distress and increases well-being in a mixed group of host and refugee youth in Bekaa, Lebanon.
TRIAL REGISTRATION
Prospectively registered with ISRCTN 13005983, registered April 1st, 2022.
背景
心理健康和社会心理支持（MHPSS）对于满足流离失所社区的需求日益被视为至关重要。黎巴嫩年轻人的心理健康，包括东道社区成员和难民，受到多重危机的严重影响。体育活动（PA）是增进心理健康的有效手段，但体育活动对被迫流离失所人群心理健康影响的证据仍在不断涌现，且不同研究结果往往差异很大。
方法
在这项等待名单对照研究中，我们考察了非营利组织“攀登援助”（ClimbAID）提供的为期8周的社会心理攀岩团体干预对黎巴嫩贝卡谷地一群主要为叙利亚难民青少年的心理健康、痛苦、自我效能感和社会凝聚力的效果。干预包括8次课程，每周进行一次，每次2小时，参与者为一组最多12名青少年，有2名经过培训的辅导员和最多2名志愿者，由一名攀岩教练和一名社会工作者监督。对所有结果进行了多层次分析。
结果
233人纳入研究。辍学率约为33%。干预组在总体心理健康和心理痛苦方面的改善明显超过等待名单组。分组是心理健康和心理痛苦改善的显著预测因素，并且在预测自我效能感方面呈现出一种趋势。干预对社会凝聚力没有积极影响。
结论
即使在被迫流离失所的复杂人道主义环境中，社会心理攀岩干预也能减少黎巴嫩贝卡地区东道社区和难民青年混合群体中的心理痛苦并提高幸福感。
试验注册
前瞻性注册于ISRCTN 13005983，2022年4月1日注册。
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