Alozkan Sever Cansu, Cuijpers Pim, Dawson Katie S, Mittendorfer-Rutz Ellenor, Akhtar Aemal, Bryant Richard A, Sijbrandij Marit
Department of Clinical, Neuro- and Developmental Psychology, WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Glob Ment Health (Camb). 2024 Oct 22;11:e80. doi: 10.1017/gmh.2024.93. eCollection 2024.
Young refugees face numerous challenges before, during, and after their journey, leading to higher rates of mental health issues such as depression, anxiety, and posttraumatic stress disorder. These problems often remain untreated due to barriers like limited services, stigma, and varied distress expressions. One effective scalable intervention that bridges this treatment gap is problem management plus (PM+), a transdiagnostic program delivered by trained nonspecialists. However, PM+ lacks a module directly targeting posttraumatic stress, which is a common problem in young refugees. This study presents the cultural and contextual adaptation process of PM+ for young refugees in the Netherlands that includes a newly developed emotional processing module. Qualitative data collection included free list interviews with youngsters ( = 33), key informant interviews with professionals ( = 9), policymakers ( = 5), key people from communities ( = 10), focus group discussions ( = 11) and one focused interview. A new module targeting distressing memories was developed and reviewed by experts ( = 14). Results supported protocol adaptations, including culturally and age-appropriate language, examples, illustrations and length. This research aims to develop feasible, culturally sensitive mental health interventions tailored to the unique needs of young refugees.
年轻难民在旅程之前、之中和之后面临众多挑战，导致诸如抑郁、焦虑和创伤后应激障碍等心理健康问题的发生率更高。由于服务有限、耻辱感以及不同的痛苦表达方式等障碍，这些问题往往得不到治疗。一种能够弥合这种治疗差距的有效且可扩展的干预措施是问题管理强化疗法（PM+），这是一种由经过培训的非专业人员实施的跨诊断项目。然而，PM+缺乏一个直接针对创伤后应激的模块，而这在年轻难民中是一个常见问题。本研究介绍了PM+针对荷兰年轻难民的文化和情境适应性过程，其中包括一个新开发的情绪处理模块。定性数据收集包括对青少年（n = 33）的自由列举访谈、对专业人员（n = 9）、政策制定者（n = 5）、社区关键人物（n = 10）的关键 informant 访谈、焦点小组讨论（n = 11）以及一次重点访谈。一个针对痛苦记忆的新模块由专家（n = 14）进行了开发和审查。结果支持了方案调整，包括符合文化和年龄的语言、示例、插图以及长度。本研究旨在开发适合年轻难民独特需求的可行的、具有文化敏感性的心理健康干预措施。
