Taknint Joelle T, Thomas Fiona C, Gellatly Resham, Ameresekere Maithri
Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Boston Medical Center, Boston, MA, USA.
Curr Psychiatry Rep. 2024 Dec;26(12):866-876. doi: 10.1007/s11920-024-01568-3. Epub 2024 Nov 29.
This is a critical review of English language literature (January 2023-June 2024) on psychological trauma amongst forcibly displaced migrant women. The Mental Health and Psychosocial Support (MHPSS) Framework was used to organize multi-layered mental health interventions.
Findings indicate many promising community-based interventions, often delivered by trained lay facilitators. Interventions address: upstream drivers of mental health such as empowerment and economic security, group-based care focused on social connection and well-being, and trauma focused treatment such as Mindfulness Based Interventions, Cognitive Processing Therapy, and Culturally Adapted Cognitive Behavioral Therapy. The variety of (primarily short-term) interventions must be complemented by longitudinal evaluation. Clinicians and care systems should partner with those delivering psychosocial interventions outside of clinical settings. Continued research on the impacts of cumulative and intergenerational trauma amongst refugee women, and intervention research that centers the experiences of marginalized groups (e.g., sexual and gender minority refugees) is needed.
这是一篇对2023年1月至2024年6月期间关于被迫流离失所移民妇女心理创伤的英文文献的批判性综述。采用心理健康和社会心理支持(MHPSS)框架来组织多层次的心理健康干预措施。
研究结果表明有许多很有前景的基于社区的干预措施,通常由经过培训的非专业促进者实施。这些干预措施涉及:心理健康的上游驱动因素,如赋权和经济安全;以群体为基础的护理,侧重于社会联系和幸福感;以及针对创伤的治疗,如基于正念的干预、认知加工疗法和文化适应的认知行为疗法。各种(主要是短期的)干预措施必须辅以纵向评估。临床医生和护理系统应与在临床环境之外提供社会心理干预的人员合作。需要继续研究难民妇女中累积性和代际创伤的影响,以及以边缘化群体(如性少数和性别少数难民)的经历为中心的干预研究。