一项体育保护项目可减轻受流离失所影响青少年的焦虑和抑郁：乌干达游戏连接项目的随机对照试验。
A sport-for-protection program reduces anxiety and depression in youth affected by displacement: A randomized controlled trial of the Game Connect program in Uganda.
作者信息
Latimer Kathleen, Larok Rita, Nyeko John Paul, Murungi Lydia, Luwangula Ronald, Lukungu Bashir, Carrin Jeroen, Nannungi Robinah, Comboni Daniel Ojara, Kalule Esther Nanfuka, Rosenbaum Simon, Vancampfort Davy
机构信息
Olympic Refuge Foundation, Lausanne, Switzerland.
International Health Sciences University, Kampala, Uganda; Association of Volunteers in International Service (AVSI), Kampala, Uganda.
出版信息
J Affect Disord. 2025 May 1;376:84-91. doi: 10.1016/j.jad.2025.02.001. Epub 2025 Feb 3.
INTRODUCTION
Youth affected by displacement are at risk for anxiety and depression. Supervised sport programs are a potentially effective strategy, however trials from displacement contexts are lacking.
METHODS
Displaced youth and youth from host communities in five humanitarian settings across Uganda aged 15 to 24 years, and with at least mild anxiety and/or depression, were randomized to a 16-week sport-for-protection program or a wait-list control condition. The Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9, adolescent version (PHQ-9-A) were assessed pre- and post-intervention. Linear mixed modelling was conducted.
RESULTS
834 young people were randomized (421 in the experimental and 413 in the control condition; median age = 19.0 years; 46.9 % boys; 14.7 % with self-reported or observed disability; 29.5 % from host community and 70.5 % displaced youth). Large effect sizes were found for the anxiolytic (Cohen d = 1.21, 95%CI = 1.06-1.36) and antidepressant (Cohen d = 1.32, 95%CI = 1.17-1.47) effects of sport-for-protection in comparison with a wait-list control condition. In subgroup analyses, large effect sizes were observed in displaced youth (Cohen d GAD-7 = 1.15, 95%CI = 1.0-1.32; Cohen d PHQ-9-A = 1.33, 95%CI = 1.16-1.51) and youth from host communities (Cohen d GAD-7 = 1.34, 95%CI = 1.06-1.61; Cohen d PHQ-9-A = 1.30, 95%CI = 1.03-1.58); in boys (Cohen d GAD-7 = 1.23, 95%CI = 1.03-1.43; Cohen d PHQ-9-A = 1.36, 95%CI = 1.14-1.58) and girls (Cohen d GAD-7 = 1.11, 95%CI = 0.89-1.33; Cohen d PHQ-9-A = 1.26, 95%CI = 1.05-1.47); and in those with (Cohen d GAD-7 = 0.99, 95%CI = 0.61-1.37.; Cohen d PHQ-9-A = 1.53, 95%CI = 1.12-1.94) and without disability (Cohen d GAD-7 = 1.24, 95%CI = 1.08-1.49; Cohen d PHQ-9-A = 1.28, 95%CI = 1.12-1.44).
CONCLUSION
Sport-for-protection is an effective stand-alone or adjunctive intervention to reduce symptoms of anxiety and depression among young people affected by displacement within humanitarian settings.
介绍
受流离失所影响的青少年有患焦虑症和抑郁症的风险。有监督的体育项目是一种潜在有效的策略，然而缺乏来自流离失所背景下的试验。
方法
在乌干达五个不同的人道主义环境中，年龄在15至24岁之间、至少有轻度焦虑和/或抑郁的流离失所青少年和来自收容社区的青少年被随机分为一个为期16周的体育保护项目组或一个等待名单对照组。在干预前后评估广泛性焦虑障碍量表-7（GAD-7）和患者健康问卷-9青少年版（PHQ-9-A）。进行线性混合模型分析。
结果
834名年轻人被随机分组（实验组421人，对照组413人；中位年龄=19.0岁；46.9%为男孩；14.7%有自我报告或观察到的残疾；29.5%来自收容社区，70.5%为流离失所青少年）。与等待名单对照组相比，发现体育保护项目在抗焦虑（科恩d=1.21，95%CI=1.06-1.36）和抗抑郁（科恩d=1.32，95%CI=1.17-1.47）方面有较大效应量。在亚组分析中，流离失所青少年（科恩d GAD-7=1.15，95%CI=1.0-1.32；科恩d PHQ-9-A=1.33，95%CI=1.16-1.51）和收容社区青少年（科恩d GAD-7=1.34，95%CI=1.06-1.61；科恩d PHQ-9-A=1.30，95%CI=1.03-1.58）；男孩（科恩d GAD-7=1.23，95%CI=1.03-1.43；科恩d PHQ-9-A=1.36，95%CI=1.14-1.58）和女孩（科恩d GAD-7=1.11，95%CI=）。
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