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在缅甸克钦邦境内流离失所者营地实施家庭技能计划。

Implementation of a Family Skills Programme in Internally Displaced People Camps in Kachin State, Myanmar.

作者信息

Haar Karin, El-Khani Aala, Hawng Hkawng, Brang Tun Tun, Mar Win, Lynn Zin Ko Ko, Maalouf Wadih

机构信息

Prevention, Treatment and Rehabilitation Section, Drugs Laboratory and Scientific Support Branch, Division for Policy Analysis and Public Affairs, United Nations Office on Drugs and Crime (UNODC) Headquarters, Wagramer Strasse 5, A-1400 Vienna, Austria.

Division of Psychology and Mental Health, The University of Manchester, Manchester M13 9PL, UK.

出版信息

Healthcare (Basel). 2025 May 7;13(9):1090. doi: 10.3390/healthcare13091090.

Abstract

BACKGROUND/OBJECTIVES: Children that are forcibly displaced are more likely to experience mental health and behavioural challenges than non-displaced populations, including increased risk of anxiety, depression and post-traumatic stress disorder. Building appropriate parenting skills to strengthen the relationships between caregivers and their children in times of war is key to building resilience in children. There is a lack of research on the role of family skill interventions in internally displaced people (IDP). The aim of this study was to assess the potential change in parenting skills, child mental health, and resilience capacity in families living in IDP camps in Kachin State, Myanmar, after taking part in a brief family skill intervention, Strong Families.

METHODS

An open, multi-site pilot feasibility and acceptability trial was conducted with 100 families. Outcome data were collected prospectively, assessing changes in parenting skills and family adjustment in caregivers, children's behaviour, and children's resilience capacities. Families were assessed using three scales, Parenting and Family Adjustment Scales (PAFAS), the Strengths and Difficulties Questionnaire (SDQ), and the Child and Youth Resilience Measure (CYRM-R).

RESULTS

Despite being a light intervention, Strong Families produced improvements in the child mental health, parenting practices, and parent and family adjustment skills scales. Improvements were observed in scores particularly for caregivers and children with greater challenges at baseline.

CONCLUSIONS

The results positively value the importance and feasibility of family skill interventions being integrated into the routine care of IDP families. This advocates for the prioritisation of using such tools for supporting better family functioning and mental health in humanitarian contexts.

摘要

背景/目的:与未流离失所的人群相比,被迫流离失所的儿童更有可能面临心理健康和行为方面的挑战,包括焦虑、抑郁和创伤后应激障碍风险增加。在战争时期培养适当的育儿技能以加强照顾者与子女之间的关系是增强儿童复原力的关键。关于家庭技能干预在国内流离失所者(境内流离失所者)中的作用,目前缺乏研究。本研究的目的是评估缅甸克钦邦境内流离失所者营地的家庭在参与一项简短的家庭技能干预项目“强大家庭”后,育儿技能、儿童心理健康和复原力的潜在变化。

方法

对100个家庭进行了一项开放的多地点试点可行性和可接受性试验。前瞻性收集结果数据,评估照顾者的育儿技能和家庭适应、儿童行为以及儿童复原力的变化。使用三种量表对家庭进行评估,即育儿与家庭适应量表(PAFAS)、优势与困难问卷(SDQ)以及儿童和青少年复原力测量量表(CYRM-R)。

结果

尽管“强大家庭”是一项轻度干预措施,但它在儿童心理健康、育儿实践以及父母和家庭适应技能量表方面都取得了改善。特别是在基线时面临更大挑战的照顾者和儿童的得分有了提高。

结论

研究结果积极肯定了将家庭技能干预纳入境内流离失所者家庭常规护理的重要性和可行性。这提倡在人道主义背景下优先使用此类工具来支持更好的家庭功能和心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91d4/12071584/2b04d6bf5c9d/healthcare-13-01090-g001.jpg

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