移民中使用心理治疗:基于登记册的纵向研究
Venla Lehti1,2, Valentina Kieseppä3,4, Mika Gissler5,6,7,8
1Equality Unit, Finnish Institute for Health and Welfare, Helsinki, Finland venla.lehti@utu.fi.
Journal of epidemiology and community health
|August 15, 2024
概括
芬兰的移民获得康复性心理治疗的机会明显低于本地出生的个人. 这种差异表明护理障碍,而不是移民人口对心理健康支持的需求减少.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究研究 心理健康服务研究
- 卫生社会学 卫生社会学
背景情况:
- 移民使用心理健康服务的次数比非移民人口少.
- 关于移民长期使用心理治疗的数据有限.
- 芬兰登记册数据使得移民心理治疗机会的全面研究成为可能.
研究的目的:
- 调查芬兰移民中康复性心理治疗的使用情况.
- 为了比较移民和芬兰出生的个人之间的心理治疗机会和持续时间.
- 确定影响移民人口使用心理治疗的因素.
主要方法:
- 使用芬兰数据的大规模基于登记册的研究 (n=185,605名移民,n=185,605名对照).
- 从2007年至2020年期间,对康复性心理治疗费用补偿的分析.
- 考克斯和多项逻辑回归模型来评估移民身份对治疗开始和持续时间的影响.
主要成果:
- 芬兰出生的个人比移民更频繁地接受心理治疗 (7258对1516).
- 移民的调整后危险比率 (0.27) 开始心理治疗时明显较低.
- 移民,特别是来自撒哈拉以南非洲和亚洲以及最近抵达的移民,接受治疗的可能性最低,更有可能接受更短的治疗时间.
结论:
- 芬兰移民对心理治疗的使用率较低不太可能是因为需求减少.
- 移民人口在获得康复性心理治疗方面存在重大差异.
- 有针对性的干预措施是必要的,以确保移民平等获得心理健康服务.
相关概念视频
01:24Treatment Strategies for Psychological Disorders
104
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
104
01:29Psychodynamic Therapy
57
Psychodynamic therapies emphasize the exploration of unconscious processes and early childhood experiences as fundamental contributors to psychological difficulties. These therapies, deeply rooted in Freud's psychoanalytic theory, aim to uncover and resolve unconscious conflicts, granting individuals insights that promote emotional and behavioral healing. Contemporary psychodynamic approaches have evolved, integrating a broader range of influences and methodologies while still valuing the...
57
01:25Interpersonal Psychotherapy
24
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
24
01:29Psychological and Sociocultural Causes of Schizophrenia
81
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
81
01:26Modeling in Therapy
61
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
61
01:28Psychotherapy
81
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
81