在土耳其困难的叙利亚难民中,小组问题管理的有效性:随机对照试验
C Acarturk1, G Kurt2, Z İlkkurşun1
1Department of Psychology, Koc University, Istanbul, Türkiye.
Epidemiology and psychiatric sciences
|September 30, 2024
概括
集体问题管理加 (gPM+) 没有减少叙利亚难民的抑郁或焦虑症状. 然而,它改善了功能障碍,对高度痛苦的个人最初的好处随着时间的推移而逐渐消失.
科学领域:
- 心理健康研究 心理健康研究
- 难民健康 难民健康
- 心理社会干预 心理社会干预
背景情况:
- 城市环境中的叙利亚难民经历了高度的心理痛苦,但精神卫生服务的利用率很低.
- 世界卫生组织开发了群组问题管理加 (gPM+),这是由非专业同行辅导员提供的可扩展干预,以弥补这一差距.
研究的目的:
- 评估gPM+在减少叙利亚难民在土耳其伊斯坦布尔的抑郁和焦虑症状方面的有效性.
主要方法:
- 一项随机对照试验涉及368名陷入困境的叙利亚难民,他们的功能受损.
- 参与者被随机分配到gPM+加上通常的增强护理 (gPM+/E-CAU) 或仅E-CAU.
- 主要结局包括3个月后的抑郁和焦虑症状 (HSCL-25). 二次结果包括PTSD症状,功能障碍 (WHODAS 2.0) 和自我识别的问题.
主要成果:
- gPM+对焦虑,抑郁或PTSD症状没有显著的影响. 在gPM+/E-CAU组观察到功能障碍的显著减少,与仅在3个月的E-CAU组相比.
- 后期分析显示,在可能患有基线抑郁症或焦虑症的参与者中,抑郁症和焦虑症的短期减少,但这些收益在3个月内没有持续下去.
- 功能障碍在gPM+/E-CAU组显著改善,而仅在3个月的随访中与E-CAU组相比.
结论:
- 在这个人群中,gPM+并没有缓解抑郁和焦虑症状,但确实改善了功能障碍.
- 患有较高基线痛苦的参与者最初表现出好处,但这些好处不是长期的.
- 量身定制的心理社会干预措施可能有利于低资源环境中的极度困难的难民.
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