一个在线干预旨在减少自我污名化和增加寻求帮助的阿拉伯语难民创伤后压力症状的在线干预:一个随机对照试验
Natalie Mastrogiovanni1, Angela Nickerson1
1School of Psychology, University of New South Wales, Sydney, Australia.
Journal of traumatic stress
|May 30, 2025
概括
告诉你的故事 (TYS) 干预增加了难民中寻求帮助的心理健康行为. 虽然TYS没有显著减少自我耻辱,但它帮助难民扩大他们的支持网络.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 创伤研究 创伤研究
背景情况:
- 难民患精神健康问题的比例很高,但服务不足.
- 心理健康自我耻辱是难民群体寻求心理支持的重要障碍.
- 有限的研究存在于有效的干预措施,以减少难民之间的自我耻辱.
研究的目的:
- 评估"讲述你的故事" (TYS) 干预措施在减少自我耻辱的有效性.
- 评估TYS对增加难民中寻求帮助的心理健康行为的影响.
- 为阿拉伯语人口中的TYS提供进一步的证据.
主要方法:
- 一项随机对照试验 (RCT) 涉及67名阿拉伯语难民,他们有自我耻辱和创伤后应激症状 (PTSS).
- 参与者被分配到TYS干预组或等候名单对照组.
- 自我耻辱和寻求帮助的评估在基线,干预后和3个月的随访期间进行.
主要成果:
- 与对照组相比,TYS组在3个月的随访期间显著增加了寻求帮助的行为 (Hedges' g = 0.67).
- 等候名单对照组随着时间的推移,PTSD相关的自我耻辱感的减少更大.
- 对于与寻求帮助有关的自我耻辱,两组之间没有发现显著差异.
结论:
- 该TYS干预措施在增强寻求帮助的行为和扩大难民的社会支持网络方面表现有前途.
- 这些发现表明需要在更大的随机对照试验中进行进一步调查.
- 干预的实用性在一个以低心理健康治疗吸收为特征的人群中得到了支持.
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