Examining psychological flexibility in unaccompanied refugee minors: A network analysis

IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Johannes Freymann , Dafne Morroni , Johann Roland Kleinbub , Maria Karekla
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引用次数: 0

Abstract

Background

Refugees, particularly unaccompanied refugee minors (URM), often report poor mental health. Psychological Flexibility (PF), derived from Acceptance and Commitment Therapy (ACT), appears to positively impact mental health in various populations, including adolescents and refugees.

Objectives

This study aimed to examine the structure of the PF model and the connections among its core processes, as well as the structure and connections between mental health constructs (i.e., post-traumatic stress, depression, anxiety, stress, quality of life) and PF in URM.

Methods

100 URM aged 13–18 years living in shelters in the Republic of Cyprus completed four self-reports, assessing depression, anxiety, and stress (DASS-21), PF (Psy-Flex), PTSD (CRIES-13), and HRQL (KIDSCREEN-10). Network Analysis was used to examine the structure and connections of the constructs.

Results

Most core PF processes showed positive connections amongst each other, with the strongest edge between committed action and values. Together with self as context, these core processes exhibited the highest expected influence. The strongest positive connections in the mental health network were found among stress, anxiety, and depression. Stress had the highest expected influence, whereas PF had the lowest. A post hoc Johnson-Neyman analysis suggested a buffering effect of PF on the impact of PTSD on anxiety and stress.

Conclusions

Proposed areas of focus for clinicians working with URM include incorporating strategies that address stress symptoms and facilitate individuals in pursuing value-based behavior. It is equally important to encourage critical reflection on values and the conceptualized self in the context of culture.

考察孤身未成年人的心理灵活性:网络分析
背景难民,尤其是举目无亲的未成年难民(URM),经常报告心理健康状况不佳。心理弹性(PF)源于接纳与承诺疗法(ACT),似乎对包括青少年和难民在内的各种人群的心理健康都有积极影响、方法 100 名居住在塞浦路斯共和国避难所的 13-18 岁青少年完成了四项自我报告,分别评估了抑郁、焦虑和压力(DASS-21)、创伤后应激障碍(Psy-Flex)、创伤后应激障碍(CRIES-13)以及生活质量和品质(HRQL)(KIDSCREEN-10)。结果大多数核心 PF 过程显示出相互之间的积极联系,其中承诺行动和价值观之间的联系最为紧密。这些核心过程与作为情境的自我一起,表现出最高的预期影响力。在心理健康网络中,压力、焦虑和抑郁之间的正向联系最强。压力的预期影响力最大,而 PF 的预期影响力最小。一项事后约翰逊-奈曼分析表明,PF 对创伤后应激障碍对焦虑和压力的影响具有缓冲作用。同样重要的是,要鼓励在文化背景下对价值观和概念化的自我进行批判性反思。
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来源期刊
CiteScore
8.50
自引率
18.00%
发文量
82
审稿时长
61 days
期刊介绍: The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.
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