An online intervention designed to reduce self-stigma and increase help-seeking in Arabic-speaking refugees with posttraumatic stress symptoms: A randomized controlled trial.
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引用次数: 0
Abstract
Despite elevated rates of psychopathology, refugees underutilize mental health services. Mental health self-stigma is a prominent barrier to accessing psychological support; however, there is limited research on intervention approaches to reduce self-stigma among refugees. The present study aimed to provide further support for the Tell Your Story (TYS) intervention in reducing self-stigma and increasing help-seeking among Arabic-speaking male and female refugees. In this randomized controlled trial (RCT), 67 Arabic-speaking refugees with self-stigma and at least subthreshold posttraumatic stress symptoms (PTSS) were randomly allocated to the TYS group or waitlist control group. At baseline, postintervention, and 3-month follow-up, participants completed assessment measures indexing measures of self-stigma (related to symptoms and help-seeking) and help-seeking (intentions and behavior). Poisson regression analyses revealed that participants in the TYS group demonstrated more help-seeking behavior at 3-month follow-up than those in the waitlist control group, Hedges' g = 0.67. However, linear mixed models showed that the waitlist control group demonstrated larger decreases in PTSD-related self-stigma across time, T2: g = 0.07, T3: g = 0.04, whereas no significant group differences were observed for self-stigma related to help-seeking. Although the findings were mixed and suggest a need for further investigation in a larger RCT with a sample of refugee men and women, the results provide support for the intervention's utility in expanding one's help-seeking network in a population with low treatment uptake.
尽管精神病发病率上升,但难民没有充分利用心理健康服务。心理健康自我耻辱感是获得心理支持的主要障碍;然而,关于减少难民自我耻辱的干预方法的研究有限。本研究旨在进一步支持“告诉你的故事”(Tell Your Story, TYS)干预在减少阿拉伯语男女难民自我污名和增加寻求帮助方面的作用。在这项随机对照试验(RCT)中,67名具有自我耻辱和至少阈下创伤后应激症状(PTSS)的阿拉伯语难民被随机分配到TYS组或等候名单对照组。在基线、干预后和3个月的随访中,参与者完成了自我耻辱感(与症状和寻求帮助有关)和寻求帮助(意图和行为)的索引测量。泊松回归分析显示,在3个月的随访中,TYS组的参与者比等候名单对照组的参与者表现出更多的寻求帮助的行为,Hedges的g = 0.67。然而,线性混合模型显示,等待名单对照组的ptsd相关自我耻辱感在时间上有较大的下降,T2: g = 0.07, T3: g = 0.04,而寻求帮助相关的自我耻辱感在时间上没有显著的组间差异。尽管研究结果参差不齐,表明有必要对难民男女样本进行更大规模的随机对照试验进行进一步调查,但研究结果支持了干预措施在治疗接受率低的人群中扩大寻求帮助网络的效用。
期刊介绍:
Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.