重新安置在北美的非洲难民的心理健康干预措施:系统回顾。

IF 2.7 3区 医学 Q1 ANTHROPOLOGY
Evalyne K Orwenyo, Betty C Tonui, Cecilia Mengo
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引用次数: 0

摘要

过去十年来,移民到北美(美国和加拿大)的非洲难民人数显著增加。尽管如此,非洲难民中普遍存在的精神疾病表明,迫切需要解决这些问题。我们审查了针对北美非洲难民的心理健康干预措施,确定了存在的差距,并提出了改善心理健康服务的建议。使用PRISMA指南,我们确定(n = 1164)、筛选(n = 989)、评估(n = 79)并纳入(n = 7)同行评议的文章,这些文章详细介绍了解决北美非洲难民心理健康及其相关问题的干预措施。我们的研究结果表明,迁移前的危险和文化适应压力因素加剧了心理健康问题,如焦虑、抑郁、烦躁不安和创伤后应激障碍症状。具有文化适应性的认知行为疗法、同伴支持和心理教育等干预措施有效地减少了心理健康症状,提高了生活满意度。今后的干预措施应将非洲文化信仰和习俗纳入社区环境,以促进精神卫生服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mental health interventions for African refugees resettled in North America: A systematic review.

The number of African refugees migrating to North America (the United States and Canada) has increased significantly over the past decade. Notwithstanding, the prevalence of mental health disorders among African refugees signals an urgent need to address them. We reviewed mental health interventions tailored to African refugees in North America, identified existing gaps, and suggested mental health services improvement recommendations. Using PRISMA guidelines, we identified (n = 1,164), screened (n = 989), assessed (n = 79), and included (n = 7) peer-reviewed articles detailing interventions that addressed mental health and its associated concerns among African refugees in North America. Our results showed that pre-migration perils and acculturation stressors exacerbated mental health concerns such as anxiety, depression, dysphoria, and post-traumatic stress disorder symptoms. Interventions that culturally adapted cognitive behavior therapy, peer support, and psycho-education effectively reduced mental health symptoms and improved life satisfaction. Future interventions should contextualize and incorporate African cultural beliefs and practices within community settings to promote mental health services.

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来源期刊
CiteScore
5.10
自引率
12.00%
发文量
93
期刊介绍: Transcultural Psychiatry is a fully peer reviewed international journal that publishes original research and review articles on cultural psychiatry and mental health. Cultural psychiatry is concerned with the social and cultural determinants of psychopathology and psychosocial treatments of the range of mental and behavioural problems in individuals, families and human groups. In addition to the clinical research methods of psychiatry, it draws from the disciplines of psychiatric epidemiology, medical anthropology and cross-cultural psychology.
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