Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Đánh giá can thiệp cộng đồng Teaching Recovery Techniques cho thanh thiếu niên tị nạn không có người giám hộ gặp phải triệu chứng stress sau chấn thương (Thử nghiệm tị nạn thanh thiếu niên không có người giám hộ Thụy Điển; SUPpORT): giao thức nghiên cứu cho một thử nghiệm ngẫu nhiên có đối chứng
Tóm tắt
Vào năm 2015, 162,877 người đã tìm kiếm quy chế tị nạn tại Thụy Điển, trong số đó có 35,369 trẻ em tị nạn không có người giám hộ (URMs). Trẻ em tị nạn, đặc biệt là URMs, thường phải trải qua những chấn thương và có nguy cơ cao phát triển các vấn đề sức khỏe tâm thần, chẳng hạn như triệu chứng rối loạn căng thẳng sau chấn thương (PTSD), trầm cảm và lo âu, mà có thể kéo dài nhiều năm sau khi định cư. Thử nghiệm Tị nạn Thanh thiếu niên không có người giám hộ Thụy Điển (SUPpORT) nhằm đánh giá một can thiệp dựa vào cộng đồng, gọi là Kỹ thuật Dạy hồi phục (TRT), cho thanh thiếu niên tị nạn trải qua triệu chứng PTSD. Một thử nghiệm ngẫu nhiên có đối chứng sẽ được tiến hành trong đó các tham gia viên sẽ được phân ngẫu nhiên vào một trong hai nhóm: nhóm can thiệp (n=109) sẽ được giới thiệu chương trình TRT, và nhóm đối chứng chờ đợi (n=109) sẽ nhận dịch vụ như thường lệ, theo sau là chương trình TRT khoảng 20 tuần sau đó. Dữ liệu kết quả sẽ được thu thập tại ba thời điểm: trước can thiệp (T1), sau can thiệp (T2; khoảng 8 tuần sau phân ngẫu nhiên) và theo dõi (T3; khoảng 20 tuần sau phân ngẫu nhiên). Nghiên cứu này sẽ cung cấp kiến thức về hiệu quả và hiệu suất của một can thiệp nhóm cho URMs báo cáo triệu chứng PTSD tại Thụy Điển. ISRCTN, ISRCTN47820795. Đã đăng ký trước vào ngày 20 tháng 12 năm 2018.
Từ khóa
#tị nạn #trẻ em không có người giám hộ #chấn thương tâm lý #PTSD #can thiệp cộng đồngTài liệu tham khảo
Almqvist K, Brandell-Forsberg M. Refugee children in Sweden: Post-traumatic stress disorder in Iranian preschool children exposed to organized violence. Child Abuse Neglect. 1997;21(4):351–66.
Barber J, Thompson S. Multiple regression of cost data: use of generalised linear models. J Health Serv Res Policy. 2004;9(4):197–204.
Barron IG, Abdallah G, Smith P. Randomized control trial of a CBT trauma recovery program in Palestinian schools. J Loss Trauma. 2013;18(4):306–21.
Bean T, Derluyn I, Eurelings-Bontekoe E, Broekaert E, Spinhoven P. Comparing psychological distress, traumatic stress reactions, and experiences of unaccompanied refugee minors with experiences of adolescents accompanied by parents. J Nerv Ment Dis. 2007;195(4):288–97.
Bugge C, Williams B, Hagen S, Logan J, Glazener C, Pringle S, Sinclair L. A process for Decision-making after Pilot and feasibility Trials (ADePT): development following a feasibility study of a complex intervention for pelvic organ prolapse. Trials. 2013;14(1):353.
Cantril, H. The pattern of human concerns. New Brunswick, NJ: Rutgers University Press. 1965.
Chen G, Flynn T, Stevens K, Brazier J, Huynh E, Sawyer M, et al. Assessing the health related quality of life of Australian adolescents: an empirical comparison of the Child Health Utility 9D and EQ-5D-Yinstruments. Value Health. 2015;18(4):432–8.
Drummond MF, et al. Methods for the economic evaluation of health care programmes. 4th ed. Oxford: Oxford University Press; 2015.
Edwards P. Questionnaires in clinical trials: guidelines for optimal design and administration. Trials. 2010;11(1):2.
Evans C, Margison F, Barkham M. The contribution of reliable and clinically significant change methods to evidence-based mental health. Evid Based Ment Health. 1998;1(3):70–2.
Feldman R, Vengrober A, Eidelman-Rothman M, Zagoory-Sharon O. Stress reactivity in war-exposed young children with and without posttraumatic stress disorder: relations to maternal stress hormones, parenting, and child emotionality and regulation. Dev Psychopathol. 2013;25(4 Pt 1):943–55.
Gilbody S, Richards D, Brealey S, Hewitt C. Screening for depression in medical settings with the Patient Health Questionnaire (PHQ): a diagnostic meta-analysis. J Gen Intern Med. 2007;22(11):1596–602.
Jacobson NS, Truax P. Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. J Consult Clin Psychol. 1991;59(1):12.
Jensen TK, Fjermestad KW, Granly L, Wilhelmsen NH. Stressful life experiences and mental health problems among unaccompanied asylum-seeking children. Clin Child Psychol Psychiatry. 2015;20(1):106–16.
Keeshin BR, Strawn JR. Psychological and pharmacologic treatment of youth with posttraumatic stress disorder: an evidence-based review. Child Adolesc Psychiatr Clin. 2014;23(2):399–411.
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–13.
Kroenke K, Spitzer RL, Williams JB, Monahan PO, Löwe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007;146(5):317–25.
Löwe B, Unützer J, Callahan CM, Perkins AJ, Kroenke K. Monitoring depression treatment outcomes with the patient health questionnaire-9. Med Care. 2004;42(12):1194–201.
Mazur J, Szkultecka-Dębek M, Dzielska A, Drozd M, Małkowska-Szkutnik A. What does the Cantril Ladder measure in adolescence? Arch Med Sci. 2018;14(1):182.
Oppedal B, Idsoe T. The role of social support in the acculturation and mental health of unaccompanied minor asylum seekers. Scand J Psychol. 2015;56(2):203–11.
Perrin S, Meiser-Stedman R, Smith P. The Children’s Revised Impact of Event Scale (CRIES): validity as a screening instrument for PTSD. Behav Cogn Psychother. 2005;33(04):487–98.
Pfefferbaum B, Noffsinger MA, Jacobs AK, Varma V. Children’s cognitive functioning in disasters and terrorism. Curr Psychiatry Rep. 2016;18(5):48.
Pityaratstian N, Piyasil V, Ketumarn P, Sitdhiraksa N, Ularntinon S, Pariwatcharakul P. Randomized controlled trial of group cognitive behavioural therapy for post-traumatic stress disorder in children and adolescents exposed to tsunami in Thailand. Behav Cogn Psychother. 2015;43(5):549–61.
Posner K, Brown GK, Stanley B, Brent DA, Yershova KV, Oquendo MA, et al. The Columbia–Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry. 2011;168(12):1266–77.
Qouta SR, Palosaari E, Diab M, Punamäki RL. Intervention effectiveness among war-affected children: a cluster randomized controlled trial on improving mental health. J Traumatic Stress. 2012;25(3):288–98.
Ratcliffe J, Stevens K, Flynn T, Brazier J, Sawyer M. An assessment of the construct validity of the CHU9D in the Australian adolescent general population. Qual Life Res. 2012;21(4):717–25.
Salari R, Malekian C, Linck L, Kristiansson R, Sarkadi A. Screening for PTSD symptoms in unaccompanied refugee minors: a test of the CRIES-8 questionnaire in routine care. Scand J Public Health. 2017;45(6):605–11.
Sarkadi A, Ådahl K, Stenvall E, Ssegonja R, Batti H, Gavra P, et al. Teaching Recovery Techniques: evaluation of a group intervention for unaccompanied refugee minors with symptoms of PTSD in Sweden. Eur Child Adolesc Psychiatry. 2018;27(4):467–79.
Scholz U, Doña BG, Sud S, Schwarzer R. Is general self-efficacy a universal construct? Psychometric findings from 25 countries. Eur J Psychol Assess. 2002;18(3):242.
Schwarzer R, Jerusalem M. The general self-efficacy scale (GSE). Anxiety Stress Coping. 2010;12:329–45.
Sigvardsdotter E, Nilsson H, Malm A, Tinghög P, Gottvall M, Vaez M, Saboonchi F. Development and preliminary validation of Refugee Trauma History Checklist (RTHC)—a brief checklist for survey studies. Int J Environmental Res Public Health. 2017;14(10):1175.
Silove D, Sinnerbrink I, Field A, Manicavasagar V. Anxiety, depression and PTSD in asylum-seekers: associations with pre-migration trauma and post-migration stressors. Br J Psychiatry. 1997;170:351–7.
Slone M, Mann S. Effects of war, terrorism and armed conflict on young children: a systematic review. Child Psychiatry Hum Dev. 2016;47(6):950–65.
Smith P, Dyregrov A, Yule W. Children and disaster: teaching recovery techniques. Bergen: Children and War Foundation; 2002.
Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092–7.
Stevens K. Developing a descriptive system for a new preference-based measure of health-related quality of life for children. Qual Life Res. 2009;18(8):1105–13.
Stevens K. Assessing the performance of a new generic measure of health-related quality of life for children and refining it for use in health state valuation. Appl Health Econ Health Policy. 2011;9(3):157–69.
Stevens K. Valuation of the Child Health Utility 9D Index. Pharmacoeconomics. 2012;30(8):729–47.
Stevens K, Ratcliffe J. Measuring and valuing health benefits for economic evaluation in adolescence: an assessment of the practicality and validity of the child health utility 9D in the Australian adolescent population. Value Health. 2012;15(8):1092–9.
Swedish Migration Agency. Applications for asylum received, 2015. 2016. www.migrationsverket.se/English/About-the-Migration-Agency/Statistics/Asylum.
Tam SY, Houlihan S, Melendez-Torres GJ. A systematic review of longitudinal risk and protective factors and correlates for posttraumatic stress and its natural history in forcibly displaced children. Trauma Violence Abuse. 2017;18(4):377–95.
Verlinden E, van Meijel EPM, Opmeer BC, Beer R, de Roos C, Bicanic IAE, Lamers-Winkelman F, Olff M, Boer F, Lindauer RJL. Characteristics of the Children’s Revised Impact of Event Scale in a clinically referred Dutch sample. J Trauma Stress. 2014;27(3):338–44.
Vervliet M, Lammertyn J, Broekaert E, Derluyn I. Longitudinal follow-up of the mental health of unaccompanied refugee minors. Eur Child Adolesc Psychiatry. 2014;23(5):337–46.
Wong CWS, Schweitzer RD. Individual, premigration and postsettlement factors, and academic achievement in adolescents from refugee backgrounds: a systematic review and model. Transcult Psychiatry. 2017;54(5–6):756–82.
Wright AM, Dhalimi A, Lumley MA, Jamil H, Pole N, Arnetz JE, Arnetz B. Unemployment in Iraqi refugees: the interaction of pre and post-displacement trauma. Scand J Psychology. 2016;57(6):564–70.
Yule W, Dyregrov A, Raundalen M, Smith P. Children and war: the work of the Children and War Foundation. Eur J Psychotraumatol. 2013;4(1):18424.
