Toward an integrated approach for mental health and psychosocial support and peacebuilding in North-East Nigeria: programme description and preliminary outcomes from 'Counselling on Wheels'.
Toward an integrated approach for mental health and psychosocial support and peacebuilding in North-East Nigeria: programme description and preliminary outcomes from 'Counselling on Wheels'.
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DOI：
10.1192/bjo.2023.575
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发表时间：
2023-10-12
期刊：
影响因子：
5.4
通讯作者：
Olonisakin, Funmi
中科院分区：
文献类型：
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作者：
Paphitis, Sharli;Akilu, Fatima;Chilambo, Natasha;Iruayenama, Abiye;Samaroo, Xena;Mustapha, Asma'u;Goldsmith, Kimberley;Ismail, Olawale;Slovak, Petr;Ikpe, Eka;Smith, Patrick;Patel, Preeti;Sullivan, Richard;Abas, Melanie;Olonisakin, Funmi
关键词：
尽管在理论上支持将心理健康和社会心理支持纳入建设和平，但在受冲突影响地区，很少有方案充分纳入这些方法。描述和评估NEEM基金会在尼日利亚东北部博尔诺州实施的“车轮上的咨询”方案的初步成果。我们首先描述了车轮上的辅导方案的组成部分，包括通过社区建设和平的伙伴关系和活动，教育和宣传和平与社会凝聚力，和MHPSS干预开放给所有成年人，在八至十人的团体交付。然后，我们对参加MHPSS干预的1550名成年人的数据进行了二次分析，他们提供了基线和最后一次小组会议后1-2周的数据。对暴力极端主义的脆弱性进行了评估，采用了当地制定的80项量表。采用抑郁、焦虑和应激量表（DASS-21）和创伤后应激障碍量表（PTSD-8）评定常见精神障碍症状。通过混合效应线性回归模型对数据进行了分析，考虑到按社区分类，并按年龄和性别进行了调整。在参加MHPSS组后，抑郁（-5.8，95%CI-6.7至-5.0），压力（-5.5，95%CI-6.3至-4.6），创伤后应激障碍（-2.9，95%CI-3.4至-2.4）和易受暴力极端主义（-44.6，95%CI-50.6至-38.6）的评分下降。在非洲这一受冲突影响的地区，“车轮上的咨询”方案有望成为将MHPSS与社区建设和平活动相结合的模式。
Despite theoretical support for including mental health and psychosocial support (MHPSS) with peacebuilding, few programmes in conflict-affected regions fully integrate these approaches. To describe and assess preliminary outcomes of the Counselling on Wheels programme delivered by the NEEM Foundation in the Borno State of North-East Nigeria. We first describe the components of the Counselling on Wheels programme, including education and advocacy for peace and social cohesion through community peacebuilding partnerships and activities, and an MHPSS intervention open to all adults, delivered in groups of eight to ten people. We then conducted secondary analysis of data from 1550 adults who took part in the MHPSS intervention, who provided data at baseline and 1–2 weeks after the final group session. Vulnerability to violent extremism was assessed with a locally developed 80-item scale. Symptoms of common mental disorders were assessed with the Depression, Anxiety and Stress Scale (DASS-21) and Post-Traumatic Stress Disorder Scale (PTSD-8). Data were analysed through a mixed-effect linear regression model, accounting for clustering by community and adjusted for age and gender. After taking part in group MHPSS, scores fell for depression (−5.8, 95% CI −6.7 to −5.0), stress (−5.5, 95% CI −6.3 to −4.6), post-traumatic stress disorder (−2.9, 95% CI −3.4 to −2.4) and vulnerability to violent extremism (−44.6, 95% CI −50.6 to −38.6). The Counselling on Wheels programme shows promise as a model for integrating MHPSS with community peacebuilding activities in this conflict-affected region of Africa.
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影响因子：
5
作者：
de Fouchier, Capucine;Blanchet, Alain;Jehel, Louis
通讯作者：
Jehel, Louis
影响因子：
7.3
作者：
Bottesi, Gioia;Ghisi, Marta;Sica, Claudio
通讯作者：
Sica, Claudio
PTSD-8：简短的PTSD清单。
DOI：
10.2174/1745017901006010101
发表时间：
2010-09-28
期刊：
Clinical practice and epidemiology in mental health : CP & EMH
影响因子：
--
作者：
Hansen M;Andersen TE;Armour C;Elklit A;Palic S;Mackrill T
通讯作者：
Mackrill T
影响因子：
2.4
作者：
Baruch, Ben;Ling, Tom;Hofman, Joanna
通讯作者：
Hofman, Joanna
DOI：
10.4103/intv.intv_59_18
发表时间：
2020-01-01
影响因子：
1.4
作者：
Flaherty, Maureen P.;Sikorski, Ellen;Hayduk, Nina
通讯作者：
Hayduk, Nina