Acceptance and Commitment Therapy in a Low-Income Country in Sub-Saharan Africa: A Call for Further Research.
Acceptance and Commitment Therapy in a Low-Income Country in Sub-Saharan Africa: A Call for Further Research.
复制标题
在撒哈拉以南非洲的低收入国家接受和承诺疗法：呼吁进一步研究。
DOI：
10.3389/fpubh.2021.732800
复制
发表时间：
2021
影响因子：
5.2
通讯作者：
Hayes SC
中科院分区：
文献类型：
--
作者：
Geda YE;Krell-Roesch J;Fisseha Y;Tefera A;Beyero T;Rosenbaum D;Szabo TG;Araya M;Hayes SC
几十年来，撒哈拉以南非洲低收入和中等收入国家（LMIC）的高级卫生保健工作者严重短缺的趋势不断恶化。埃塞俄比亚尤其如此，该国严重缺乏心理健康专业人员。与世卫组织建议的中低收入国家精神卫生保健任务分担方法相一致，接受和承诺疗法（ACT）是一种经过经验验证的心理干预措施，旨在提高心理灵活性，可由受过培训的基层人员提供。在本文中，我们讨论的需要和潜在的作用ACT提供的卫生推广工作者（HEW），以解决整个埃塞俄比亚的精神卫生保健需求。为此，我们还回顾了以前的研究，这些研究审查了非洲国家（包括尼日利亚、塞拉利昂、乌干达和南非）基于ACT的干预措施的有效性。所有研究都显示，接受ACT干预的人群在各种心理健康相关结果指标方面都有显着改善，例如心理困扰和抑郁症状减少，或主观幸福感和生活满意度增加。然而，迄今为止，没有在埃塞俄比亚应用青蒿素综合疗法的研究。因此，有必要进行更多的研究，以检查有效性，如果证明成功，扩大由受过培训的卫生保健工作者在基层提供的基于ACT的干预措施的任务分担方法，可能为埃塞俄比亚以及其他非洲中低收入国家的创新，可持续的心理健康服务铺平道路。
A worsening trend of critical shortages in senior health care workers across low- and middle-income countries (LMICs) in sub-Saharan Africa has been documented for decades. This is especially the case in Ethiopia that has severe shortage of mental health professionals. Consistent with the WHO recommended approach of task sharing for mental health care in LMICs, Acceptance and Commitment Therapy (ACT), which is an empirically validated psychological intervention aimed at increasing psychological flexibility, may be delivered by trained laypersons who have a grassroots presence. In this paper, we discuss the need for and potential role of ACT to be delivered by health extension workers (HEWs) to address mental health care needs across Ethiopia. To this end, we also reviewed previous studies that have examined the effectiveness of ACT-based interventions in African countries including in Nigeria, Sierra Leone, Uganda, and South Africa. All studies revealed significant improvements of various mental health-related outcome measures such as decreased psychological distress and depressive symptoms, or increased subjective wellbeing and life satisfaction in the groups that received an ACT-based intervention. However, to date, there is no study that applied ACT in Ethiopia. Thus, more research is warranted to examine the effectiveness and, if proven successful, to scale up a task sharing approach of an ACT-based intervention being delivered by trained HEWs at a grassroots level, possibly paving the way for an innovative, sustainable mental health service in Ethiopia as well as other African LMICs.
登录
查看更多内容
影响因子：
2.8
作者：
Desta, Firew Ayalew;Shifa, Girma Temam;Kim, Young Mi
通讯作者：
Kim, Young Mi
影响因子：
6.6
作者：
Carlbring, Per;Hagglund, Malin;Andersson, Gerhard
通讯作者：
Andersson, Gerhard
影响因子：
6.9
作者：
Fledderus, M.;Bohlmeijer, E. T.;Schreurs, K. M. G.
通讯作者：
Schreurs, K. M. G.
影响因子：
120.7
作者：
Bolton, P;Bass, J;Weissman, M
通讯作者：
Weissman, M
DOI：
10.1016/j.pscychresns.2016.12.012
发表时间：
2017-03-30
期刊：
Psychiatry research. Neuroimaging
影响因子：
--
作者：
Burklund LJ;Torre JB;Lieberman MD;Taylor SE;Craske MG
通讯作者：
Craske MG