Community perspectives on the implementation of a group psychological intervention for adolescents with depression: A qualitative study in rural Nepal.

Community perspectives on the implementation of a group psychological intervention for adolescents with depression: A qualitative study in rural Nepal.
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DOI:
10.3389/fpsyt.2022.949251
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发表时间:
2022
影响因子:
4.7
通讯作者:
Rose-Clarke, Kelly
Rose-Clarke, Kelly
中科院分区:
医学3区
文献类型:
--
作者:
Hassan, Eliz;Bk, Prakash;Magar, Jananee;Luitel, Nagendra;Kohrt, Brandon A. A.;Jordans, Mark;Rose-Clarke, Kelly

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以群体为基础的心理干预可以帮助缩小低资源环境下抑郁症的治疗差距,但实施障碍仍然存在。在尼泊尔,我们就如何对青少年实施团体人际治疗征求了社区成员的意见。我们对25名抑郁症青少年(年龄13-18岁)和7名卫生和非政府组织工作人员进行了定性访谈,并对4名非抑郁青少年、4名父母/监护人和2名教师(共126人)进行了定性访谈。采用框架法对数据进行分析。参与者推荐了同性团体。学校是首选的地点,因为它对青少年来说很方便,父母也可以接受。青少年需要来自他们自己社区的具有良好沟通技能的辅导员。他们不希望家长或老师参加小组活动,但强调需要通知家长并获得他们的许可。社区成员支持团体心理干预。在尼泊尔农村,由当地人推动的基于学校的心理干预可能是一种可以接受的选择。
Group-based psychological interventions could help to close the treatment gap for depression in low-resource settings, but implementation barriers exist. In Nepal we sought community members' perspectives on how to implement group interpersonal therapy for adolescents. We conducted qualitative interviews with 25 adolescents with depression (aged 13–18) and seven health and non-governmental organization workers, and four focus groups with non-depressed adolescents, four with parents/guardians, and two with teachers (126 participants total). Data were analyzed using the Framework Method. Participants recommended same-sex groups. School was the preferred location because it is accessible for adolescents and acceptable to parents. Adolescents wanted facilitators from their own community with good communication skills. They did not want parents or teachers to participate in groups but emphasized the need to inform parents and obtain their permission. Community members supported group psychological intervention. School-based psychological interventions facilitated by local people could be an acceptable option in rural Nepal.
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