Promoting well-being in refugee children: An exploratory controlled trial of a positive psychology intervention delivered in Greek refugee camps
Promoting well-being in refugee children: An exploratory controlled trial of a positive psychology intervention delivered in Greek refugee camps
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DOI：
10.1017/s0954579419001585
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发表时间：
2021-02-01
影响因子：
3.3
通讯作者：
Mareschal, Isabelle
中科院分区：
文献类型：
--
作者：
Foka, Sevasti;Hadfield, Kristin;Mareschal, Isabelle
针对儿童难民的保护因素和积极资源而不是改善消极结果的经过严格评估的干预措施很少。为了解决这个问题，我们开发并评估了一个简短的、以团体为基础的复原力建设干预措施，称为旅途中的力量（SFJ），这是为受战争影响的儿童设计的。我们在希腊莱斯沃斯的三个难民营中对72名7- 14岁的被迫流离失所儿童（M-age = 10.76, 64.8%为女性）进行了SFJ干预的准随机试点研究。通过测量幸福感、自尊、乐观和抑郁症状从干预前（T1）到干预/等待列表任务（T2）后的前后变化来评估干预效果。对31名参与者进行了四次焦点小组访谈，以讨论他们对干预效果和继续使用所学技能的看法。通过重复测量方差分析，我们发现干预组的幸福感改善，F (1,46) = 42.99, eta(2)(p) = 0.48，自尊改善，F (1,56) = 29.11, eta(2)(p) = 0.40，乐观改善，F (1,53) = 27.16, eta(2)(p) = 0.34，抑郁症状改善，F (1,31) = 62.14, eta(2)(p) = 0.67，与等候名单组相比（p < 0.05）。焦点小组的参与者强调了SFJ在培养团结意识和建立各自优势方面的重要性。资源匮乏环境下的难民儿童可以从针对福利、希望、自尊和归属感等保护性因素的短期第一线干预措施中受益。
Rigorously evaluated interventions that target protective factors and positive resources rather than ameliorating negative outcomes in child refugees are rare. To address this, we developed and evaluated a short, group-based resilience-building intervention called Strengths for the Journey (SFJ), which was designed for war-affected children. We conducted a quasi-randomized pilot study of the SFJ intervention with 72 7- to 14-year-old forcibly displaced children (M-age = 10.76, 64.8% female) in three refugee camps in Lesvos, Greece. Intervention effectiveness was assessed by measuring pre-post changes in well-being, self-esteem, optimism, and depressive symptoms from before (T1) to immediately after the intervention/wait-list task (T2). Four focus group interviews were conducted with 31 of the participants to discuss their views on the effects of the intervention and the continued use of the skills that were learned. Using repeated-measures ANOVAs, we found improvements in well-being, F (1, 46) = 42.99, eta(2)(p) = .48, self-esteem, F (1, 56) = 29.11, eta(2)(p) = .40, optimism, F (1, 53) = 27.16, eta(2)(p) = .34, and depressive symptoms, F (1, 31) = 62.14, eta(2)(p) = .67, in the intervention group compared with the wait-listed group (p < .05). Focus group participants highlighted the importance of SFJ in developing a sense of togetherness and building their strengths. Child refugees in low-resource settings may benefit from brief, first-line interventions that target protective factors such as well-being, hope, self-esteem, and belonging.