The investigation of change mechanisms in trauma-focused interventions for traumatized refugee minors

受创伤难民未成年人创伤干预措施变革机制的调查

• 批准号: 447787115
• 负责人: Dr. Elisa Maria Pfeiffer, Ph.D.
• 金额: --
• 依托单位: Klinik für Kinder- und Jugendpsychiatrie/Psychotherapie
• 依托单位国家: 德国
• 项目类别: WBP Fellowship
• 财政年份: 2020
• 资助国家: 德国
• 起止时间: 2019-12-31 至 无数据
• 项目状态: 未结题
• 来源: https://gepris.dfg.de/gepris/projekt/447787115?language=en
• 关键词: investigation; change; mechanisms; trauma; focused

Refugee minors constitute a highly vulnerable population for experiencing traumatic events and reporting trauma-related disorders such as posttraumatic stress disorder (PTSD) or depression. There is a large body of research on how to successfully treat these disorders in children and adolescents and several studies have already investigated state-of-the-art interventions in refugee minors. There is, however, a significant gap in the literature regarding predictors (moderators) of the symptom reduction and change mechanisms (mediators) in individual and especially group-based interventions. Hence, we know which interventions work, but not how they work. This fellowship proposal therefore aims at investigating potential moderators and mediators in an evidence-based trauma-focused group intervention for traumatized refugee minors. In research question 1, I will investigate several crucial moderators of PTSD and depression symptom reduction in the course of treatment. Next to psychopathology, so-called post-migration stressors (e.g. separation from family or discrimination), socio-demographic factors and daily functioning will be investigated. In research question 2, depression will be evaluated as a mediator of PTSD symptom change as these disorders share several characteristics and trauma-focused interventions result in symptom reductions in both disorders.This fellowship will be embedded in the European Horizon 2020 project “RefugeesWellSchool” (https://refugeeswellschool.org), at the Ghent University with Prof. Dr. Ilse Derluyn being the main project coordinator. This project’s overall objective is to evaluate the role of preventive, school-based interventions in promoting refugee and migrant adolescent’s mental well-being, and successfully implementing them in diverse routine educational settings in different European countries. This fellowship proposal is particularly beneficial for investigating moderators and mediators of trauma-focused interventions because the project has a comparatively high, heterogeneous and representative sample size including refugee minors who live in different European countries. The findings of this proposal will have important implications for the development, evaluation, and dissemination of trauma-focused interventions in general. They also may guide practitioners in implementing trauma-focused interventions in the future, as the results might shed light on the important question which individual factors to focus on during the delivery of a treatment.On a personal level, the proposed fellowship at Ghent University will help me to expand my knowledge about refugee mental health and trauma-focused interventions, improve my methodological skills, and create opportunities for further projects and collaborations. Moreover, the fellowship will equip me with a broad portfolio of skills to pursue a successful research career in Germany and to be able to acquire funding for own research projects in the future.

未成年难民是一个非常脆弱的群体，他们经历了创伤事件，并报告了与创伤有关的疾病，如创伤后应激障碍或抑郁症。关于如何成功治疗儿童和青少年的这些疾病，有大量的研究，一些研究已经调查了对未成年难民的最新干预措施。然而，有一个显着的差距，在文献中的预测（主持人）的症状减轻和变化机制（调解人）在个人，特别是基于组的干预措施。因此，我们知道哪些干预措施起作用，但不知道它们如何起作用。因此，本研究金提案旨在调查在以证据为基础的、以创伤为重点的群体干预活动中，为遭受创伤的未成年难民提供潜在的主持人和调解人。在研究问题1中，我将调查治疗过程中PTSD和抑郁症状减轻的几个关键调节因素。除了精神病理学之外，还将调查所谓的移徙后压力因素（例如与家庭分离或歧视）、社会人口因素和日常功能。在研究问题2中，抑郁症将被评估为PTSD症状变化的中介，因为这些疾病具有几个共同的特征，并且以创伤为中心的干预措施会导致这两种疾病的症状减轻。该奖学金将被嵌入到根特大学的欧洲地平线2020项目“RefugeesWellSchool”（refugeeswellschool.org）中，由Ilse Derluyn教授担任主要项目协调员。该项目的总体目标是评价预防性的、以学校为基础的干预措施在促进难民和移民青少年的心理健康方面的作用，并在不同欧洲国家的各种常规教育环境中成功地实施这些措施。该研究金提案特别有利于调查创伤干预措施的主持人和调解人，因为该项目的样本量相对较高，具有异质性和代表性，包括生活在不同欧洲国家的未成年难民。这项建议的调查结果将有重要影响的发展，评估和传播创伤为重点的干预措施。他们也可以指导从业者在未来实施以创伤为重点的干预措施，因为结果可能会揭示在治疗过程中应关注哪些个体因素的重要问题。在个人层面上，拟议的根特大学奖学金将帮助我扩大我对难民心理健康和以创伤为重点的干预措施的知识，提高我的方法技能，并为进一步的项目和合作创造机会。此外，奖学金将使我具备广泛的技能组合，以便在德国从事成功的研究事业，并能够在未来为自己的研究项目获得资金。

项目成果

Social Determinants of the Mental Health of Young Migrants

青年流动人口心理健康的社会决定因素

• DOI: 10.1027/2512-8442/a000097
• 发表时间: 2022
• 期刊: European Journal of Health Psychology
• 影响因子: 2.1
• 作者: Verelst;Devlieger;Pfeiffer;Kankaapää;Peltonen;Väskä;Watters;Durbeej;Sarkadi;Andersen;Primdahl;Derluyn
• 通讯作者: Derluyn