Abstract：
People with refugees and asylum seeker status (R/AS) have been forced to leave their home and resettle in new countries due to political unrest, conflict, and violence. This review aimed to describe the nature and extent of cultural adaptations to psychological interventions for adults with R/AS experiencing clinically significant psychological distress, and the acceptability and efficacy of these interventions. A search was conducted in October 2023 and February 2024 across five electronic databases: PsycINFO, Medline, Embase, PubMed, and Cochrane. Eligible studies were randomized controlled trials of psychological interventions conducted in any geographic context. Studies reporting on interventions with minimal adaptations only to facilitate treatment access, with no clear evidence for cultural adaptation, were excluded. Eighteen studies were identified, and cultural adaptations were described in line with the Ecological Validity Model. Studies investigating transdiagnostic interventions, cognitive behavioral therapy (CBT) interventions, and other psychotherapies were synthesized. Analysis and reporting of acceptability were limited across intervention groups, highlighting a need for more robust research in this area. CBT interventions and other psychological therapies were found to be most efficacious with moderate to large effects across validated psychological measures. Small to moderate effect sizes were observed across transdiagnostic interventions. The evidence quality was generally of some concerns. While the evidence requires further developments, the current review provides a timely synthesis of culturally adapted interventions for adults with R/AS to inform intervention development and clinical practice. Strengths, limitations, and recommendations for future research are discussed.
摘要：
由于政治动荡，具有难民和寻求庇护者身份（R/AS）的人被迫离开家园并在新国家重新定居。冲突,和暴力。这篇综述旨在描述R/AS患者经历临床重大心理困扰的成人对心理干预的文化适应的性质和程度。以及这些干预措施的可接受性和有效性。在2023年10月和2024年2月对五个电子数据库进行了搜索：PsycINFO，Medline,Embase,PubMed,还有Cochrane.符合条件的研究是在任何地理环境下进行的心理干预的随机对照试验。研究报告的干预措施只有最小的适应性，以促进治疗的获得，没有明确的文化适应证据，被排除在外。确定了18项研究，和文化适应的描述符合生态有效性模型。调查诊断干预措施的研究，认知行为疗法（CBT）干预措施，和其他心理治疗被合成。对可接受性的分析和报告在干预组之间受到限制，强调需要在这一领域进行更强有力的研究。发现CBT干预和其他心理治疗最有效，在经过验证的心理措施中具有中等至较大的效果。在整个诊断干预措施中观察到小到中等的效应大小。证据质量普遍令人担忧。虽然证据需要进一步发展，本综述提供了针对R/AS成人的文化适应干预措施的及时综合,为干预措施的制定和临床实践提供信息.力量，局限性,并对未来的研究提出了建议。
