Abstract：
OBJECTIVE: The number of forced migrants has been rising for years. Many forced migrants suffer from post-traumatic stress disorder (PTSD), depression, and/or anxiety and need treatment. Here, we evaluate the effectiveness of psychological interventions (CBT, EMDR, expressive/art, mindfulness, mixed elements, NET and psychoeducation) in reducing symptoms of PTSD, depression, and anxiety in forced migrants.
METHODS: Systematic searches in PubMed and Web of Science and searches of preprint servers and grey literature were performed (final search date: 1 September 2023). Random-effects frequentist and Bayesian meta-analyses were used for data synthesis.
RESULTS: We included 84 studies on treatment effects in adults (pooled N = 6302) and 32 on children and adolescents (pooled N = 1097). Our data show a reduction in symptoms of PTSD, depression and anxiety symptoms in both adults and child/adolescent forced migrants. Pooled pre- to post-treatment effects (effect size Cohen\'s d) ranged from -1.03 to -0.26 for PTSD, from -0.91 to -0.11 for depression and from -0.91 to -0.60 for anxiety, without there being differences in outcome per study design (i.e., RCT comparison vs. non-RCT comparison vs. single arm treatment study). Treatment effects remained evident over follow-up, and not a single type of treatment stood out as being superior to other treatment types. Structural differences in populations (e.g., regarding country of origin) over studies, however, could have hampered the validity of the comparisons between study characteristics such as treatment type.
CONCLUSIONS: Our findings support the effectiveness of psychological treatment in adult and child/adolescent forced migrants.
METHODS: Systematic searches in PubMed and Web of Science and searches of preprint servers and grey literature were performed (final search date: 1 September 2023). Random-effects frequentist and Bayesian meta-analyses were used for data synthesis.
RESULTS: We included 84 studies on treatment effects in adults (pooled N = 6302) and 32 on children and adolescents (pooled N = 1097). Our data show a reduction in symptoms of PTSD, depression and anxiety symptoms in both adults and child/adolescent forced migrants. Pooled pre- to post-treatment effects (effect size Cohen\'s d) ranged from -1.03 to -0.26 for PTSD, from -0.91 to -0.11 for depression and from -0.91 to -0.60 for anxiety, without there being differences in outcome per study design (i.e., RCT comparison vs. non-RCT comparison vs. single arm treatment study). Treatment effects remained evident over follow-up, and not a single type of treatment stood out as being superior to other treatment types. Structural differences in populations (e.g., regarding country of origin) over studies, however, could have hampered the validity of the comparisons between study characteristics such as treatment type.
CONCLUSIONS: Our findings support the effectiveness of psychological treatment in adult and child/adolescent forced migrants.
摘要：
目标：强迫移民的人数多年来一直在增加。许多被迫移民患有创伤后应激障碍（PTSD），抑郁症,和/或焦虑，需要治疗。这里,我们评估心理干预的有效性(CBT，EMDR,表现力/艺术，正念,混合元素，网络和心理教育)在减少PTSD症状方面，抑郁症,强迫移民的焦虑。
方法：在PubMed和WebofScience中进行了系统搜索，并进行了预印本服务器和灰色文献的搜索（最终搜索日期：2023年9月1日）。随机效应频率和贝叶斯荟萃分析用于数据综合。
结果：我们纳入了84项关于成人治疗效果的研究（合并N=6302）和32项关于儿童和青少年的研究（合并N=1097）。我们的数据显示创伤后应激障碍症状减轻，成人和儿童/青少年被迫移民的抑郁和焦虑症状。创伤后应激障碍的治疗前后效应(效应大小Cohen'sd)范围为-1.03至-0.26，抑郁从-0.91到-0.11，焦虑从-0.91到-0.60，每个研究设计的结果没有差异(即，RCT比较与非RCT比较与单臂治疗研究)。治疗效果在随访中仍然明显，而不是单一类型的治疗脱颖而出，优于其他治疗类型。种群的结构差异(例如，关于原籍国)而不是研究，然而,可能会阻碍治疗类型等研究特征之间比较的有效性。
结论：我们的研究结果支持心理治疗在成人和儿童/青少年强迫移民中的有效性。
方法：在PubMed和WebofScience中进行了系统搜索，并进行了预印本服务器和灰色文献的搜索（最终搜索日期：2023年9月1日）。随机效应频率和贝叶斯荟萃分析用于数据综合。
结果：我们纳入了84项关于成人治疗效果的研究（合并N=6302）和32项关于儿童和青少年的研究（合并N=1097）。我们的数据显示创伤后应激障碍症状减轻，成人和儿童/青少年被迫移民的抑郁和焦虑症状。创伤后应激障碍的治疗前后效应(效应大小Cohen'sd)范围为-1.03至-0.26，抑郁从-0.91到-0.11，焦虑从-0.91到-0.60，每个研究设计的结果没有差异(即，RCT比较与非RCT比较与单臂治疗研究)。治疗效果在随访中仍然明显，而不是单一类型的治疗脱颖而出，优于其他治疗类型。种群的结构差异(例如，关于原籍国)而不是研究，然而,可能会阻碍治疗类型等研究特征之间比较的有效性。
结论：我们的研究结果支持心理治疗在成人和儿童/青少年强迫移民中的有效性。
