背景:中东和北非地区近年来经历了非同寻常的事件,导致难民和流离失所者涌入,他们容易受到精神障碍的影响。以前的几项研究已经检查了它们的患病率,但没有人关注这个地区。这项系统评价提供了MENA地区精神疾病患病率和相关风险因素的估计,克服了个别研究的方法学局限性。
方法:对相关数据库进行了彻底的搜索,以找到相关的已发表的文章。此外,进行了横断面研究,以评估难民的精神障碍,寻求庇护者,移民,或居住在中东和北非地区的国内流离失所者。仅考虑满足上述标准的研究。为此,使用带有netmeta软件包的RStudio软件版本2023.12.0+369进行测量和数据分析。JBI用于评估研究质量。
结果:结果,我们获得并讨论了32项横断面研究,共有2,1659名参与者.总体患病率为42%(95%CI;30%,54%)为抑郁症,43%(95%CI;31%,57%)为焦虑,22%(95%CI;11%,39%)用于压力,和45%(95%可信区间;36%,53%)为PTSD。因此,有人指出,女性与抑郁症有关,女性和失业与创伤后应激障碍有关,然而,后来结婚是对这一点的保护。
结论:与全球其他地区相比,中东和北非地区在难民中的精神疾病发病率更高。然而,应该花很多精力列出相关的原因,以及他们的管理和预防。
BACKGROUND: The MENA region has experienced extraordinary events in recent years, resulting in an influx of refugees and displaced people who are vulnerable to mental disorders. Several previous studies have examined their prevalence, but none have focused on this region. This systematic review provided an estimate of the prevalence of mental illness and associated risk factors in the MENA region, and overcame the methodological limitations of individual studies.
METHODS: Thorough searches of the relevant databases were carried out to locate relevant published articles. Furthermore, cross-sectional studies were conducted to assess mental disorders in refugees, asylum seekers, migrants, or internally displaced people residing in the MENA region. Only studies meeting the aforementioned criteria were considered. For this purpose, RStudio software version 2023.12.0 + 369 with netmeta package was used for measurement and data analysis. JBI used to assess study quality.
RESULTS: The results, including 32 cross-sectional studies with a total of 21659 participants were obtained and discussed. The overall prevalence was 42% (95% CI; 30%, 54%) for depression, 43% (95% CI; 31%, 57%) for anxiety, 22% (95% CI; 11%, 39%) for stress, and 45% (95% CI; 36%, 53%) for PTSD. As a result, it was noted that being female was associated with depression, and being female and unemployed was associated with PTSD, however being married was protective against this later.
CONCLUSIONS: Compared to the rest of the globe, MENA has a greater rate of mental illness among refugees. Nevertheless, much effort should be devoted on listing causes associated, as well as their management and prevention.