■尽管在寻求庇护者中精神障碍的患病率很高,心理保健存在许多障碍。文化和背景因素强烈影响心理痛苦的体验和表达,使寻求庇护者面临更大的误诊和不当治疗风险。文化表述访谈(CFI)是绘制精神障碍的文化和背景因素的有用工具;但是,据我们所知,尚未对寻求庇护者进行专门调查。这项研究的主要目的是评估CFI在寻求庇护者的精神病学评估中的价值。第二,我们将描述CFI确定的与寻求庇护者精神困扰相关的主题.此外,将评估寻求庇护者对CFI的经验。
■这个横截面,混合方法临床研究旨在招募一组60-80名具有心理健康症状的寻求庇护者(年龄15-29岁)。数据将使用结构化(MINI,PCL-5,HDRS-17,WHOQoL-BREF和BSI)和半结构化(CFI和CFI汇报)问卷,以评估文化背景,上下文因素,和疾病的严重程度。面试结束后将举行多学科个案讨论,遵循方法论的逐步方法。结合定性和定量研究技术,这项研究旨在为寻求庇护者提供与CFI合作的可靠知识.根据调查结果,将为临床医生提供建议。
■这项研究解决了在寻求庇护者中使用CFI的知识差距。与以前的研究相比,它将为在与寻求庇护者合作的特定背景下使用CFI提供新的见解。
■先前对寻求庇护者的CFI的研究有限,部分原因是他们的高度脆弱性和获得护理的机会少。该研究方案是与几个利益相关者密切合作定制的,并在试点后进行验证。已经获得了伦理上的认可。与利益相关者一起,结果将转化为指导方针和培训材料。还将向决策者提供建议。
UNASSIGNED: Despite a high prevalence of mental disorders among asylum seekers, many barriers to mental healthcare exist. Cultural and contextual factors strongly influence the experience and expression of psychological distress, putting asylum seekers at greater risk of misdiagnosis and inappropriate treatment. The Cultural Formulation Interview (CFI) is a useful tool to map out cultural and contextual factors of mental disorders; however, to the best of our knowledge, it has not yet been investigated in asylum seekers specifically. The primary aim of this study is to evaluate the value of the CFI in the psychiatric assessment of asylum seekers. Second, we will describe the themes relevant to psychiatric distress in asylum seekers that are identified by the CFI. In addition, asylum seekers\' experience of the CFI will be evaluated.
UNASSIGNED: This cross-sectional, mixed-method clinical study aims to recruit a group of 60-80 asylum seekers (age 15-29) with mental health symptoms. Data will be collected using structured (MINI, PCL-5, HDRS-17, WHOQoL-BREF & BSI) and semi-structured (CFI & CFI-debriefing) questionnaires to assess cultural background, contextual factors, and illness severity. Multidisciplinary case discussions will be held after the completion of interviews, following a methodological stepped approach. Combining qualitative and quantitative research techniques, this study aims to generate reliable knowledge on working with the CFI in asylum seekers. Based on the findings, recommendations for clinicians will be developed.
UNASSIGNED: This study addresses the knowledge gap on using the CFI in asylum seekers. Compared to prior studies, it will provide new insights into the use of the CFI in the specific context of working with asylum seekers.
UNASSIGNED: Prior research on the CFI in asylum seekers is limited, partly because of their high vulnerability and low access to care. The study protocol has been tailored in close collaboration with several stakeholders and validated after piloting. Ethical approval has already been obtained. Together with the stakeholders, the results will be translated into guidelines and training materials. Recommendations to policymakers will also be provided.