Purpose:

A meta-analysis of group interventions to reduce post-traumatic stress symptoms (PTSS) and/or depression among refugee and immigrant children and adolescents.

Methods:

A systematic search was followed by independent reviews of each study for risk of bias. The meta-analysis pooled between- and within-condition effect sizes on PTSS and depression across studies using a random effects model.

Results:

The search yielded 16 studies utilizing eight interventions involving 976 participants. For all studies, within conditions, there were good effects on PTSS (d = −0.66, 95% CI [−0.86, −0.46]) and depression (d = −0.51, 95% CI [−0.79, −0.23]) with substantial heterogeneity. For studies with control groups, the between-group effect sizes yielded a small effect on PTSS (d = −0.31, 95% CI [−0.65, 0.03]) with no significant effect on depression.

Conclusions:

The interventions helped to reduce PTSS and depression. Most studies lacked rigorous designs and provided little information on group variables needed for replication.

中文翻译：

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移民和难民儿童创伤和抑郁群体干预的元分析

目的：

对减少难民和移民儿童和青少年的创伤后压力症状 (PTSS) 和/或抑郁症的团体干预措施的荟萃分析。

方法：

系统搜索之后，对每项研究的偏倚风险进行独立审查。荟萃分析使用随机效应模型汇总了跨研究对 PTSS 和抑郁症的条件间和条件内效应大小。

结果：

搜索产生了 16 项研究，使用了八项干预措施，涉及 976 名参与者。对于所有研究，在条件下，对 PTSS ( d = -0.66, 95% CI [-0.86, -0.46]) 和抑郁症 ( d = -0.51, 95% CI [-0.79, -0.23]) 有良好影响显着的异质性。对于对照组的研究，组间效应大小对 PTSS 产生了很小的影响 ( d = -0.31, 95% CI [-0.65, 0.03])，而对抑郁症没有显着影响。

结论：

这些干预措施有助于减少 PTSS 和抑郁症。大多数研究缺乏严格的设计，并且提供的复制所需的组变量信息很少。