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Systematic Review and Meta-analysis: The Prevalence of Mental Illness in Child and Adolescent Refugees and Asylum Seekers.
Journal of the American Academy of Child and Adolescent Psychiatry ( IF 13.3 ) Pub Date : 2019-11-26 , DOI: 10.1016/j.jaac.2019.11.011 Rebecca Blackmore 1 , Kylie M Gray 2 , Jacqueline A Boyle 1 , Mina Fazel 3 , Sanjeeva Ranasinha 1 , Grace Fitzgerald 1 , Marie Misso 1 , Melanie Gibson-Helm 1
Journal of the American Academy of Child and Adolescent Psychiatry ( IF 13.3 ) Pub Date : 2019-11-26 , DOI: 10.1016/j.jaac.2019.11.011 Rebecca Blackmore 1 , Kylie M Gray 2 , Jacqueline A Boyle 1 , Mina Fazel 3 , Sanjeeva Ranasinha 1 , Grace Fitzgerald 1 , Marie Misso 1 , Melanie Gibson-Helm 1
Affiliation
OBJECTIVE
Over half of the world's refugee population are under the age of 18 years. This systematic review aims to summarize the current body of evidence for the prevalence of mental illness in child and adolescent refugee populations.
METHOD
Eight electronic databases, gray literature, and Google Scholar were searched for articles from 1 January 2003 to 5 February 2018. Strict inclusion criteria regarding the diagnosis of mental illness were imposed. Study quality was assessed using a template according to study design, and study heterogeneity using the I2 statistic. Random effects meta-analyses results were presented given heterogeneity among studies. The protocol for this systematic review was registered with PROSPERO (CRD42016046349).
RESULTS
Eight studies were eligible, involving 779 child and adolescent refugees and asylum seekers, with studies conducted in 5 countries. The overall prevalence of posttraumatic stress disorder (PTSD) was 22.71% (95% CI 12.79-32.64), depression 13.81% (95% CI 5.96-21.67), and anxiety disorders 15.77% (95% CI 8.04-23.50). Attention-deficit/hyperactivity disorder (ADHD) was 8.6% (1.08-16.12) and oppositional defiant disorder (ODD) was 1.69% (95% CI -0.78 to 4.16). Because of the high heterogeneity, further subgroup analyses were conducted.
CONCLUSION
Refugee and asylum seeker children have high rates of PTSD, depression, and anxiety. Without the serious commitment by health and resettlement services to provide early support to promote mental health, these findings suggest that a high proportion of refugee children are at risk for educational disadvantage and poor social integration in host communities, potentially affecting their life course.
中文翻译:
系统回顾和荟萃分析:儿童和青少年难民和寻求庇护者的精神疾病患病率。
目标 世界上超过一半的难民人口年龄在 18 岁以下。本系统评价旨在总结目前儿童和青少年难民群体中精神疾病患病率的证据。方法 对 2003 年 1 月 1 日至 2018 年 2 月 5 日期间的 8 个电子数据库、灰色文献和 Google Scholar 的文章进行搜索。对精神疾病的诊断实施了严格的纳入标准。根据研究设计使用模板评估研究质量,并使用 I2 统计量评估研究异质性。考虑到研究之间的异质性,呈现了随机效应荟萃分析结果。该系统评价的方案已在 PROSPERO (CRD42016046349) 注册。结果 八项研究符合条件,涉及 779 名儿童和青少年难民和寻求庇护者,在 5 个国家进行了研究。创伤后应激障碍 (PTSD) 的总体患病率为 22.71% (95% CI 12.79-32.64)、抑郁症 13.81% (95% CI 5.96-21.67) 和焦虑症 15.77% (95% CI 8.04-23.50)。注意缺陷/多动障碍 (ADHD) 为 8.6% (1.08-16.12),对立违抗障碍 (ODD) 为 1.69% (95% CI -0.78 至 4.16)。由于异质性高,进行了进一步的亚组分析。结论 难民和寻求庇护儿童的 PTSD、抑郁症和焦虑症的发病率很高。如果卫生和重新安置服务部门没有认真承诺提供早期支持以促进心理健康,这些调查结果表明,很大比例的难民儿童在收容社区面临教育劣势和社会融合不良的风险,可能影响他们的生命历程。
更新日期:2019-11-26
中文翻译:
系统回顾和荟萃分析:儿童和青少年难民和寻求庇护者的精神疾病患病率。
目标 世界上超过一半的难民人口年龄在 18 岁以下。本系统评价旨在总结目前儿童和青少年难民群体中精神疾病患病率的证据。方法 对 2003 年 1 月 1 日至 2018 年 2 月 5 日期间的 8 个电子数据库、灰色文献和 Google Scholar 的文章进行搜索。对精神疾病的诊断实施了严格的纳入标准。根据研究设计使用模板评估研究质量,并使用 I2 统计量评估研究异质性。考虑到研究之间的异质性,呈现了随机效应荟萃分析结果。该系统评价的方案已在 PROSPERO (CRD42016046349) 注册。结果 八项研究符合条件,涉及 779 名儿童和青少年难民和寻求庇护者,在 5 个国家进行了研究。创伤后应激障碍 (PTSD) 的总体患病率为 22.71% (95% CI 12.79-32.64)、抑郁症 13.81% (95% CI 5.96-21.67) 和焦虑症 15.77% (95% CI 8.04-23.50)。注意缺陷/多动障碍 (ADHD) 为 8.6% (1.08-16.12),对立违抗障碍 (ODD) 为 1.69% (95% CI -0.78 至 4.16)。由于异质性高,进行了进一步的亚组分析。结论 难民和寻求庇护儿童的 PTSD、抑郁症和焦虑症的发病率很高。如果卫生和重新安置服务部门没有认真承诺提供早期支持以促进心理健康,这些调查结果表明,很大比例的难民儿童在收容社区面临教育劣势和社会融合不良的风险,可能影响他们的生命历程。