| 1. |
- Meurling, Jennifer, et al.
(författare)
-
An online tiered screening procedure to identify mental health problems among refugees
- 2023
-
Ingår i: BMC Psychiatry. - : Springer Science and Business Media LLC. - 1471-244X. ; 23:1
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Many refugees suffer from mental health problems due to stressful and traumatic events before, during, and after migration. However, refugees are facing a wide variety of barriers, limiting their access to mental health care. Internet-based tools, available in several languages, could be one way to increase the availability of mental health services for refugees. The present study aimed to develop and test a screening tool to screen for clinically relevant symptoms of psychiatric disorders common among refugees (i.e. Depression, Anxiety, Post-traumatic stress disorder, and Insomnia). We, designed, translated, and adapted an internet-based tiered screening procedure suitable for use with the largest refugee populations residing in Sweden. The tool aims to accurately identify symptoms of mental distress (Tier 1), differentiate between symptoms of specific psychiatric disorders (Tier 2), and assess symptom severity (Tier 3). We tested the overall efficiency of using a tiered screening procedure. METHODS: Seven hundred fifty-seven refugees residing in Sweden, speaking any of the languages Arabic, Dari, Farsi, English, or Swedish, completed an online questionnaire following a three-tiered procedure with screening instruments for each tier. In this study, the Tier 3 scales were used as reference standards for clinically relevant symptoms, to evaluate screening efficiency in terms of accuracy and reduction of item burden in previous tiers. RESULTS: The results show that the tiered procedure could reduce the item burden while maintaining high accuracy, with up to 86% correctly assessed symptoms and few false negatives with moderate symptoms and above (at most 9%), and very few with severe symptoms (at most 1.3%). DISCUSSION: This study generated an accurate screening tool that efficiently identifies clinically relevant symptoms of common psychiatric disorders among refugees. Using an adapted online tiered procedure to screen for multiple mental health issues among refugees has the potential to facilitate screening and increase access to mental health services for refugees. We discuss the utility of the screening tool and the necessity of further evaluation.
|
|
| 2. |
- Champoux-Larsson, Marie-France, et al.
(författare)
-
Linguistic insecurity and mental health of clinical psychologists working in a foreign language
- 2023
-
Konferensbidrag (refereegranskat)abstract
- Although there is a large body of research and several recommendations for psychologists working with patients undergoing therapy in a foreign language, less attention has been given to therapists who themselves work using a foreign language. Yet, in today's global world, mobility oftentimes entails psychologists performing their professional duties abroad using a foreign language (e.g., when migrating to another country where the majority language is different from their native language, international work with Doctors Without Borders). For those therapists, language can become a barrier and additional challenge, especially when speaking the foreign language is accompanied by linguistic insecurity. The aim of this study is thus to investigate how licensed clinical psychologists using a foreign language at work experience the meeting with their patients and the professional exchanges with their colleagues. Semistructured interviews will be conducted to understand the linguistic insecurity of psychologists speaking Swedish as a foreign language in Sweden and how it affects their perceived capacity to perform their work adequately, their professional related confidence, and their mental health. Participants will stem from diverse backgrounds in terms of the country where they obtained their professional education, their career stage, age, gender, and year of arrival in Sweden. Data collection will continue until data saturation is reached, after which a thematic analysis will be performed. The results of this study will provide crucial insights into the psychological well-being of clinical psychologists providing their services in a foreign language context, which is an area that has received little attention in research until now. Data collection and analysis will be completed by the spring of 2023.
|
|
