Journal of Contextual Behavioral Science最新文献_第4页

Validity and reliability of the generalized pliance and tracking 2-way scale: GPT-2s 广义依从性与追踪性双向量表的效度与信度：GPT-2s

IF 3 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-08-25 DOI: 10.1016/j.jcbs.2025.100931

Kazuya Inoue , Isa Okajima

This study developed and examined the validity and reliability of a scale that simultaneously measures generalized pliance and tracking with more focus on actions in daily situations. The so-called Generalized Pliance and Tracking 2-way Scale: GPT-2s comprises 16 items (8 items each for generalized pliance and tracking). In Study 1, an online survey was conducted among 1500 Japanese individuals (420 men, 1054 women, 26 others [mean age = 29.47 years, SD = 10.89]). We confirmed no violation of unidimensionality in the generalized pliance and generalized tracking factors by item response theory. Internal consistency was measured with Cronbach’s α =.80 for the generalized pliance factor and .84 for the tracking factor. Test–retest reliability was also assessed with intraclass correlation (1,1) = .61, 95 % CI [.55, .67] for generalized pliance and intraclass correlation (1,1) = .56, 95 % CI [.49, .62] for tracking. Regarding convergent validity, the generalized pliance score had a moderately negative correlation with the autonomy factor on the psychological well-being scale (r = −.42). Conversely, the generalized tracking score had moderately positive correlations with the clarification of value and commitment (r = .43) and the overall psychological well-being scale score (r = .48). Furthermore, generalized tracking scores were higher in the healthy group. In Study 2, generalized pliance score showed positive correlation with the Generalized Pliance Questionnaire (r = .43) and generalized tracking score showed positive correlation with the Generalized Tracking Questionnaire (r = .54). Finally, we discussed the usefulness and limitations of the GPT-2s.

本研究开发并检验了一种量表的有效性和可靠性，该量表同时测量广义服从和跟踪，更多地关注日常情况下的行动。所谓广义顺应与跟踪双向量表：GPT-2s包括16个项目（广义顺应与跟踪各8个项目）。在研究1中，对1500名日本人（男性420人，女性1054人，其他26人[平均年龄= 29.47岁，SD = 10.89]）进行在线调查。我们用项目反应理论证实了广义依从性和广义跟踪因素不违反单维性。内部一致性采用Cronbach 's α = 0.80的广义顺应因子和。84表示跟踪因子。再测信度也被评估为类内相关(1,1)= .61,95% CI[。]55岁。[67]广义顺应性和类内相关性(1,1)= 0.56,95% CI[。49岁。[62]跟踪。在收敛效度方面，广义依从性得分与心理健康量表的自主性因子呈中度负相关（r = - 0.42）。相反，广义跟踪得分与价值和承诺的澄清（r = 0.43）和整体心理健康量表得分（r = 0.48）呈中等正相关。此外，健康组的广义跟踪得分更高。研究2中，广义顺从得分与广义顺从问卷呈正相关（r = 0.43），广义追踪得分与广义追踪问卷呈正相关（r = 0.54）。最后，我们讨论了gpt -2的有用性和局限性。

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引用次数: 0

Effectiveness of a process-based approach to farmer wellbeing: A randomized multiple baseline single-case experimental design 基于过程的农民福利方法的有效性：随机多基线单例实验设计

IF 3 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 DOI: 10.1016/j.jcbs.2025.100932

Greg Stynes , Alison Stapleton , Barbara Moore , Tomás Russell , Martin O'Connor , Noel Richardson , Francisco J. Ruiz , Louise McHugh

Among farmers, mental health and suicide are noted concerns in the literature. Practical barriers, stigma and shame may impede engagement with support. Acceptance and Commitment Therapy offers a means of providing support to those experiencing mental health concerns. An evaluation of a six-session, online, individually facilitated intervention with six Irish farmers (age 39–69 years) was completed using a randomized, concurrent, multiple-baseline, single-case experimental design. Additional data on various mental health variables were gathered pre-intervention, post-intervention, and at three-month follow-up. Tau-U results based on responses (84 days) were significant for psychological flexibility for three participants and for stress for one participant. Between-case standardized mean difference suggested a significant, large increase for psychological flexibility and no significant change for stress. At least three participants made reliable improvements in depression, psychological flexibility, and internal shame, with percentage improvements in positive and negative processes of change, distress, vitality, and life satisfaction. Most individuals showed no improvements for stress, anxiety, or subjective wellbeing. Burnout increased over time. While the results of the evaluation are mixed, full attendance at sessions supports the feasibility of the intervention. Recommendations for future interventions and research are outlined.

在农民中，心理健康和自杀是文献中值得关注的问题。实际障碍、污名化和羞耻感可能会阻碍人们获得支持。接受和承诺疗法为那些经历心理健康问题的人提供了一种支持手段。采用随机、并行、多基线、单例实验设计，对6名爱尔兰农民（39-69岁）进行了6次在线、单独促进干预的评估。在干预前、干预后和三个月的随访中收集了各种心理健康变量的额外数据。基于反应（84天）的Tau-U结果在3名参与者的心理灵活性和1名参与者的压力方面具有显著性。病例间标准化平均差异表明心理灵活性显著增加，压力无显著变化。至少有三名参与者在抑郁、心理灵活性和内在羞耻感方面取得了可靠的改善，在积极和消极的变化过程、痛苦、活力和生活满意度方面取得了百分比的改善。大多数人在压力、焦虑或主观幸福感方面没有任何改善。随着时间的推移，倦怠感也在增加。虽然评估的结果好坏参半，但会议的全员出席支持了干预措施的可行性。对今后的干预和研究提出了建议。

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引用次数: 0

Consumer co-design as a framework for enhancing a novel self-guided online program to reduce overconsumption 消费者协同设计作为一个框架，以增强一个新的自我引导的在线程序，以减少过度消费

IF 3 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 DOI: 10.1016/j.jcbs.2025.100930

Melissa M. Norberg, Ronan D. King, Alexis Muller

Breaking Up with Belongings (BB) is the world's first evidence-based, self-directed online program designed to improve emotion regulation and reduce overconsumption. Although initial pilot testing resulted in promising outcomes, user responses suggested that the program could be more engaging, clearer, and relevant to consumers. The objective of this study was to examine whether co-design methodology could be used to meaningfully refine the self-guided online program, by evaluating both the changes made and the experiences of those involved. Over the course of nine months and five workshops, consumers and researchers collaboratively revised the program. The original program was refined and expanded to include simplified language, clearer and more detailed instructions and descriptions, more frequent references to the Australian context, and a new module on Waste and its Solutions. We then assessed the effectiveness of our co-design procedures by evaluating the usability and impact of program revisions, the dynamics between researchers and consumers, and consumer experiences. Consumers determined that the co-design process was effective, citing the lead researcher's expert facilitation as a key factor. This leadership fostered a collaborative and respectful environment that empowered all consumers to engage meaningfully in the procedures, processes, and outcomes. As demonstrated by this study, an iterative co-design process can generate valuable insights for intervention refinement. Consumers value their role as co-designers and respected contributors to research. By using a collaborative, grass-roots approach, researchers can ensure that their programs are clear, relevant, and engaging.

“与财物分手”（BB）是世界上第一个以证据为基础、自我导向的在线课程，旨在提高情绪调节能力，减少过度消费。虽然最初的试点测试取得了可喜的结果，但用户的反应表明，该计划可以更吸引人、更清晰、更贴近消费者。本研究的目的是通过评估所做的改变和参与者的经验，来检验共同设计方法是否可以用于有意义地改进自我指导的在线课程。在九个月和五次研讨会的过程中，消费者和研究人员合作修改了该计划。最初的计划经过改进和扩展，包括简化的语言，更清晰和更详细的说明和描述，更多地参考澳大利亚的情况，以及一个关于废物及其解决方案的新模块。然后，我们通过评估程序修订的可用性和影响、研究人员和消费者之间的动态以及消费者体验来评估我们共同设计程序的有效性。消费者认为共同设计过程是有效的，并将首席研究员的专家指导作为关键因素。这种领导培养了一种协作和尊重的环境，使所有消费者都能有意义地参与到程序、过程和结果中来。正如本研究所证明的那样，迭代的协同设计过程可以为干预改进产生有价值的见解。消费者重视他们作为共同设计者和受人尊敬的研究贡献者的角色。通过采用协作的、基层的方法，研究人员可以确保他们的项目是清晰的、相关的和吸引人的。

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引用次数: 0

Naturalistic observation of adherence and engagement with a university-wide deployment of digital acceptance and commitment therapy 通过在大学范围内部署数字接受和承诺疗法，自然地观察依从性和参与度

IF 3 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 DOI: 10.1016/j.jcbs.2025.100929

Michael E. Levin, Mercedes G. Woolley, Emily M. Bowers, Korena S. Klimczak

Naturalistic research on “real world” usage of digital mental health interventions (DMHIs) is critical for DMHIs to meet their goal of increasing access to mental health services. DMHI adherence is much lower in naturalistic settings versus controlled research, but less is known about dimensions of engagement beyond adherence to module completion or how these patterns extend to DMHIs based on acceptance and commitment therapy (ACT). This study reported the adherence and engagement patterns among 1896 university students who registered for a free ACT DMHI service deployed at a single university from 2019 to 2023. Adherence was very low with only 57 % logging into the program even once, 7 % completing half of modules, and 3 % completing the entire program. However, engagement was high among students who adhered to a given module as indicated by high rates of module exercise completion, at least partial homework completion, spending at least 10 min per module, and program satisfaction. Predictors of higher adherence included higher engagement, being older, and lower depression and anxiety. Overall, results add to research highlighting adherence challenges when deploying DMHIs as services outside of controlled research, which are potentially worsened with successful efforts to increase enrollment and reduce barriers such as cost. At the same time, the findings highlight how a subset of individuals adhere to and engage in DMHIs in a way that is likely to provide benefits.

对数字心理健康干预措施（DMHIs）在“现实世界”中的使用情况进行自然主义研究，对于DMHIs实现其增加获得心理健康服务的目标至关重要。与对照研究相比，自然环境下的DMHI依从性要低得多，但除了坚持完成模块之外，人们对参与的维度知之甚少，也不知道这些模式如何扩展到基于接受和承诺治疗（ACT）的DMHI。本研究报告了1896名大学生的依从性和参与模式，他们注册了2019年至2023年在一所大学部署的免费ACT DMHI服务。依从性非常低，只有57%的人甚至登录过一次，7%的人完成了一半的模块，3%的人完成了整个项目。然而，坚持给定模块的学生的参与度很高，这表明模块练习完成率高，至少部分家庭作业完成率高，每个模块至少花费10分钟，项目满意度高。更高的依从性的预测因素包括更高的参与度、年龄、更低的抑郁和焦虑。总体而言，研究结果进一步强调了将DMHIs作为受控研究之外的服务部署时的依从性挑战，而成功地增加注册和减少成本等障碍可能会使情况恶化。与此同时，研究结果强调了一小部分人如何以一种可能提供益处的方式坚持和参与DMHIs。

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引用次数: 0

Corrigendum to ‘Is the Multidimensional Psychological Flexibility Inventory Short Form valid for ecological momentary assessment? A preliminary psychometric investigation’ [Journal of Contextual Behavioral Science, 36 (2025) 100903] “多维心理灵活性量表简表是否适用于生态瞬间评估？”初步的心理测量调查”[Journal Contextual Behavioral Science, 36 (2025) 100903]

IF 3 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 DOI: 10.1016/j.jcbs.2025.100925

Jennifer Krafft, Ashley C. Middleton, Natalie Tadros

引用次数: 0

Mechanisms of change in peer coaching for digital ACT: A serial mediation model on program adherence and psychological flexibility's role in reducing distress 数字ACT同伴辅导的变化机制：项目依从性和心理灵活性在减少痛苦中的作用的系列中介模型

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 DOI: 10.1016/j.jcbs.2025.100922

Korena S. Klimczak, Michael P. Twohig, Gretchen G. Peacock, Michael E. Levin

Background

Coaching is a well-supported intervention for improving adherence to online mental health programs. It is currently unclear whether peer-support coaching improves mental health outcomes solely through improving program adherence, or if it can also have a direct impact on mental health. We investigated this using a randomized controlled trial and applying serial mediation models.

Method

A total of 230 college students were instructed to use the 12-session ACT Guide program over 10 weeks. They were randomly assigned to additionally receive either peer-support coaching over weekly phone calls, text message conversations, or a no-coaching control group. Coaching followed a standardized protocol.

Results

Phone coaching had a significant total effect, but not a direct effect, on psychological distress. Both the phone coaching → psychological flexibility → distress, and the phone coaching → program adherence → psychological flexibility → distress indirect pathways were significant. Text coaching had a significant total and direct effect on psychological distress. The full serial pathway was the only significant indirect effect (text coaching → program adherence → psychological flexibility → distress).

Conclusions

We found that peer coaching in both formats significantly increased program adherence, which in turn improved psychological flexibility, consequently reducing psychological distress. Coaching through phone calls had a significantly greater indirect effect on distress and direct effect on program adherence in comparison to the text message format. It is possible that the skills review and ACT-based strategies used in phone coaching directly improve psychological flexibility regardless of the number of modules completed, with text coaching being too brief to elicit this same effect.

辅导是一种得到良好支持的干预措施，可以提高对在线心理健康项目的依从性。目前还不清楚同伴支持指导是否仅仅通过提高项目的依从性来改善心理健康结果，或者它是否也能对心理健康产生直接影响。我们采用随机对照试验和串行中介模型对此进行了研究。方法总共230名大学生在10周的时间里接受了12节ACT指导课程的指导。他们被随机分配到另外一组，要么通过每周的电话、短信交谈接受同伴支持的指导，要么接受没有指导的对照组。训练遵循标准化的规程。结果电话辅导对心理困扰有显著的总影响，但没有直接影响。电话辅导→心理灵活性→痛苦和电话辅导→项目遵守→心理灵活性→痛苦的间接路径均显著。短信辅导对心理困扰有显著的总体和直接影响。完整的序列通路是唯一显著的间接效应（文本指导→程序遵守→心理灵活性→痛苦）。结论我们发现同伴辅导在两种形式下都能显著提高项目依从性，从而提高心理灵活性，从而减少心理困扰。与短信形式相比，通过电话进行的指导对痛苦有更大的间接影响，对坚持计划有更大的直接影响。电话辅导中使用的技能回顾和基于act的策略有可能直接提高心理灵活性，而不管完成了多少个模块，而短信辅导太短，无法产生同样的效果。

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引用次数: 0

Relating-as-context: Utilizing functional analytic psychotherapy to enhance perspective- taking and the development of the self 关联即情境：运用功能分析心理疗法来加强观点的采纳和自我的发展

IF 3 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 DOI: 10.1016/j.jcbs.2025.100928

Alexander Broekhuijse , Amanda Muñoz-Martinez , Yors Garcia , Matthew D. Skinta

Deficits in self-related processes, including emotion recognition, perspective-taking, and individuation, are increasingly recognized as transdiagnostic mechanisms underlying a range of psychological disorders. From a behavioral perspective, the self is not a fixed entity but a dynamic repertoire of referential verbal behaviors that emerge and evolve through social-verbal interactions—a process conceptualized as selfing. Despite its clinical significance, interventions specifically targeting selfing deficits remain underdeveloped. Functional Analytic Psychotherapy (FAP) provides a compelling framework for addressing these difficulties by leveraging real-time interpersonal interactions to observe, shape, and reinforce adaptive relational behaviors. This paper conceptualizes the logical FAP interaction as a structured intervention that includes relational cues that transform different relational cues (e.g., deictic, coordination), leading to a shift in derived relational responding to promote selfing behaviors, emotional awareness, and perspective-taking. By integrating Relational Frame Theory (RFT) principles into the analysis of the FAP logical interaction, this approach advances the theoretical and clinical application of FAP for self-development and interpersonal functioning. A clinical case vignette illustrates how this method fosters a flexible and adaptive self-concept, reinforcing its potential for enhancing relational flexibility and well-being.

自我相关过程的缺陷，包括情绪识别、换位思考和个性化，越来越多地被认为是一系列心理障碍的跨诊断机制。从行为的角度来看，自我并不是一个固定的实体，而是通过社会语言互动而产生和发展的动态语言行为库，这一过程被概念化为自我。尽管具有临床意义，但专门针对自我缺陷的干预措施仍然不发达。功能分析心理治疗（FAP）通过利用实时人际互动来观察、塑造和加强适应性关系行为，为解决这些困难提供了一个引人注目的框架。本文将逻辑FAP交互定义为一种结构化的干预，包括转换不同关系线索的关系线索（如指示、协调），导致衍生关系反应的转变，以促进自我行为、情感意识和观点采纳。通过将关系框架理论（RFT）原理整合到FAP逻辑相互作用的分析中，该方法促进了FAP在自我发展和人际功能方面的理论和临床应用。一个临床案例说明了这种方法如何培养灵活和适应性的自我概念，加强其增强关系灵活性和福祉的潜力。

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引用次数: 0

Examining associations of mindfulness with early-life trauma and risky health behaviors using a network analysis approach in a sample of U.S. college students 以美国大学生为样本，采用网络分析方法，研究正念与早期生活创伤和危险健康行为之间的联系

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 DOI: 10.1016/j.jcbs.2025.100917

Micah A. Williams , Hana-May Eadeh , Kristian Markon , Jenna L. Adamowicz , Emily B.K. Thomas

引用次数: 0

Integrating ACT with ERP for OCD treatment: A randomized controlled trial examining symptom reduction and psychological flexibility mechanisms 结合ACT和ERP治疗强迫症：一项检查症状减轻和心理灵活性机制的随机对照试验

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 DOI: 10.1016/j.jcbs.2025.100924

Zahra Nejad-Ebrahim Soumee , Amirhossein Rasouli , Eric B. Lee , Seyedeh Elnaz Mousavi

Background

Despite Exposure and Response Prevention's (ERP) established efficacy for Obsessive-Compulsive Disorder (OCD), there is growing interest in exploring complementary therapeutic approaches that may enhance treatment outcomes through different mechanisms of change. This study investigated the efficacy of combined Acceptance and Commitment Therapy plus ERP (ACT + ERP) in treating OCD and its underlying psychological mechanisms in an Iranian sample.

Methods

A randomized controlled trial was conducted with 40 OCD-diagnosed participants, randomly allocated to ACT + ERP intervention (n = 20) or wait-list control group (n = 20). The intervention comprised sixteen 120-min sessions delivered twice weekly. Assessments were conducted at baseline, post-treatment, and three-month follow-up using the Obsessive-Compulsive Inventory-Revised (OCI-R), Acceptance and Action Questionnaire-II (AAQ-II), Cognitive Fusion Questionnaire (CFQ), and Interpretation of Intrusions Inventory (III-31).

Results

Mixed-model ANOVAs revealed significant time × group interactions across all measures. The ACT + ERP group demonstrated substantial improvements in OCD severity (η² = 0.301), experiential avoidance (η² = 0.139), cognitive fusion (η² = 0.241), and interpretation of intrusions (η² = 0.217). Large effect sizes were maintained at follow-up (Hedges’ g ranging from 0.75 to 1.20). The waitlist group showed no significant changes.

Conclusions

The integrated ACT + ERP protocol effectively reduced OCD symptoms and improved psychological flexibility processes, with benefits maintained at follow-up. These findings suggest that combining ACT and ERP may offer a comprehensive treatment approach that enhances therapeutic outcomes through multiple mechanisms of change.

尽管暴露和反应预防（ERP）对强迫症（OCD）的疗效已经确立，但人们对探索互补治疗方法的兴趣越来越大，这些方法可能通过不同的改变机制来提高治疗效果。本研究以伊朗为研究对象，探讨接受与承诺联合疗法加ERP （ACT + ERP）治疗强迫症的疗效及其潜在的心理机制。方法采用随机对照试验方法，将40例强迫症患者随机分为ACT + ERP干预组（n = 20）和等候组（n = 20）。干预包括16次，每次120分钟，每周两次。在基线、治疗后和三个月的随访中，使用强迫量表修订（OCI-R）、接受和行动问卷（AAQ-II）、认知融合问卷（CFQ）和入侵解释量表（III-31）进行评估。结果混合模型方差分析显示，所有测量值均存在显著的时间×组交互作用。ACT + ERP组在强迫症严重程度（η值2 = 0.301）、经验回避（η值2 = 0.139）、认知融合（η值2 = 0.241）和对干扰的解释（η值2 = 0.217）方面均有显著改善。在随访中保持较大的效应量（Hedges ' g从0.75到1.20不等）。等候名单组没有明显的变化。结论ACT + ERP综合治疗方案可有效减轻强迫症症状，改善心理灵活性过程，并在随访中保持疗效。这些发现表明，联合ACT和ERP可能提供一种综合治疗方法，通过多种机制的改变来提高治疗效果。

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引用次数: 0

Struggles and solutions in psychological research with unaccompanied minors: Reflections from the field 心理学研究中无人陪伴未成年人的挣扎与解决：来自该领域的反思

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science

Pub Date : 2025-07-01 DOI: 10.1016/j.jcbs.2025.100919

Dafne Morroni , Eleonora Charalambous , Maria Karekla

Background

In 2022, 22,182 individuals applied for asylum in Cyprus, of whom 941 were Unaccompanied Minors (UM).

Objectives

A cluster randomized controlled trial (RCT) examining Acceptance and Commitment Therapy with UM was carried out in shelters in Cyprus. The purpose of this paper is to present struggles and solutions from the RCT and to provide recommendations to clinicians and researchers working with UM.

Method

Obstacles faced in setting up the study and throughout research with UM were recorded systematically and resolved in team meetings. The Consolidated Framework for Implementation Research (CFIR) was applied to present the struggles and solutions.

Results

Akin to established literature, the authors faced several challenges including: UM hesitancy regarding written consent, language and cultural barriers, interpreter bias, difficulties engaging social workers, demanding circumstances in shelters and methodological issues concerning collection of quantitative self-report measures. Solutions included: replacing written consent with child assent, cultural and language adaptation required with material provided in booklets, providing psychoeducation to interpreters prior to an intervention, training social workers in the treatment protocol, building rapport with shelter staff, using tablets for data collection and shorter battery of questionnaires.

Conclusions

It is evident that carrying out research in refugee settings requires flexibility and adaptability. Findings from this study inform future intervention efforts and provide both researchers and clinicians with a framework to guide and support their work.

2022年，有22182人在塞浦路斯申请庇护，其中941人为无人陪伴的未成年人。目的在塞浦路斯的收容所进行了一项随机对照试验（RCT），研究了UM的接受和承诺治疗。本文的目的是介绍RCT的困难和解决方案，并为临床医生和研究人员提供与UM合作的建议。方法系统地记录在研究开始和整个研究过程中遇到的障碍，并在小组会议上解决。应用了实施研究综合框架（CFIR）来提出斗争和解决办法。结果与已有文献类似，作者面临着一些挑战，包括：UM对书面同意的犹豫，语言和文化障碍，翻译偏见，与社会工作者接触的困难，收容所的苛刻环境以及收集定量自我报告措施的方法问题。解决办法包括：用儿童同意取代书面同意，用小册子提供的材料适应所需的文化和语言，在干预之前向口译人员提供心理教育，培训社会工作者了解治疗方案，与收容所工作人员建立融洽关系，使用平板电脑收集数据，缩短调查问卷。结论在难民环境中开展研究显然需要灵活性和适应性。这项研究的发现为未来的干预工作提供了信息，并为研究人员和临床医生提供了指导和支持他们工作的框架。

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引用次数: 0