Mental Health and Psychosocial Support Interventions for Children Affected by Armed Conflict in low-and middle-income Countries: A Systematic Review.

IF 1.7 4区心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL

Child & Youth Care Forum Pub Date : 2023-03-07 DOI:10.1007/s10566-023-09741-0

Natnael Terefe Arega

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引用次数: 1

Abstract

Background: . Armed conflicts continue to threaten a vast number of children across the world, especially in low-and middle-income countries (LMICs). Evidence-based interventions are vital to adequately address the mental health needs in these groups.

Objective: . This systematic review aims to provide a comprehensive update of the most current developments in mental health and psychosocial support (MHPSS) interventions for children affected by armed conflict in LMICs, since 2016. Such an update may be useful in determining where the current focus of interventions lies and whether there are changes in types of interventions that are commonly implemented.

Methods: . The main medical, psychological and social sciences databases (PubMed, PsycINFO, Medline) were searched to identify interventions aimed at improving or treating mental health problems in conflict-affected children in LMICs. For the period 2016-2022, a total of 1243 records were identified. Twenty-three articles met the inclusion criteria. A bio-ecological lens was used to organize the interventions and the presentation of findings.

Results: . Seventeen forms of MHPSS interventions with a wide range of treatment modalities were identified in this review. The reviewed articles focused mainly on family-based interventions. Very few studies empirically evaluated community-level interventions.

Conclusion: . Current focus of interventions is family-based; the addition of caregiver wellbeing and parenting skills components had the potential to enhance the effects of interventions designed to improve children's mental health. Future trials for MHPSS interventions need to give more attention to community-level interventions. Community-level supports such as person-to-person support, solidarity groups, and dialogue groups stand to reach large numbers of children and families.

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中低收入国家受武装冲突影响儿童的心理健康和心理社会支持干预：系统综述。

背景：。武装冲突继续威胁着世界各地的大量儿童，特别是中低收入国家的儿童。循证干预对于充分满足这些群体的心理健康需求至关重要。目标：。本系统综述旨在全面更新自2016年以来LMIC中受武装冲突影响儿童的心理健康和社会心理支持（MHPSS）干预措施的最新进展。这种更新可能有助于确定当前干预措施的重点所在，以及通常实施的干预措施类型是否发生了变化。方法：。检索了主要的医学、心理和社会科学数据库（PubMed、PsycINFO、Medline），以确定旨在改善或治疗LMIC中受冲突影响儿童心理健康问题的干预措施。2016-2022年期间，共确认了1243项记录。23篇文章符合入选标准。利用生物生态学的视角来组织干预措施和研究结果的介绍。结果：。本综述中确定了17种形式的MHPSS干预措施，具有广泛的治疗模式。经审查的文章主要侧重于基于家庭的干预措施。很少有研究对社区层面的干预措施进行实证评估。结论：。目前的干预重点是以家庭为基础；增加照顾者的幸福感和育儿技能有可能提高旨在改善儿童心理健康的干预措施的效果。MHPSS干预措施的未来试验需要更多地关注社区层面的干预措施。社区层面的支持，如人对人的支持、团结团体和对话团体，将惠及大量儿童和家庭。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child & Youth Care Forum PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

3.60

自引率

5.60%

发文量

期刊介绍： Child & Youth Care Forum is a peer-reviewed, multidisciplinary publication that welcomes submissions – original empirical research papers and theoretical reviews as well as invited commentaries – on children, youth, and families. Contributions to Child & Youth Care Forum are submitted by researchers, practitioners, and clinicians across the interrelated disciplines of child psychology, early childhood, education, medical anthropology, pediatrics, pediatric psychology, psychiatry, public policy, school/educational psychology, social work, and sociology as well as government agencies and corporate and nonprofit organizations that seek to advance current knowledge and practice. Child & Youth Care Forum publishes scientifically rigorous, empirical papers and theoretical reviews that have implications for child and adolescent mental health, psychosocial development, assessment, interventions, and services broadly defined. For example, papers may address issues of child and adolescent typical and/or atypical development through effective youth care assessment and intervention practices. In addition, papers may address strategies for helping youth overcome difficulties (e.g., mental health problems) or overcome adversity (e.g., traumatic stress, community violence) as well as all children actualize their potential (e.g., positive psychology goals). Assessment papers that advance knowledge as well as methodological papers with implications for child and youth research and care are also encouraged.