​​Concerning ‘Neglect’​: Perspectives on the Prioritisation of Mental Health Conditions in Protracted Displacement Contexts DOI Creative Commons

R.S. Ghafoerkhan,

Lucy Lowe,

David Nieuwe Weme

и другие.

Medicine Anthropology Theory, Год журнала: 2024, Номер 11(2), С. 1 - 26

Опубликована: Апрель 29, 2024

‘Neglect’ is a lucrative concept attracting billions of US dollars in research and development funding transforming what prioritised global health. Stemming from wider project aiming to improve healthcare at the intersection gender protracted displacement amongst Somali Congolese internally displaced people refugees, this article unpacks conceptualisations ‘neglect’ relation mental Drawing on interviews with professional health expertise and/or lived experience displacement, makes three contributions. First, we argue that must be considered context competing priorities health-seeking behaviours, particularly given additional challenges associated disruption social care networks contexts. Second, illustrate light our respondents’ distinctions between overt bodily expressions distress are socially disruptive more internalised containable. Third, unpack intersectional women girls by sexual violence’s distinctive confluence withdrawal strategies containment avoid disruption.

Язык: Английский

Supporting parenting among Syrian refugees in Lebanon: a randomized controlled trial of the caregiver support intervention DOI Creative Commons
Kenneth E. Miller,

Alexandra Chen,

Gabriela V. Koppenol‐Gonzalez

и другие.

Journal of Child Psychology and Psychiatry, Год журнала: 2022, Номер 64(1), С. 71 - 82

Опубликована: Июль 15, 2022

Background Parenting interventions in humanitarian settings have prioritized the acquisition of parenting knowledge and skills, while overlooking adverse effects stress distress on parenting—a key mediator refugee children's mental health. We evaluated effectiveness Caregiver Support Intervention (CSI), which emphasizes caregiver wellbeing together with training positive parenting. Methods conducted a two‐arm randomized controlled trial CSI Syrian refugees Lebanon, an intent‐to‐treat design, from September 2019–December 2020. A total 480 caregivers 240 families were to or waitlist control group (1:1). Retention baseline endline was 93%. Data psychological collected at baseline, endline, three‐month follow‐up. Prospective registration: ISRCTN22321773. Results did not find significant change overall skills (primary outcome endpoint) ( d = .11, p .126) follow‐up (Cohen's .15, .054). effect among participants receiving full intervention—the sub‐sample interrupted by (COVID‐19) 0.25, < .05). The showed beneficial sample harsh − .17, .05; .19, .05), .63, .001; .50, .001), .33, .23, .01). found no parental warmth responsiveness, psychosocial wellbeing, stress, management. Changes partially mediated impact parenting, accounting for 37% reduction Conclusions reduced distress, demonstrated value addressing as pathway strengthening adversity. These achieved despite pandemic‐related lockdown that impacted implementation, severe economic crisis, widespread social unrest. Replication under less extreme conditions may more accurately demonstrate intervention's potential.

Язык: Английский

Процитировано

32
Mental health in refugee children DOI Creative Commons
Cecilie Dangmann, Ragnhild Dybdahl, Øivind Solberg

и другие.

Current Opinion in Psychology, Год журнала: 2022, Номер 48, С. 101460 - 101460

Опубликована: Авг. 24, 2022

Almost half of the world's forcibly displaced population are children, most commonly originating from Syria, Iraq, and Afghanistan. Health disparities well documented, especially for mental health, but not consistent across groups, time or context. Despite high exposure to trauma stress, refugee children also show remarkable resilience. An ecological model health including both risk resilience factors is therefore recommended. The includes dynamic inter-relationship past traumatic experiences, ongoing daily stressors disruptions basic systems affecting individual families as a whole, offering framework better understand appropriate interventions children.

Язык: Английский

Процитировано

32
Psychological and social interventions for the promotion of mental health in people living in low- and middle-income countries affected by humanitarian crises DOI
Davide Papola, Eleonora Prina, Caterina Ceccarelli

и другие.

Cochrane library, Год журнала: 2024, Номер 2024(5)

Опубликована: Май 21, 2024

Язык: Английский

Процитировано

6
Psychosocial support interventions in the context of forced displacement: A systematic review and meta-analysis DOI Creative Commons
Amanda J. Nguyen, Molly E. Lasater, Catherine Lee

и другие.

Journal of Migration and Health, Год журнала: 2023, Номер 7, С. 100168 - 100168

Опубликована: Янв. 1, 2023

Forced displacement is associated with elevated risk for poor psychosocial wellbeing, yet there remains a lack of clarity around the effectiveness commonly implemented support interventions focused on preventing disorder and promoting wellbeing. This study aimed to synthesize literature evaluations populations affected by forced displacement.We searched peer reviewed gray in seven databases (PubMed, Embase, Global Health, CINAHL, SocIndex, PsychInfo, PILOTS), fifteen organizational websites, via solicitation through multiple networks. Various designs were included, criteria that they report an evaluation intervention delivered displacement, included quantitative or qualitative data outcomes. Records screened independently two reviewers at both title/abstract full-text review; was double-extracted quality assessed, discrepancies resolved consensus. Meta-analyses outcomes conducted subset 33 studies.We identified 162 reports. Over half (55%) used single-group design, fewer using non-random (19%) randomized (21%) comparisons. Study incorporating comparison conditions less likely positive findings than studies. In meta-analyses, moderately strong overall effect found wellbeing (ES: -0.534, 95% CI: [-0.870, -0.197], p=.005); small effects internalizing -0.152, [-0.310, 0.005], p= .057) externalizing -0.249, [-0.515, 0.016], p=.064) problems promising but not conclusive. Subgroup analysis suggested differential impacts adults (improvement; ES: -0.289, [-0.435, -0.143], p=.001) children (worsening; 0.129, [.054, 0.204], p=.002). Other subgroup analyses showed little meaningful variation context, population, characteristics.Pragmatic, field-driven program are dominated significant bias. Findings from controlled studies highlight need more rigorous research causal inference, align theories change, improve measurement wellbeing-focused outcomes, examine differences, potentially negative impacts.

Язык: Английский

Процитировано

15
The impact of mental health and psychosocial support programmes on children and young people’s mental health in the context of humanitarian emergencies in low- and middle-income countries: A systematic review and meta-analysis DOI Creative Commons
Mukdarut Bangpan, Lambert Felix, Farida Soliman

и другие.

Cambridge Prisms Global Mental Health, Год журнала: 2024, Номер 11

Опубликована: Янв. 1, 2024

Abstract Humanitarian emergencies pose a significant global health challenge for children and young people’s mental psychological health. This systematic review investigates the effectiveness of psychosocial support (MHPSS) programmes delivered to people affected by humanitarian in low- middle-income countries (LMICs). Twelve electronic databases, key websites citation checking were undertaken. Forty-three randomised controlled trials (RCTs) published English between January 1980 May 2023 included review. Overall, findings suggest that cognitive behavioural therapy may improve depression symptoms emergencies. Narrative exposure reduce feelings guilt. However, impact other MHPSS modalities across outcomes is inconsistent. In some contexts, providing involving creative activities increase people. These emphasise need development can safely effectively address diverse needs living adversarial environments.

Язык: Английский

Процитировано

5
Mapping the evidence on psychosocial interventions for migrant populations: descriptive analysis of a living database of randomized studies DOI Creative Commons
Camilla Cadorin, Marianna Purgato, Giulia Turrini

и другие.

Cambridge Prisms Global Mental Health, Год журнала: 2024, Номер 11

Опубликована: Янв. 1, 2024

Abstract Migrant mental health is a pressing public issue with wide-ranging implications. Many randomized controlled trials (RCTs) have been conducted in this population to assess the effects of psychosocial interventions. However, available evidence characterized by controversy and fragmentation, studies focusing on different migrant populations, interventions, outcomes, delivery modalities settings. Aiming promote systematic reviews effectiveness interventions groups, we developed living database existing RCTs. The development provides an opportunity map RCT population. A total 135 involving 24,859 participants were included database. distribution year publication aligns increasing global recent years. Most focus primarily adult participants, limited representation children adolescents, prevalence female which consistent epidemiological data, except for older adults, who are underrepresented research. Studies predominantly refugees asylum seekers, likely due their elevated risk issues, despite substantial presence economic migrants worldwide. While mainly involve from Middle East Asia, data suggest broader geographic representation, coming Eastern Europe, Latin America South Asia. present descriptive analysis RCTs populations valuable insights into research landscape. It should be used inform future efforts, ensuring that more representative responsive needs contexts.

Язык: Английский

Процитировано

4
The impact of creative arts-based interventions for mental health in conflict-affected contexts: A Systematic Narrative Review DOI Creative Commons
Eric Frasco, Lorraine Sherr, María Cecilia Dedios Sanguineti

и другие.

SSM - Mental Health, Год журнала: 2025, Номер unknown, С. 100419 - 100419

Опубликована: Март 1, 2025

Язык: Английский

Процитировано

0
Moving beyond a ‘one-size-fits-all’ rationale in global mental health: prospects of a precision psychology paradigm DOI Creative Commons
Marianna Purgato,

Rakesh Singh,

Ceren Acartürk

и другие.

Epidemiology and Psychiatric Sciences, Год журнала: 2021, Номер 30

Опубликована: Янв. 1, 2021

Abstract Research on the effectiveness of mental health and psychosocial support interventions for common disorders in global provides controversial results. These results are based mean values different groups, often without due consideration individual-level characteristics contextual factors. Against this background, recent development a precision theoretical framework clinical psychology, which is calling renewed perspective implementation trial designs, we propose to develop psychology paradigm health, with emphasis not only individual socio-demographic data, but also social determinants health. A would require coordinated action academics, stakeholders humanitarian workers planning research agenda, including design trials aimed at reliably approximate prediction intervention response level.

Язык: Английский

Процитировано

26
Comparative efficacy and acceptability of psychosocial interventions for PTSD, depression, and anxiety in asylum seekers, refugees, and other migrant populations: a systematic review and network meta-analysis of randomised controlled studies DOI Creative Commons
Giulia Turrini, Marianna Purgato, Camilla Cadorin

и другие.

The Lancet Regional Health - Europe, Год журнала: 2024, Номер 48, С. 101152 - 101152

Опубликована: Ноя. 29, 2024

Язык: Английский

Процитировано

3
School-based MHPSS interventions in humanitarian contexts: a realist review DOI Creative Commons
Molly E. Lasater, Jennifer A. Flemming, Christine Bourey

и другие.

BMJ Open, Год журнала: 2022, Номер 12(4), С. e054856 - e054856

Опубликована: Апрель 1, 2022

The aim of this review is to elucidate the characteristics school-based mental health and psychosocial support (MHPSS) interventions in humanitarian contexts hypothesised mechanisms by which they influence well-being or learning outcomes. We conducted a realist searched PubMed, Embase, Global Health, CINAHL, PsychInfo, PILOTS grey literature through January 2022. Eligible studies included children age 6-12 years, were low-income middle-income countries, focused on universal MPHSS prevention an educational setting, using any study design. Data extracted analysed narrative synthesis analysis techniques create 'context-mechanism-outcome' configurations that iteratively developed modify, refine substantiate programme theories. Twenty-seven articles, representing 19 studies, review. data from 26 articles. Eleven evidenced-informed theories at levels child (n=4), teacher (n=3), caregiver (n=2), school environment (n=1) managers/administrators (n=1). At level, related strengthening coping skills, emotion regulation, interpersonal relationships led improved skills provision students linked bonds trigger well-being, fostering feelings security was did not find evidence supporting theory level. found limited positive impacts these These are promising start towards ensuring MHPSS better address needs children. Future research needed enhance base.

Язык: Английский

Процитировано

14