Psychological and social interventions for the promotion of mental health in people living in low- and middle-income countries affected by humanitarian crises

Cochrane library, Год журнала: 2022, Номер 2022(4)

Опубликована: Апрель 5, 2022

Язык: Английский

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Integration of psychological interventions in multi-sectoral humanitarian programmes: a systematic review

BMC Health Services Research, Год журнала: 2024, Номер 24(1)

Опубликована: Дек. 2, 2024

Abstract Background Every year, millions of people are affected by humanitarian crises. With a growing population affected, the need for coordination and integration services aiming to improve effectiveness mental health psychosocial support also grows. In this study, we examine how psychological interventions in settings globally have been implemented through into programming outside formal healthcare delivery multisectoral integration. Methods A comprehensive search six databases reference checking was undertaken 2022. We included studies focusing on implementation strategies outcomes multi-sectoral, integrated interventions, with no year limits. extracted data using software Covidence, used manage screening reviewing processes. All were critically appraised quality rigor mixed-methods appraisal tool. Results Eight total. found that targeted conflict displaced disaster recovering populations. The demonstrated moderate success reducing distress enhancing preparedness. key investigated prioritised include acceptability, feasibility, relevance. reported processes involved task shifting primarily, an emphasis different formats adaptation, partnership creation capacity development maximise interventions. Conclusion Overall, there is little research being done rigorously document experiences integrating non-health This could be indication that, while may more common practice, or area formally. There urgent further multi-sectoral should aim understand social, cultural, environmental contexts ways, degrees, affect what acceptable feasible deliver these ultimately influence impact

Язык: Английский

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War exposure, daily stressors, and mental health 15 years on: implications of an ecological framework for addressing the mental health of conflict-affected populations

Epidemiology and Psychiatric Sciences, Год журнала: 2024, Номер 33

Опубликована: Янв. 1, 2024

Fifteen years ago, we published an article in

Язык: Английский

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Appraising Evidence-Based Mental Health and Psychosocial Support (MHPSS) Guidelines—PART I: A Systematic Review on Methodological Quality Using AGREE-HS

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(5), С. 3107 - 3107

Опубликована: Март 6, 2022

In 2007, the Inter-Agency Standing Committee (IASC) published its guidelines for mental health and psychosocial support (MHPSS) in emergency situations. This was one of first sets MHPSS guidelines, developed during last decades, to aid policymakers practitioners planning implementation disaster risk reduction activities. However, potential merit this purpose is poorly understood. The objective study review available settings assess their methodological quality. frameworks, manuals toolkits were selected via a systematic literature as well search grey literature. A total 13 assessed independently by 3-5 raters using Appraisal Guidelines Research Evaluation-Health Systems (AGREE-HS) instrument. Guideline quality scores varied substantially, ranging between 21.3 67.6 (range 0-100, M = 45.4), with four scoring above midpoint (50). Overall, scored highest (on 1-7 scale) on

Язык: Английский

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Enhancing the capabilities of forcibly displaced people: a human development approach to conflict- and displacement-related stressors

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

Опубликована: Янв. 1, 2021

Abstract Aims The mental health of individuals who have been forcibly displaced can be impacted both by war-related traumatic events and displacement-related stressors , which arise as a consequence their migratory journey subsequent experiences. In addition to focusing on disorders, there is need explore broader psychosocial outcomes that are important for people. Our aim present coherent explanatory framework understand how past ongoing operating throughout people's social environment impact wellbeing. Methods We describe the capability approach (CA), human development foregrounds individuals’ freedom engage in forms being doing valuable them. consider opportunities CA provides understanding myriad factors people, different support configured meet needs particular people communities. Results recognises various share common putative causal mechanism i.e. these limit person's ability develop capabilities valued doing. rights based ethos enables multisectoral coordinated activity, directed towards addressing across environment. Importantly, helps explain why may more beneficial or communities at certain times compared others. Conclusion application help guard against risk aspirations assessment instruments interventions aimed supporting narrowly focused distress instead adopt expansive focus potential possibilities they wish realise.

Язык: Английский

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How to distinguish promotion, prevention and treatment trials in public mental health? Study protocol for the development of the VErona-LUgano Tool (VELUT)

BMJ Open, Год журнала: 2024, Номер 14(8), С. e082652 - e082652

Опубликована: Авг. 1, 2024

Promoting mental health, preventing and treating disorders are critically important in public many randomised controlled trials (RCTs) evaluate intervention strategies for these objectives. However, distinguishing promotion from prevention treatment RCTs is challenging. A tool to place studies along the promotion-to-treatment continuum health research does not exist, leaving it researchers policymakers decide on how classify individual RCTs, which hinders evidence synthesis.

Язык: Английский

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A psychosocial bouldering intervention improves the well-being of young refugees and adolescents from the host community in Lebanon: results from a pragmatic controlled trial

Conflict and Health, Год журнала: 2024, Номер 18(1)

Опубликована: Сен. 14, 2024

Язык: Английский

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Context, coping, and mental health in refugees living in protracted displacement

Journal of Traumatic Stress, Год журнала: 2022, Номер 35(6), С. 1769 - 1782

Опубликована: Окт. 21, 2022

There is currently an unprecedented number of forcibly displaced people worldwide. Little known, however, about how external stressors and internal coping strategies intersect to influence mental health in refugees, particularly whether specific types are more or less effective across different levels stress. This study aimed understand positive negative were differentially associated with high low refugees. Participants 1,216 refugees living Indonesia who completed online survey indexing demographic characteristics, exposure ongoing stressors, psychological (i.e., cognitive flexibility, self-efficacy, hope), rumination intolerance uncertainty), symptoms posttraumatic stress disorder, depression, anxiety) health-related quality life. (27.3% female, Mage = 30.52 years) from Arabic-, Farsi-, Tamil-, Somali-, Dari-, English-speaking backgrounds. Results latent moderated structural equation modeling indicated that the association between poorer was stronger at higher stress, whereas better life lower These findings provide evidence support tailored approaches integrate interventions addressing enhanced

Язык: Английский

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The social outcomes of psychosocial support: A grey literature scoping review

SSM - Mental Health, Год журнала: 2022, Номер 2, С. 100074 - 100074

Опубликована: Фев. 12, 2022

Policymakers, practitioners and academics expect mental health psychosocial support (MHPSS) interventions to have social outcomes. Surprisingly, the existing academic literature on effectiveness of MHPSS has focused almost exclusively clinical The evidence base is in that way limited. To feed research agenda (i.e., MHPSS-SET2), this scoping review analyses presence understanding outcomes grey literature. Open-access documents were systematically searched from various online databases websites organisations. Documents which describe programming low- middle-income countries for people affected by humanitarian emergencies included. Data characteristics extracted, such as type document, intervention outcome. A textual analysis was conducted categorise descriptions these total number 95 included review. It found vast majority reviewed documents, are being described. However, been poorly conceptualised both theoretically methodologically, meaning most lack definitions theoretical concepts measurement instruments. Mechanisms relating remained implicit. These findings interpreted light key developments field MHPSS, particular introduction Inter-Agency Standing Committee (IASC) guidelines, traces underexposed position back historical roots field. In conclusion, those who develop evaluate should focus more structural attention fully understand possible impact interventions. Further harmonisation between practice necessary, drawing practice-based insights literature, using methods instruments sciences research.

Язык: Английский

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Risk factors for mental disorder development in asylum seekers and refugees resettled in Western Europe and Turkey: Participant-level analysis of two large prevention studies

International Journal of Social Psychiatry, Год журнала: 2022, Номер 69(3), С. 664 - 674

Опубликована: Ноя. 3, 2022

In asylum seekers and refugees, the frequency of mental disorders, such as depression, anxiety post-traumatic stress disorder, is higher than general population, but there a lack data on risk factors for development disorders in this population.This study investigated disorder large group refugees resettled high- middle-income settings.Participant-level from two randomized prevention studies involving Western European countries Turkey were pooled. The participants with psychological distress, without diagnosis to Self-Help Plus intervention or enhanced care usual. At baseline, exposure potentially traumatic events was measured using Harvard Trauma Questionnaire-part I, while distress depressive symptoms assessed General Health Questionnaire Patient Questionnaire. After 3 6 months follow-up, proportion who developed calculated Mini International Neuropsychiatric Interview.A total 1,101 included analysis. 3- 6-month follow-up observed 13.51% (115/851) 24.30% (207/852), respectively, estimates after missing imputation 13.95% 23.78%, respectively. controlling confounders, logistic regression analysis showed that lower education level (p = .034), shorter duration journey .057) arriving war-related contexts .017), more at developing disorders. Psychological .004), depression .001) .020) predictors development.This identified several some which may be target reduction policies. identification increased should guide implementation focused preventative interventions.

Язык: Английский

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