Prevalence and Predictors of Mental Health Problems in Refugee Children Living in Humanitarian Settings DOI
Fiona McEwen, Claudinei Eduardo Biazoli, Cassandra Popham

и другие.

SSRN Electronic Journal, Год журнала: 2022, Номер unknown

Опубликована: Янв. 1, 2022

Background: In 2020, 82∙4 million people were forcibly displaced, 42% of whom children. These children are at increased risk mental health problems, though prevalence estimates vary widely. While 86% refugees hosted in low- and middle-income countries, most research has been conducted high-income countries. Furthermore, while factors such as war exposure well established, there less on effects the local refugee environment.Methods: We assessed problems a range prospective cohort study N=1,594 Syrian living informal settlements Lebanon. interviewed child-caregiver dyads baseline one-year follow-up (62∙8% retention). culturally adapted structured clinical interviews subsample (n=134, 8∙4%) used these to select clinically-relevant cut-off scores for self-report scales. Prevalence, patterns comorbidity, associations with evaluated.Findings: 39∙6% met criteria post-traumatic stress disorder (PTSD), 26∙9% conduct/oppositional defiant (CD/ODD), 20∙1% depression, 47∙8% anxiety disorders; comorbidity was common. Depression, anxiety, PTSD symptoms decreased over time, but CD/ODD more stable. Quality environment factor strongly associated PTSD, (d=-∙20 -∙28).Interpretation: Lebanon show high burden problems. Comorbidity is norm, supporting use transdiagnostic interventions. The association between an order magnitude greater than other factors. Interventions policy address social determinants important scaling up services.Funding Information: BIOPATH funded by Eunice Kennedy Shriver National Institute Child Health & Human Development [grant number R01HD083387]. Linked studies award from TIES/NYU part 3EA | MENAT Measurement Initiative S4323-04] Elrha's Research Humanitarian Crises (R2HC) Programme, which aims improve outcomes strengthening evidence base public interventions humanitarian crises. R2HC UK Foreign, Commonwealth Office (FCDO), Wellcome, (NIHR). Visit www.elrha.org information about work through research, innovation, partnership. CEB received funding European Union's Horizon 2020 innovation programme under Marie Skłodowska-Curie grant agreement No 896021.Declaration Interests: Fiona S. McEwen payment lectures topic University College London, CIEE Global Institute, CAPA Education Network. Michael Pluess speaking fees Yale Society (SRCD) presentation results. All authors have no conflicts interest declare that relevant content this article.Ethics Approval Statement: This complied ethical standards national institutional committees human experimentation Helsinki Declaration 1975, revised 2008. Ethical approval granted Institutional Review Board Balamand / Saint George Hospital Medical Center, (ref: IRB/O/024-16/1815). also reviewed Lebanese Consultative Committee Ethics approved Ministry Public (MoPH). linked trial IRB American Beirut SBS-2018-0582) MoPH. sponsor, Queen Mary compliance all legal regulatory requirements. Mental services offered anyone participating communities; reduce perceived pressure participate, service access not dependent participation. Services provided international NGO delivers primary care Lebanon, either their standard or trial.

Язык: Английский

Prevalence and predictors of mental health problems in refugee children living in informal settlements in Lebanon DOI Creative Commons
Fiona McEwen, Claudinei Eduardo Biazoli, Cassandra Popham

и другие.

Nature Mental Health, Год журнала: 2023, Номер 1(2), С. 135 - 144

Опубликована: Фев. 17, 2023

Abstract Millions of people are currently displaced. About half them children who at increased risk mental health problems. While some factors such as war exposure well established, less is known regarding the effects local refugee environment. Here we show that prevalence and comorbidity problems in Syrian living settlements Lebanon high. We assessed individual, familial social a prospective cohort study ( N = 1,591 child–caregiver dyads interviewed between October 2017 January 2018; n 1,000 1 yr follow-up). Of these children, 39.6% met criteria for post-traumatic stress disorder, 26.9% conduct/oppositional defiant 20.1% depression 47.8% anxiety disorders. Exposure to daily stressors was factor most strongly associated with children’s Interventions policies addressing ongoing important scaling up services families.

Язык: Английский

Процитировано

15
Cohort profile: biological pathways of risk and resilience in Syrian refugee children (BIOPATH) DOI Creative Commons
Fiona McEwen, Cassandra Popham,

Patricia Moghames

и другие.

Social Psychiatry and Psychiatric Epidemiology, Год журнала: 2022, Номер 57(4), С. 873 - 883

Опубликована: Янв. 18, 2022

The BIOPATH cohort was established to explore the interplay of psychosocial and biological factors in development resilience mental health problems Syrian refugee children. Based Lebanon, a middle-income country significantly impacted by crisis, it is first such refugees Middle East. Families were recruited from informal tented settlements Beqaa region using purposive cluster sampling. At baseline (October 2017-January 2018), N = 3188 individuals participated [n 1594 child-caregiver dyads; child gender, 52.6% female; mean (SD) age 11.44 (2.44) years, range 6-19]. Re-participation rate at 1-year follow-up 62.8%. Individual interviews conducted with children primary caregivers samples collected Measures include: (1) children's well-being (using tools validated against clinical subsample cohort); (2) risk protective level individual (e.g. coping strategies), family parent-child relationship), community collective efficacy), wider context services); (3) saliva for genetic epigenetic (methylation) analyses; (4) hair measure cortisol, dehydroepiandrosterone (DHEA) testosterone. This profile provides details about sampling recruitment, data collection measures, demographic data, attrition potential bias, key findings on strengths limitations cohort. Researchers interested accessing should contact Professor Michael Pluess Queen Mary University London, UK (e-mail: [email protected]).

Язык: Английский

Процитировано

20
Brief CBT-based psychological interventions to improve mental health outcomes in refugee populations: a systematic review and meta-analysis DOI Creative Commons
N Daniel, Xin Liu, Elizabeth T Thomas

и другие.

European journal of psychotraumatology, Год журнала: 2024, Номер 15(1)

Опубликована: Авг. 30, 2024

Refugees, asylum seekers, and internally displaced people experience a high burden of mental health problems owing to their experiencing traumas stressful events.

Язык: Английский

Процитировано

3
The culturally and contextually sensitive assessment of mental health using a structured diagnostic interview (MINI Kid) for Syrian refugee children and adolescents in Lebanon: Challenges and solutions DOI

Vanessa Kyrillos,

Tania Bosqui,

Patricia Moghames

и другие.

Transcultural Psychiatry, Год журнала: 2022, Номер 60(1), С. 125 - 141

Опубликована: Июль 12, 2022

Elevated rates of mental health difficulties are frequently reported in conflict-affected and displaced populations. Even with advances improving the validity reliability measures, our knowledge performance assessment tools is often limited by a lack contextualization to specific populations socio-political settings. This reflective article aimed review challenges share lessons learned from process administering supervising structured clinical interview. We administered MINI International Neuropsychiatric Interview for Children Adolescents (MINI Kid) used Clinical Global Impression (CGI) severity scale N = 119 Syrian refugee children (aged 8–17) resident ITSs Lebanon. Qualitative data were derived supervision notes on that arose during assessments, analyzed thematic content. Five themes identified: (1) practical logistical (changeable nature daily life, competing demands, access phones, temporary locations, referral options); (2) (lack privacy, trust, perceptions health, stigma, false positive answers); (3) cultural norms meaning (impact different meanings (4) contextual (reactive adaptive emotional behavioral responses stress); (5) co-morbidity formulation (interconnected complex presentations). The findings suggest while assessments have major advantages, sensitivity addressing barriers accessibility, consideration inter-connected formulations essential help inform prevalence rates, treatment plans, public strategies.

Язык: Английский

Процитировано

9
What drives change in children receiving telephone-delivered Common Elements Treatment Approach (t-CETA)? A multiple n = 1 study with Syrian refugee children and adolescents in Lebanon DOI
Tania Bosqui, Fiona McEwen,

Nicolas Chehade

и другие.

Child Abuse & Neglect, Год журнала: 2023, Номер unknown, С. 106388 - 106388

Опубликована: Авг. 1, 2023

Язык: Английский

Процитировано

5
Delivering therapy over telephone in a humanitarian setting: a pilot randomized controlled trial of common elements treatment approach (CETA) with Syrian refugee children in Lebanon DOI Creative Commons
Michael Pluess, Fiona McEwen, Claudinei Eduardo Biazoli

и другие.

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

Опубликована: Сен. 20, 2024

Язык: Английский

Процитировано

1
Global migration: Moral, political and mental health challenges DOI
G. Eric Jarvis, Laurence J. Kirmayer

Transcultural Psychiatry, Год журнала: 2023, Номер 60(1), С. 5 - 12

Опубликована: Фев. 1, 2023

Global migration is expected to continue increase as climate change, conflict and economic disparities challenge peoples' lives. The political response a social determinant of mental health. Despite the potential benefits migration, many migrants refugees face significant challenges after they resettle. papers collected in this thematic issue Transcultural Psychiatry explore experience highlight some that governments healthcare services need address facilitate integration health migrants. Clinicians training resources work effectively with migrants, focusing on their resilience long-term adaptive processes. Efforts counter systemic discrimination structural violence often be broad-based, unified, persistent make meaningful change. When are free realize talents aspirations, can help build local communities societies value diversity.

Язык: Английский

Процитировано

3
Self-concept in Adolescents with Physical-Mental Comorbidity DOI Creative Commons
Mark A. Ferro, Megan Dol, Karen A. Patte

и другие.

Journal of Multimorbidity and Comorbidity, Год журнала: 2023, Номер 13

Опубликована: Сен. 1, 2023

Little is known about self-concept in adolescents with physical-mental comorbidity. This study investigated whether comorbidity was associated and examined if adolescent age or sex moderated the association between self-concept.Study data were obtained from Multimorbidity Youth across Life-course (MY LIFE), an ongoing Canadian of chronic physical illness who recruited outpatient clinics at a pediatric hospital. A total 116 aged ≥ 10 years provided self-reports on key measures.Adolescents (n = 48) had lower scores Self-Determination Questionnaire (SDQ; d 0.62) Self-Perception Profile for Children (SPPC; 0.53) vs. without 68). An × status interaction found age-stratified models computed to investigate this moderating effect age. Amongst older adolescents, SDQ (B -2.55, p < .001), but not among younger -0.29, .680). similar SPPC -0.48, .001) 0.03, .842). Adolescent be moderator.Physical-mental adolescence by age-differences greater clinically relevant. Opportunities support positive self-perceptions are warranted, especially when planning transition adult health services.

Язык: Английский

Процитировано

2
Prevalence and Predictors of Mental Health Problems in Refugee Children Living in Humanitarian Settings DOI
Fiona McEwen, Claudinei Eduardo Biazoli, Cassandra Popham

и другие.

SSRN Electronic Journal, Год журнала: 2022, Номер unknown

Опубликована: Янв. 1, 2022

Background: In 2020, 82∙4 million people were forcibly displaced, 42% of whom children. These children are at increased risk mental health problems, though prevalence estimates vary widely. While 86% refugees hosted in low- and middle-income countries, most research has been conducted high-income countries. Furthermore, while factors such as war exposure well established, there less on effects the local refugee environment.Methods: We assessed problems a range prospective cohort study N=1,594 Syrian living informal settlements Lebanon. interviewed child-caregiver dyads baseline one-year follow-up (62∙8% retention). culturally adapted structured clinical interviews subsample (n=134, 8∙4%) used these to select clinically-relevant cut-off scores for self-report scales. Prevalence, patterns comorbidity, associations with evaluated.Findings: 39∙6% met criteria post-traumatic stress disorder (PTSD), 26∙9% conduct/oppositional defiant (CD/ODD), 20∙1% depression, 47∙8% anxiety disorders; comorbidity was common. Depression, anxiety, PTSD symptoms decreased over time, but CD/ODD more stable. Quality environment factor strongly associated PTSD, (d=-∙20 -∙28).Interpretation: Lebanon show high burden problems. Comorbidity is norm, supporting use transdiagnostic interventions. The association between an order magnitude greater than other factors. Interventions policy address social determinants important scaling up services.Funding Information: BIOPATH funded by Eunice Kennedy Shriver National Institute Child Health & Human Development [grant number R01HD083387]. Linked studies award from TIES/NYU part 3EA | MENAT Measurement Initiative S4323-04] Elrha's Research Humanitarian Crises (R2HC) Programme, which aims improve outcomes strengthening evidence base public interventions humanitarian crises. R2HC UK Foreign, Commonwealth Office (FCDO), Wellcome, (NIHR). Visit www.elrha.org information about work through research, innovation, partnership. CEB received funding European Union's Horizon 2020 innovation programme under Marie Skłodowska-Curie grant agreement No 896021.Declaration Interests: Fiona S. McEwen payment lectures topic University College London, CIEE Global Institute, CAPA Education Network. Michael Pluess speaking fees Yale Society (SRCD) presentation results. All authors have no conflicts interest declare that relevant content this article.Ethics Approval Statement: This complied ethical standards national institutional committees human experimentation Helsinki Declaration 1975, revised 2008. Ethical approval granted Institutional Review Board Balamand / Saint George Hospital Medical Center, (ref: IRB/O/024-16/1815). also reviewed Lebanese Consultative Committee Ethics approved Ministry Public (MoPH). linked trial IRB American Beirut SBS-2018-0582) MoPH. sponsor, Queen Mary compliance all legal regulatory requirements. Mental services offered anyone participating communities; reduce perceived pressure participate, service access not dependent participation. Services provided international NGO delivers primary care Lebanon, either their standard or trial.

Язык: Английский

Процитировано

3