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  • Cited by 7
  • Cited by
    Crossref Citations
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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.
    Fazel, Mina and Betancourt, Theresa S 2018. Preventive mental health interventions for refugee children and adolescents in high-income settings. The Lancet Child & Adolescent Health, Vol. 2, Issue. 2, p. 121.
    Dawson, Katie Joscelyne, Amy Meijer, Catherine Steel, Zachary Silove, Derrick and Bryant, Richard A 2018. A controlled trial of trauma-focused therapy versus problem-solving in Islamic children affected by civil conflict and disaster in Aceh, Indonesia. Australian & New Zealand Journal of Psychiatry, Vol. 52, Issue. 3, p. 253.
    Bosqui, Tania Josiane and Marshoud, Bassam 2018. Mechanisms of change for interventions aimed at improving the wellbeing, mental health and resilience of children and adolescents affected by war and armed conflict: a systematic review of reviews. Conflict and Health, Vol. 12, Issue. 1,
    Purgato, Marianna Gross, Alden L Betancourt, Theresa Bolton, Paul Bonetto, Chiara Gastaldon, Chiara Gordon, James O'Callaghan, Paul Papola, Davide Peltonen, Kirsi Punamaki, Raija-Leena Richards, Justin Staples, Julie K Unterhitzenberger, Johanna van Ommeren, Mark de Jong, Joop Jordans, Mark J D Tol, Wietse A and Barbui, Corrado 2018. Focused psychosocial interventions for children in low-resource humanitarian settings: a systematic review and individual participant data meta-analysis. The Lancet Global Health, Vol. 6, Issue. 4, p. e390.
    Fazel, M. 2018. Psychological and psychosocial interventions for refugee children resettled in high-income countries. Epidemiology and Psychiatric Sciences, Vol. 27, Issue. 02, p. 117.
    Shala, Nexhmedin and Dreshaj, Shemsedin 2018. Association of depression, anxiety and post-traumatic stress disorder with migraine: Data from Kosovo. Neurologia i Neurochirurgia Polska,
    Nocon, Agnes Eberle-Sejari, Rima Unterhitzenberger, Johanna and Rosner, Rita 2017. The effectiveness of psychosocial interventions in war-traumatized refugee and internally displaced minors: systematic review and meta-analysis. European Journal of Psychotraumatology, Vol. 8, Issue. sup2, p. 1388709.
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Psychological interventions for post-traumatic stress disorder and depression in young survivors of mass violence in low- and middle-income countries: Meta-analysis

  • Nexhmedin Morina (a1), Mina Malek (a2), Angela Nickerson (a3) and Richard A. Bryant (a3)
Abstract
Background

The majority of survivors of mass violence live in low- and middle-income countries (LMICs).

Aims

To synthesise empirical findings for psychological interventions for children and adolescents with post-traumatic stress disorder (PTSD) and/or depression in LMICs affected by mass violence.

Method

Randomised controlled trials with children and adolescents with symptoms of PTSD and/or depression in LMICs were identified. Overall, 21812 records were found through July 2016 in the Medline, PsycINFO and PILOTS databases; 21 met the inclusion criteria and were reviewed according to recommended guidelines.

Results

Twenty-one studies were included. Active treatments for PTSD yielded large pre-treatment to post-treatment changes (g = 1.15) and a medium controlled effect size (g = 0.57). Effect sizes were similar at follow-up. Active treatments for depression produced small to medium effect sizes. Finally, after adjustment for publication bias, the imputed uncontrolled and controlled effect sizes for PTSD were medium and small respectively.

Conclusions

Psychological interventions may be effective in treating paediatric PTSD in LMICs. It appears that more targeted approaches are needed for depressive responses.

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Copyright
COPYRIGHT: © Royal College of Psychiatrists, 2017 
Corresponding author
Nexhmedin Morina, University of Münster, Fliednerstr. 21, 48149 Münster, Germany. Email: morina@uni-muenster.de
Footnotes
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†

See editorial, pp. 243–244, this issue.

Declaration of interest

None.

Footnotes
References
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  • Cited by 7
  • Cited by
    Crossref Citations
    Crossref logo
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.
    Fazel, Mina and Betancourt, Theresa S 2018. Preventive mental health interventions for refugee children and adolescents in high-income settings. The Lancet Child & Adolescent Health, Vol. 2, Issue. 2, p. 121.
    Dawson, Katie Joscelyne, Amy Meijer, Catherine Steel, Zachary Silove, Derrick and Bryant, Richard A 2018. A controlled trial of trauma-focused therapy versus problem-solving in Islamic children affected by civil conflict and disaster in Aceh, Indonesia. Australian & New Zealand Journal of Psychiatry, Vol. 52, Issue. 3, p. 253.
    Bosqui, Tania Josiane and Marshoud, Bassam 2018. Mechanisms of change for interventions aimed at improving the wellbeing, mental health and resilience of children and adolescents affected by war and armed conflict: a systematic review of reviews. Conflict and Health, Vol. 12, Issue. 1,
    Purgato, Marianna Gross, Alden L Betancourt, Theresa Bolton, Paul Bonetto, Chiara Gastaldon, Chiara Gordon, James O'Callaghan, Paul Papola, Davide Peltonen, Kirsi Punamaki, Raija-Leena Richards, Justin Staples, Julie K Unterhitzenberger, Johanna van Ommeren, Mark de Jong, Joop Jordans, Mark J D Tol, Wietse A and Barbui, Corrado 2018. Focused psychosocial interventions for children in low-resource humanitarian settings: a systematic review and individual participant data meta-analysis. The Lancet Global Health, Vol. 6, Issue. 4, p. e390.
    Fazel, M. 2018. Psychological and psychosocial interventions for refugee children resettled in high-income countries. Epidemiology and Psychiatric Sciences, Vol. 27, Issue. 02, p. 117.
    Shala, Nexhmedin and Dreshaj, Shemsedin 2018. Association of depression, anxiety and post-traumatic stress disorder with migraine: Data from Kosovo. Neurologia i Neurochirurgia Polska,
    Nocon, Agnes Eberle-Sejari, Rima Unterhitzenberger, Johanna and Rosner, Rita 2017. The effectiveness of psychosocial interventions in war-traumatized refugee and internally displaced minors: systematic review and meta-analysis. European Journal of Psychotraumatology, Vol. 8, Issue. sup2, p. 1388709.
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Psychological interventions for post-traumatic stress disorder and depression in young survivors of mass violence in low- and middle-income countries: Meta-analysis

  • Nexhmedin Morina (a1), Mina Malek (a2), Angela Nickerson (a3) and Richard A. Bryant (a3)
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