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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.
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- Author(s): Morina, Nexhmedin; Malek, Mina; Nickerson, Angela; Bryant, Richard A.
- Source:
British Journal of Psychiatry; Apr2017, Vol. 210 Issue 4, p247-254, 8p- Subject Terms:
POST-traumatic stress disorder in adolescence; POST-traumatic stress disorder in children; DEPRESSION in children; DEPRESSION in adolescence; TREATMENT of post-traumatic stress disorder; THERAPEUTICS; MENTAL depression; DEVELOPING countries; META-analysis; POST-traumatic stress disorder; PSYCHOTHERAPY - Source:
- Additional Information
- Abstract: BackgroundThe majority of survivors of mass violence live in low- and middle-income countries (LMICs).AimsTo 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.MethodRandomised controlled trials with children and adolescents with symptoms of PTSD and/or depression in LMICs were identified. Overall, 21 812 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.ResultsTwenty-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.ConclusionsPsychological interventions may be effective in treating paediatric PTSD in LMICs. It appears that more targeted approaches are needed for depressive responses. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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