Building an evidence base on mental health interventions for children affected by armed conflict

Building an evidence base on mental health interventions for children affected by armed conflict
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DOI:
10.1097/wtf.0b013e3282f761ff
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发表时间:
2008-03-01
影响因子:
1.4
通讯作者:
Williams, Timothy
Williams, Timothy
中科院分区:
其他
文献类型:
--
作者:
Betancourt, Theresa S.;Williams, Timothy

文献摘要

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本文回顾了目前已知的干预措施,以解决受武装冲突影响的儿童和青少年的心理健康问题的有效性的研究。重点将是在人道主义紧急情况或冲突后期间在受冲突影响的国家采取的干预措施。本文将讨论主导该领域的两种主要干预范式:心理社会方法和临床/精神病学方法。本文件审查了这两种方法的评估、方案规划、监测和评价所涉及的一些基本文献、理论和问题。为了深入探讨这些问题,本文将借鉴作者在俄罗斯联邦和乌干达北方进行研究的实地经验。本文还简要回顾了少数其他出版的评估心理健康干预受战争影响的儿童。最后,我们将讨论未来的研究需要建立一个证据基础,对受武装冲突影响的儿童的心理健康干预措施,以及与开展这项工作相关的道德和可行性问题。
This paper reviews what is currently known from research about the effectiveness of interventions to address mental health problems in children and adolescents affected by armed conflict. The focus will be on interventions delivered in conflict affected countries either during active humanitarian emergencies or during the post conflict period. The paper will discuss two main paradigms of intervention dominating the field: psychosocial approaches and clinical/psychiatric approaches. The paper reviews some of the basic literature, theories and issues involved in assessment, programme planning, monitoring and evaluation of both approaches. In order to explore these issues in depth, the paper will draw from the author's field experiences with research in the Russian Federation and in northern Uganda. The paper also presents a brief review of a handful of other published evaluations of mental health interventions for war affected children. We will close with a discussion of what future research is needed to build an evidence base regarding mental health interventions for children affected by armed conflict as well as the ethical and feasibility issues associated with carrying out this work.