Mental health and psychosocial support interventions for survivors of sexual and gender‐based violence during armed conflict: a systematic review

Tol, Wietse A.; Stavrou, Vivi; Greene, M. Claire; Mergenthaler, Christina; Garcia-Moreno, Claudı́a; Ommeren, Mark van

doi:10.1002/wps.20054

Cited by 19 publications

(19 citation statements)

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“…The few studies of effectiveness have had methodologic limitations, including a lack of controls and high attrition rates. 11 Eastern Democratic Republic of Congo is a low-income, conflict-affected region in which political and economic instability are ongoing problems and nearly 40% of women have experienced sexual violence. 12 The development of effective mental health services has important implications for the recovery of sexual-violence survivors in the Democratic Republic of Congo and similar countries.…”

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confidence: 99%

Controlled Trial of Psychotherapy for Congolese Survivors of Sexual Violence

et al. 2013

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confidence: 99%

Controlled Trial of Psychotherapy for Congolese Survivors of Sexual Violence

et al. 2013

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“…The present paper focuses on issues of general concern amongst adult refugees. The reader is referred to the specialized literature on vulnerable sub‐populations (child soldiers, unaccompanied minors, children and youth, single or widowed women) and specific geographical situations around the world.…”

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confidence: 99%

The contemporary refugee crisis: an overview of mental health challenges

2017

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There has been an unprecedented upsurge in the number of refugees worldwide, the majority being located in low-income countries with limited resources in mental health care. This paper considers contemporary issues in the refugee mental health field, including developments in research, conceptual models, social and psychological interventions, and policy. Prevalence data yielded by cross-sectional epidemiological studies do not allow a clear distinction to be made between situational forms of distress and frank mental disorder, a shortcoming that may be addressed by longitudinal studies. An evolving ecological model of research focuses on the dynamic inter-relationship of past traumatic experiences, ongoing daily stressors and the background disruptions of core psychosocial systems, the scope extending beyond the individual to the conjugal couple and the family. Although brief, structured psychotherapies administered by lay counsellors have been shown to be effective in the short term for a range of traumatic stress responses, questions remain whether these interventions can be sustained in low-resource settings and whether they meet the needs of complex cases. In the ideal circumstance, a comprehensive array of programs should be provided, including social and psychotherapeutic interventions, generic mental health services, rehabilitation, and special programs for vulnerable groups. Sustainability of services, ensuring best practice, evidence-based approaches, and promoting equity of access must remain the goals of future developments, a daunting challenge given that most refugees reside in settings where skills and resources in mental health care are in shortest supply.

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“…Five systematic reviews aimed to systematically review evidence of MHPSS in armed conflicts and political violence settings: one reviewed studies of community-based mental health service interventions aimed at refugees in conflict areas (William and Thompson, 2011), one focused on psychosocial interventions in on-going violence (de Jong, 2014), two examined evidence of interventions for women (Dossa et al, 2012;Tol et al, 2013), and one focused on torture survivors (Patel et al2014).…”

Section: Box 1: Systematic Reviews Of Effectiveness Of Mhpss In Humanmentioning

confidence: 99%

“…We have developed a preliminary search strategy and identified sources during the scoping exercise stage that will be finalised in the second stage of the review. The search strategy develops and builds on from previous systematic reviews in the field (For example, see 28,34,36,40,51,52 )…”

Section: Searchingmentioning

confidence: 99%

“…Figure 4 shows that of the 102 papers included, nearly half (n=50; 49%) were classified as systematic reviews and just under a quarter (n=32) were literature reviews or discussion pieces relevant to MHPSS in humanitarian emergencies. A further 14 papers were classified as 'meta-analytic reviews' 3 and two documents were editorials (ISAC et al, 2007;Kessler and Wittchen, 2008;Tol et al, 2013). The remaining three papers (one each) were classified as a scoping review (Guruge and Butt, 2015), a systematic review protocol (Purgato et al 2014), and a review of reviews (Figueoa et al, 2010).…”

Section: Appendix 4: Findings From Scoping Exercisementioning

confidence: 99%

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