Mental Health in Postwar Afghanistan

Trajectories of Internalizing Problems in War-Affected Sierra Leonean Youth: Examining Conflict and Postconflict Factors

“…The findings presented here are consistent with suggestions that broad-based public health and mental health promotion activities in postemergency settings (e.g., family reunification programs and community acceptance campaigns) are well justified as a first line of response that should then be followed by targeted, evidence-based, and sustainable services models directed at those who continue to manifest elevated symptoms and functional impairments over time (Bolton & Betancourt, 2004;Miller & Rasmussen, 2010a, 2010b. It is important that the socioecological model that guided this study also inform intervention development and community sensitization so that both formal services and nonformal supports are robust across each layer of the social ecology.…”

Afghan mental health and psychosocial well-being: thematic review of four decades of research and interventions

“…This raised questions regarding the validity of thresholds used to demarcate psychiatric disorders from psychological distress, and just as importantly, questions regarding the face validity and relevance of psychiatric symptoms and trauma reports for Afghan populations. 32 Subsequent clinical validation of a widely used screening tool, the Hopkins Symptoms Checklist-25, in Afghanistan and among Afghan refugees in Japan found only moderate agreement between the results of screening and clinical interviews. 33,34…”

Prevalence and predictors of mental health problems in refugee children living in informal settlements in Lebanon

“…Prevalence was high even after accounting for the expected falsepositive rates resulting from screening tools. The difference between unadjusted and adjusted prevalence estimates-adjusted estimates were, on average, a third lower than raw estimates-confirms that the use of screening tools probably results in problems such as overreporting of mental health problems [13][14][15][16][17][18] . Prevalence of PTSD was similar to that reported in one recent meta-analysis 3 but higher than another 5 .…”