Psychosocial interventions and emotion regulation among war-affected children: randomized control trial effects.

Emotion regulation (ER) is crucial for children’s mental health in general and traumatic stress in particular. Therefore, therapeutic interventions for post-traumatic stress symptoms (PTSS) address ER in various ways. This article examines whether a psychosocial intervention (Teaching Recovery Techniques; TRT) could increase functional ER and decrease dysfunctional ER, and whether the positive ER change mediates the… Read more

Young children develop in an environment of relationships

  An “environment of relationships” is crucial for the development of a child’s brain architecture, which lays the foundation for later outcomes such as academic performance, mental health, and interpersonal skills. However, there is a greater need for policies that consider the importance of adult-child relationships for child well-being. This working paper from the National Scientific… Read more

Group crisis intervention for children during ongoing war conflict

The aim of this study was to evaluate the short-term impact of a group crisis intervention for children aged 9–15 years from five refugee camps in the Gaza Strip during ongoing conflict. Children were selected if they reported moderate to severe post-traumatic stress reactions, and were allocated to group intervention, encouraging expression of experiences and… Read more

Child soldiers: children associated with fighting forces

Around the world, an estimated 300,000 to 500,000 children are involved in armed conflict. Children can be abducted into a fighting force to fight or serve as sex slaves. Child soldiers have depression, anxiety, and post-traumatic stress symptoms; however, evidence is mixed because of methodologic limitations. Various mental health interventions have been tried, with promising… Read more

Trauma, poverty and mental health among Somali and Rwandese refugees living in an African refugee settlement – an epidemiological study

The aim of this study was to establish the prevalence of post-traumatic stress disorder (PTSD) and depression among Rwandese and Somali refugees resident in a Ugandan refugee settlement, as a measure of the mental health consequences of armed conflict, as well as to inform a subsequent mental health outreach programme. The study argues that mental… Read more

Maternal depression

The nature and scale of the problem Depression is a mental disorder characterised by low mood, loss of interest or enjoyment, and reduced energy, leading to increased fatigue, reduced activity, and marked functional impairment (WHO, 1990). Other common symptoms are reduced concentration, reduced self-esteem, ideas of guilt or unworthiness, pessimistic views of the future, ideas… Read more

Screening for common mental disorders in low resource settings: reasons for caution and a way forward

Recognition of high rates of common mental disorders in many resource-constrained contexts has indicated the need for routine screening of patients attending public health facilities. Screening may facilitate entry into community level psychiatric services for those identified as disordered. Yet, screening instruments will need to ensure high specificity so as to minimise expenditures on treating… Read more

Stepped care for maternal mental health: a case study of the perinatal mental health project in South Africa

Maternal mental health is largely neglected in low- and middle-income countries. There is no routine screening or treatment of maternal mental disorders in primary care settings in South Africa. The Perinatal Mental Health Project (PMHP) developed an intervention to deliver mental health care to pregnant women in a collaborative, step-wise manner making use of existing… Read more

Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review

The perinatal mental health of women living in low- and lower-middle-income countries has only recently become the subject of research, in part because greater priority has been assigned to preventing pregnancy-related deaths. In addition, some have argued that in resource-constrained countries women are protected from experiencing perinatal mental problems through the influence of social and… Read more

Social, economic, human rights and political challenges to global mental health

The social, economic, human rights and political challenges to global mental health addressed in this paper explore the inextricable relationship between mental health, poverty and debt. They include the need for more health economics research on cost-effective interventions; limited funding available to improve access to mental health services; the need for a move away from a… Read more

Reducing child conduct problems and promoting social skills in a middle-income country: cluster randomised controlled trial

Background There is an urgent need for effective, affordable interventions to prevent child mental health problems in low- and middle- income countries. Aims To determine the effects of a universal pre-school-based intervention on child conduct problems and social skills at school and at home. Method In a cluster randomised design, 24 community pre-schools in inner-city… Read more

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