Mechanisms of change for interventions aimed at improving the wellbeing, mental health and resilience of children and adolescents affected by war and armed conflict: a systematic review of reviews

Conflict and Health
Tania Josiane Bosqui, Bassam Marshoud

Abstract

Despite increasing research and clinical interest in delivering psychosocial interventions for children affected by war, little research has been conducted on the underlying mechanisms of change associated with these interventions. This review aimed to identify these processes in order to inform existing interventions and highlight research gaps. A systematic review of reviews was conducted drawing from academic databases (PubMed, PILOTS, Cochrane Library for Systematic Reviews) and field resources (e.g. Médecins Sans Frontières and the Psychosocial Centre of the International Federation of Red Cross and Red Crescent Societies), with extracted data analysed using Thematic Content Analysis. Thirteen reviews of psychosocial or psychological interventions for children and adolescents (< 25 years old) affected by war, armed conflict or political violence were identified, covering over 30 countries worldwide. Qualitative analysis identified 16 mechanisms of change, one of which was an adverse mechanism. Themes included protection from harm, play, community and family capacity building, strengthening relationships with caregivers, improved emotional regulation, therapeutic rapport, trauma processing, and cognitive restructuring; with...Continue Reading

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Citations

Feb 13, 2020·Maternal & Child Nutrition·Embry HowellKevin Jiang
Nov 20, 2020·International Journal of Environmental Research and Public Health·Finiki NearchouEilis Hennessy
Dec 15, 2020·Journal of Pediatric Nursing·Carlos Javier Avendaño-VásquezLucas Quarantini
May 18, 2021·World Journal of Diabetes·Charity Neejide OnyishiChiedu Eseadi

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Methods Mentioned

BETA
Cognitive Behavioural Therapy

Software Mentioned

PILOTS
AMSTAR Tool
KidNET
AMSTAR
Narrative Exposure Therapy for children ( KidNET )
Cochrane

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