Improving adolescent mental health and protection in humanitarian settings: longitudinal findings from a multi-arm randomized controlled trial of child-friendly spaces among South Sudanese refugees in Uganda / Janna METZLER in Journal of Child Psychology and Psychiatry, 64-6 (June 2023)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 64-6 (June 2023) . - p.907-917 Titre : Improving adolescent mental health and protection in humanitarian settings: longitudinal findings from a multi-arm randomized controlled trial of child-friendly spaces among South Sudanese refugees in Uganda Type de document : Texte imprimé et/ou numérique Auteurs : Janna METZLER, Auteur ; Terry SAW, Auteur ; Denis NONO, Auteur ; Agatha KADONDI, Auteur ; Yuan ZHANG, Auteur ; Cheng-Shiun LEU, Auteur ; Aimyleen GABRIEL, Auteur ; Kevin SAVAGE, Auteur ; Cassie LANDERS, Auteur Article en page(s) : p.907-917 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background The effects of conflict and displacement on adolescent mental health and protection are profound and can have lasting consequences. We aimed to investigate the effectiveness of two group-based psychosocial interventions on mental health and protection of South Sudanese refugee adolescents. Methods A randomized controlled trial was done in four villages within the Omugo extension of Rhino Camp refugee settlement in the West Nile region of Uganda. Male and female adolescents (aged 9-14?years) were randomly assigned to attend 12?weeks of either a Standard psychosocial intervention delivered in a child-friendly space (CFS) or a more structured sequential delivery of psychosocial sessions guided by a newly developed Toolkit for Child-Friendly Spaces in Humanitarian Settings. The primary outcomes were psychological distress and resilience 12?months after baseline assessment. The trial is registered with ClinicalTrials.gov, NCT03897894. Results Between May 28, 2019, and February 20, 2020, 1,280 eligible adolescents were recruited. With 70.2% retention at follow-up, 214 assigned to the Standard, 211 assigned to the Toolkit, and 370 assigned to the waitlist control were included in the intention-to-treat and as-treated analysis. Both the Toolkit and Standard approaches were more effective in reducing psychological distress and perceived protection risks reported by adolescents compared to no intervention. Differential intervention impacts are indicated in subgroup analyses. Conclusions The trial found that both psychosocial interventions when implemented in a CFS are well suited as a first-line mental health and violence prevention intervention for adolescent populations exposed to conflict and forced displacement. Where feasible, CFS should be implemented as a primary response strategy soon after displacement to improve psychological health and reduce the risk environment for adolescents. En ligne : http://dx.doi.org/https://doi.org/10.1111/jcpp.13746 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=504 [article] Improving adolescent mental health and protection in humanitarian settings: longitudinal findings from a multi-arm randomized controlled trial of child-friendly spaces among South Sudanese refugees in Uganda [Texte imprimé et/ou numérique] / Janna METZLER, Auteur ; Terry SAW, Auteur ; Denis NONO, Auteur ; Agatha KADONDI, Auteur ; Yuan ZHANG, Auteur ; Cheng-Shiun LEU, Auteur ; Aimyleen GABRIEL, Auteur ; Kevin SAVAGE, Auteur ; Cassie LANDERS, Auteur . - p.907-917. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-6 (June 2023) . - p.907-917 Index. décimale : PER Périodiques Résumé : Background The effects of conflict and displacement on adolescent mental health and protection are profound and can have lasting consequences. We aimed to investigate the effectiveness of two group-based psychosocial interventions on mental health and protection of South Sudanese refugee adolescents. Methods A randomized controlled trial was done in four villages within the Omugo extension of Rhino Camp refugee settlement in the West Nile region of Uganda. Male and female adolescents (aged 9-14?years) were randomly assigned to attend 12?weeks of either a Standard psychosocial intervention delivered in a child-friendly space (CFS) or a more structured sequential delivery of psychosocial sessions guided by a newly developed Toolkit for Child-Friendly Spaces in Humanitarian Settings. The primary outcomes were psychological distress and resilience 12?months after baseline assessment. The trial is registered with ClinicalTrials.gov, NCT03897894. Results Between May 28, 2019, and February 20, 2020, 1,280 eligible adolescents were recruited. With 70.2% retention at follow-up, 214 assigned to the Standard, 211 assigned to the Toolkit, and 370 assigned to the waitlist control were included in the intention-to-treat and as-treated analysis. Both the Toolkit and Standard approaches were more effective in reducing psychological distress and perceived protection risks reported by adolescents compared to no intervention. Differential intervention impacts are indicated in subgroup analyses. Conclusions The trial found that both psychosocial interventions when implemented in a CFS are well suited as a first-line mental health and violence prevention intervention for adolescent populations exposed to conflict and forced displacement. Where feasible, CFS should be implemented as a primary response strategy soon after displacement to improve psychological health and reduce the risk environment for adolescents. En ligne : http://dx.doi.org/https://doi.org/10.1111/jcpp.13746 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=504

Rates and types of psychiatric disorders in perinatally human immunodeficiency virus-infected youth and seroreverters / Claude Ann MELLINS in Journal of Child Psychology and Psychiatry, 50-9 (September 2009)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 50-9 (September 2009) . - p.1131-1138 Titre : Rates and types of psychiatric disorders in perinatally human immunodeficiency virus-infected youth and seroreverters Type de document : Texte imprimé et/ou numérique Auteurs : Claude Ann MELLINS, Auteur ; Elizabeth BRACKIS-COTT, Auteur ; Cheng-Shiun LEU, Auteur ; Katherine S. ELKINGTON, Auteur ; Curtis DOLEZAL, Auteur ; Andrew WIZNIA, Auteur ; Mary MCKAY, Auteur ; Mahrukh BAMJI, Auteur ; Elaine J. ABRAMS, Auteur Année de publication : 2009 Article en page(s) : p.1131-1138 Langues : Anglais (eng) Mots-clés : Perinatal-HIV-infection seroreverters adolescents psychiatric-disorder AIDS behavior-problems psychiatric-practice mental-health Index. décimale : PER Périodiques Résumé : Background: The purpose of this study was to examine 1) the prevalence of psychiatric and substance use disorders in perinatally HIV-infected (HIV+) adolescents and 2) the association between HIV infection and these mental health outcomes by comparing HIV+ youths to HIV exposed but uninfected youths (HIV-) from similar communities. Methods: Data for this paper come from the baseline interview of a longitudinal study of mental health outcomes in 9-16 year old perinatally HIV-exposed youths (61% HIV+) and their caregivers. Three hundred forty youths and their primary adult caregivers were recruited from four medical centers and participated in separate individual interviews. Youth psychiatric disorder was assessed using the caregiver and youth versions of The Diagnostic Interview Schedule for Children (DISC-IV). Results: According to caregiver or youth report, a high percentage of HIV+ and HIV- youths met criteria for a non-substance use psychiatric disorder, with significantly higher rates among the HIV+ youths (61% vs. 49%, OR = 1.59; CI = 1.03,2.47; p < .05). The most prevalent diagnoses in both groups were anxiety disorders (46% for total sample) which included social phobia, separation anxiety, agoraphobia, generalized anxiety disorder, panic disorder, obsessive- compulsive disorder, and specific phobias. One quarter of the sample met criteria for a behavioral disorder (ADHD, conduct disorders, and oppositional defiant disorders), with ADHD being most prevalent. HIV+ youths had significantly higher rates of ADHD (OR = 2.45; CI = 1.20, 4.99, p < .05). Only 7% of youths met criteria for a mood disorder and 4% for a substance abuse disorder. Several caregiver variables (caregiver type and HIV status) were also associated with both child HIV status and mental health outcomes. Conclusions: Our data suggest that HIV+ youths are at high risk for mental health disorders. Further longitudinal research is necessary to understand the etiology, as well as potential protective factors, in order to inform efficacy-based interventions. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02069.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=829 [article] Rates and types of psychiatric disorders in perinatally human immunodeficiency virus-infected youth and seroreverters [Texte imprimé et/ou numérique] / Claude Ann MELLINS, Auteur ; Elizabeth BRACKIS-COTT, Auteur ; Cheng-Shiun LEU, Auteur ; Katherine S. ELKINGTON, Auteur ; Curtis DOLEZAL, Auteur ; Andrew WIZNIA, Auteur ; Mary MCKAY, Auteur ; Mahrukh BAMJI, Auteur ; Elaine J. ABRAMS, Auteur . - 2009 . - p.1131-1138. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 50-9 (September 2009) . - p.1131-1138 Mots-clés : Perinatal-HIV-infection seroreverters adolescents psychiatric-disorder AIDS behavior-problems psychiatric-practice mental-health Index. décimale : PER Périodiques Résumé : Background: The purpose of this study was to examine 1) the prevalence of psychiatric and substance use disorders in perinatally HIV-infected (HIV+) adolescents and 2) the association between HIV infection and these mental health outcomes by comparing HIV+ youths to HIV exposed but uninfected youths (HIV-) from similar communities. Methods: Data for this paper come from the baseline interview of a longitudinal study of mental health outcomes in 9-16 year old perinatally HIV-exposed youths (61% HIV+) and their caregivers. Three hundred forty youths and their primary adult caregivers were recruited from four medical centers and participated in separate individual interviews. Youth psychiatric disorder was assessed using the caregiver and youth versions of The Diagnostic Interview Schedule for Children (DISC-IV). Results: According to caregiver or youth report, a high percentage of HIV+ and HIV- youths met criteria for a non-substance use psychiatric disorder, with significantly higher rates among the HIV+ youths (61% vs. 49%, OR = 1.59; CI = 1.03,2.47; p < .05). The most prevalent diagnoses in both groups were anxiety disorders (46% for total sample) which included social phobia, separation anxiety, agoraphobia, generalized anxiety disorder, panic disorder, obsessive- compulsive disorder, and specific phobias. One quarter of the sample met criteria for a behavioral disorder (ADHD, conduct disorders, and oppositional defiant disorders), with ADHD being most prevalent. HIV+ youths had significantly higher rates of ADHD (OR = 2.45; CI = 1.20, 4.99, p < .05). Only 7% of youths met criteria for a mood disorder and 4% for a substance abuse disorder. Several caregiver variables (caregiver type and HIV status) were also associated with both child HIV status and mental health outcomes. Conclusions: Our data suggest that HIV+ youths are at high risk for mental health disorders. Further longitudinal research is necessary to understand the etiology, as well as potential protective factors, in order to inform efficacy-based interventions. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02069.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=829

---

1 (1 - 2 / 2)