Annual Research Review: Mental health and resilience in HIV/AIDS-affected children – a review of the literature and recommendations for future research / Theresa S. BETANCOURT in Journal of Child Psychology and Psychiatry, 54-4 (April 2013)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 54-4 (April 2013) . - p.423-444 Titre : Annual Research Review: Mental health and resilience in HIV/AIDS-affected children – a review of the literature and recommendations for future research Type de document : Texte imprimé et/ou numérique Auteurs : Theresa S. BETANCOURT, Auteur ; Sarah E. MEYERS-OHKI, Auteur ; Alexandra CHARROW, Auteur ; Nathan HANSEN, Auteur Article en page(s) : p.423-444 Mots-clés : HIV/AIDS  children  families  resilience  mental health Index. décimale : PER Périodiques Résumé : Background: To date, research on mental health in HIV- affected children (children who have an HIV-positive caregiver or live with the virus themselves) has focused on risk factors associated with the disease. However, simultaneous identification of factors that contribute to resilience in the face of risks is also needed. A greater understanding of modifiable protective processes that contribute to resilience in the mental health of children affected by HIV can inform the design of interventions that bolster naturally occurring supports and contribute to early prevention or better management of risks. Methods: We reviewed the recent literature on mental health and resilience in children and adolescents affected by HIV/AIDS. Literature searches of PsycInfo and PubMed were conducted during July–December 2011 consistent with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards. Qualitative and quantitative studies were included for review if primary research questions pertained to mental health and coping or protective processes in children and families affected by HIV/AIDS. All studies subject to full review were evaluated for quality using a modified Systematic Assessment of Quality in Observational Research (SAQOR) rating system. Results: One hundred and seventy one unique studies were returned from online searches of the literature and bibliography mining. Of these, 29 were evaluated as pertaining directly to mental health and resilience in families and children living with HIV/AIDS. Eight studies presented qualitative analyses. Ten quantitative studies examined individual resources contributing to child resilience and four quantitative studies looked at family-level resources. Ten studies also investigated community level interactions. Four presented findings from resilience-focused interventions. Conclusions: There is a clear need for rigorous research on mental health and resilience in HIV-affected children and adolescents. The evidence base would greatly benefit from more standardized and robust approaches to thinking about resilience from an ecological perspective inclusive of resources at multiple levels and their interactions. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02613.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=194 [article] Annual Research Review: Mental health and resilience in HIV/AIDS-affected children – a review of the literature and recommendations for future research [Texte imprimé et/ou numérique] / Theresa S. BETANCOURT, Auteur ; Sarah E. MEYERS-OHKI, Auteur ; Alexandra CHARROW, Auteur ; Nathan HANSEN, Auteur . - p.423-444. in Journal of Child Psychology and Psychiatry > 54-4 (April 2013) . - p.423-444 Mots-clés : HIV/AIDS  children  families  resilience  mental health Index. décimale : PER Périodiques Résumé : Background: To date, research on mental health in HIV- affected children (children who have an HIV-positive caregiver or live with the virus themselves) has focused on risk factors associated with the disease. However, simultaneous identification of factors that contribute to resilience in the face of risks is also needed. A greater understanding of modifiable protective processes that contribute to resilience in the mental health of children affected by HIV can inform the design of interventions that bolster naturally occurring supports and contribute to early prevention or better management of risks. Methods: We reviewed the recent literature on mental health and resilience in children and adolescents affected by HIV/AIDS. Literature searches of PsycInfo and PubMed were conducted during July–December 2011 consistent with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards. Qualitative and quantitative studies were included for review if primary research questions pertained to mental health and coping or protective processes in children and families affected by HIV/AIDS. All studies subject to full review were evaluated for quality using a modified Systematic Assessment of Quality in Observational Research (SAQOR) rating system. Results: One hundred and seventy one unique studies were returned from online searches of the literature and bibliography mining. Of these, 29 were evaluated as pertaining directly to mental health and resilience in families and children living with HIV/AIDS. Eight studies presented qualitative analyses. Ten quantitative studies examined individual resources contributing to child resilience and four quantitative studies looked at family-level resources. Ten studies also investigated community level interactions. Four presented findings from resilience-focused interventions. Conclusions: There is a clear need for rigorous research on mental health and resilience in HIV-affected children and adolescents. The evidence base would greatly benefit from more standardized and robust approaches to thinking about resilience from an ecological perspective inclusive of resources at multiple levels and their interactions. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02613.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=194

Research Review: Psychosocial adjustment and mental health in former child soldiers ? a systematic review of the literature and recommendations for future research / Theresa S. BETANCOURT in Journal of Child Psychology and Psychiatry, 54-1 (January 2013)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 54-1 (January 2013) . - 17-36 Titre : Research Review: Psychosocial adjustment and mental health in former child soldiers ? a systematic review of the literature and recommendations for future research Type de document : Texte imprimé et/ou numérique Auteurs : Theresa S. BETANCOURT, Auteur ; Ivelina BORISOVA, Auteur ; Timothy P. WILLIAMS, Auteur ; Sarah E. MEYERS-OHKI, Auteur ; Julia E. RUBIN-SMITH, Auteur ; Jeannie ANNAN, Auteur ; Brandon A. KOHRT, Auteur Article en page(s) : 17-36 Langues : Anglais (eng) Mots-clés : Violence  resilience  risk factors  child soldiers  war Index. décimale : PER Périodiques Résumé : Aims and scope: This article reviews the available quantitative research on psychosocial adjustment and mental health among children (age 18 years) associated with armed forces and armed groups (CAAFAG) ? commonly referred to as child soldiers. Methods: PRISMA standards for systematic reviews were used to search PubMed, PsycInfo, JSTOR, and Sociological Abstracts in February 2012 for all articles on former child soldiers and CAAFAG. Twenty-one quantitative studies from 10 countries were analyzed for author, year of publication, journal, objectives, design, selection population, setting, instruments, prevalence estimates, and associations with war experiences. Opinion pieces, editorials, and qualitative studies were deemed beyond the scope of this study. Quality of evidence was rated according to the Systematic Assessment of Quality in Observational Research (SAQOR). Findings: According to SAQOR criteria, among the available published studies, eight studies were of high quality, four were of moderate quality, and the remaining nine were of low quality. Common limitations were lack of validated mental health measures, unclear methodology including undefined sampling approaches, and failure to report missing data. Only five studies included a comparison group of youth not involved with armed forces/armed groups, and only five studies assessed mental health at more than one point in time. Across studies, a number of risk and protective factors were associated with postconflict psychosocial adjustment and social reintegration in CAAFAG. Abduction, age of conscription, exposure to violence, gender, and community stigma were associated with increased internalizing and externalizing mental health problems. Family acceptance, social support, and educational/economic opportunities were associated with improved psychosocial adjustment. Conclusions: Research on the social reintegration and psychosocial adjustment of former child soldiers is nascent. A number of gaps in the available literature warrant future study. Recommendations to bolster the evidence base on psychosocial adjustment in former child soldiers and other war-affected youth include more studies comprising longitudinal study designs, and validated cross-cultural instruments for assessing mental health, as well as more integrated community-based approaches to study design and research monitoring. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02620.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=186 [article] Research Review: Psychosocial adjustment and mental health in former child soldiers ? a systematic review of the literature and recommendations for future research [Texte imprimé et/ou numérique] / Theresa S. BETANCOURT, Auteur ; Ivelina BORISOVA, Auteur ; Timothy P. WILLIAMS, Auteur ; Sarah E. MEYERS-OHKI, Auteur ; Julia E. RUBIN-SMITH, Auteur ; Jeannie ANNAN, Auteur ; Brandon A. KOHRT, Auteur . - 17-36. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 54-1 (January 2013) . - 17-36 Mots-clés : Violence  resilience  risk factors  child soldiers  war Index. décimale : PER Périodiques Résumé : Aims and scope: This article reviews the available quantitative research on psychosocial adjustment and mental health among children (age 18 years) associated with armed forces and armed groups (CAAFAG) ? commonly referred to as child soldiers. Methods: PRISMA standards for systematic reviews were used to search PubMed, PsycInfo, JSTOR, and Sociological Abstracts in February 2012 for all articles on former child soldiers and CAAFAG. Twenty-one quantitative studies from 10 countries were analyzed for author, year of publication, journal, objectives, design, selection population, setting, instruments, prevalence estimates, and associations with war experiences. Opinion pieces, editorials, and qualitative studies were deemed beyond the scope of this study. Quality of evidence was rated according to the Systematic Assessment of Quality in Observational Research (SAQOR). Findings: According to SAQOR criteria, among the available published studies, eight studies were of high quality, four were of moderate quality, and the remaining nine were of low quality. Common limitations were lack of validated mental health measures, unclear methodology including undefined sampling approaches, and failure to report missing data. Only five studies included a comparison group of youth not involved with armed forces/armed groups, and only five studies assessed mental health at more than one point in time. Across studies, a number of risk and protective factors were associated with postconflict psychosocial adjustment and social reintegration in CAAFAG. Abduction, age of conscription, exposure to violence, gender, and community stigma were associated with increased internalizing and externalizing mental health problems. Family acceptance, social support, and educational/economic opportunities were associated with improved psychosocial adjustment. Conclusions: Research on the social reintegration and psychosocial adjustment of former child soldiers is nascent. A number of gaps in the available literature warrant future study. Recommendations to bolster the evidence base on psychosocial adjustment in former child soldiers and other war-affected youth include more studies comprising longitudinal study designs, and validated cross-cultural instruments for assessing mental health, as well as more integrated community-based approaches to study design and research monitoring. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02620.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=186

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